STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WAIKIKI HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WAIKIKI HEALTH (EIN 99-0159253)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349301334
Schema version
2010v3.2
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)
Timestamp2011-11-10T14:28:01-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1N&K CPAS INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11001 BISHOP ST SUITE 1700 ASB TOWERAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968133696ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990159253EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WAIKIKI HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWAIKNameControl
Phone8089224787Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1277 OHUA AVENUEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96815ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHEILA BECKHAMName
TitleEXECUTIVE DIRECTORTitle
Phone8089224787Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRIAN S ISOBEName
Phone8085242255Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHEILA BECKHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1277 OHUA AVENUEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6820703GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WAIKIKIHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3505929ContributionsGrantsPriorYear
Contributions Grants Current Year3628202ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2483598ProgramServiceRevenuePriorYear
Program Service Revenue CY3189762ProgramServiceRevenueCY
Investment Income Prior Year287InvestmentIncomePriorYear
Investment Income Current Year2739InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5989814TotalRevenuePriorYear
Total Revenue Current Year6820703TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year244771GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY241888GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3686087SalariesEtcPriorYear
Salaries Etc Current Year4545028SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year374488TotalFundrsngExpCurrentYear
Other Expense Prior Year1225353OtherExpensePriorYear
Other Expenses Current Year1643929OtherExpensesCurrentYear
Total Expenses Prior Year5156211TotalExpensesPriorYear
Total Expenses Current Year6430845TotalExpensesCurrentYear
Revenues Less Expenses Prior Year833603RevenuesLessExpensesPriorYear
Revenues Less Expenses CY389858RevenuesLessExpensesCY
Total Assets BOY3394130TotalAssetsBOY
Total Assets EOY3875680TotalAssetsEOY
Total Liabilities BOY444721TotalLiabilitiesBOY
Total Liabilities EOY536413TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2949409NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3339267NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2736496Expense
Revenue2481165Revenue
DescriptionOUR PRIMARY CARE CLINIC OFFERS GENERAL AND PREVENTATIVE MEDICAL CARE AND CASE MANAGEMENT THAT IS INTEGRATED WITH TRADITIONAL HAWAIIAN HEALING, MEDICAL NUTRITION THERAPY AND BEHAVIORAL HEALTH COUNSELING. CHRONIC DISEASE MANAGEMENT IS A KEY COMPONENT AS WE PROVIDE A SAFETY NET TO PEOPLE WHO ARE UNINSURED, UNDERINSURED AND OFTEN HOMELESS. IN 2010, WE PROVIDED 25,766 PRIMARY CARE VISITS TO 5,733 PATIENTS, 79% OF WHOM WERE LIVING AT OR BELOW POVERTY LEVEL.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1721195Expense
Grants179888Grants
Revenue490227Revenue
DescriptionOUR HOMELESS OUTREACH PROGRAM SERVED OVER 4,306 INDIVIDUALS WITH MORE THAN 37,046 MEDICAL AND SOCIAL ENCOUNTERS. OUR DROP-IN CENTER OFFERS HEALTH SERVICES, BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, EMERGENCY FOOD AND CLOTHING, PHONE AND MESSAGE SERVICES, HYGIENE SUPPLIES, ASSISTANCE WITH HEALTH INSURANCE AND INTAKE SERVICES FOR THE NEXT STEP SHELTER. OUR MOBILE MEDICAL CLINIC VISITS VARIOUS PARTS OF THE ISLAND WITH A FULLY EQUIPPED EXAM ROOM.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense387564Expense
Grants62000Grants
DescriptionOUR HIV-AIDS PROGRAM IS ONE OF THE MOST COMPREHENSIVE IN HAWAII. OUR MEDICAL DIRECTOR IS A CREDENTIALED HIV SPECIALIST WITH THE AMERICAN ACADEMY OF HIV MEDICINE, ONE OF ONLY NINE IN HAWAII. IN 2010, WE PROVIDED 2,106 PRIMARY CARE VISITS, 235 MENTAL HEALTH ENCOUNTERS AND 128 ANONYMOUS HIV COUNSELING/TESTING ENCOUNTERS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense777331Expense
Revenue218370Revenue
DescriptionHO'OLA LIKE PROJECT AT HALE'IWA, WAIKIKI FRIENDLY NEIGHBORS, YOUTH OUTREACH SERVICES, FAMILY PLANNING AND PHARMACY (STARTED IN NOVEMBER 2010).Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp777331TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev218370TotalOfOtherProgramServiceRev
Total Program Service Expense5622586TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees86NumberOfEmployees
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 Members15NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
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 Line1SHEILA BECKHAMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8087919302TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1277 OHUA AVENUEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96815ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT GENTRY
PRESIDENT1.00XX000
HOWARD LEE
VICE-PRESIDENT/TREASURER1.00XX000
PHYLLIS DENDLE
VICE-PRESIDENT1.00XX000
TERRENCE ARATANI
VICE-PRESIDENT1.00XX000
THANH-LO SANANIKONE
SECRETARY1.00XX000
DONNA CHING
DIRECTOR1.00X000
CLIFTON CHOY
DIRECTOR1.00X000
DAVID JOHN
DIRECTOR1.00X000
LESTER KANETA
DIRECTOR1.00X000
MELANIE MITO MAY
DIRECTOR1.00X000
JANET MONTGOMERY
DIRECTOR1.00X000
JP MOULIN
DIRECTOR1.00X000
PAUL SMITH
DIRECTOR1.00X000
CAROLL ANN TAKAHASHI
DIRECTOR1.00X000
GUY NATHAN YATSUSHIRO
DIRECTOR1.00X000
SHEILA BECKHAM
EXECUTIVE DIRECTOR40.00X123869011287
LINDA ROSS
CHIEF FINANCIAL OFFICER (JAN - MAR)40.00X2623302236
BARRIE STEWART
CHIEF FINANCIAL OFFICER (APR - JUL)40.00X165730668
ALAN KONG
CHIEF FINANCIAL OFFICER (AUG - PRES)40.00X2877201344
ELLIOT KALAUAWA
MEDICAL DIRECTOR40.00156460012789X
WILSON LIU
PHYSICIAN40.0012377806522X
FieldValueIRS element (for citing)
Total Reportable Comp From Org475685TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation34846TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants2848302GovernmentGrants
All Other Contributions779900AllOtherContributions
Total Contributions3628202TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV62111027999422799942
PURCHASE OF SERVICE AG621110389820389820
FieldValueIRS element (for citing)
Total Program Service Revenue3189762TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column155TotalRevenueColumn
Exclusion$155ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2584Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2584Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2584TotalRevenueColumn
Exclusion$2,584ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6820703TotalRevenueColumn
Related Or Exempt Function Income3189762RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,739ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total241888Total
Program Services241888ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total510531Total
Program Services455950ProgramServices
Management And General23588ManagementAndGeneral
Fundraising30993Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3196091Total
Program Services2854396ProgramServices
Management And General147667ManagementAndGeneral
Fundraising194028Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total106799Total
Program Services95381ProgramServices
Management And General4934ManagementAndGeneral
Fundraising6484Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total417846Total
Program Services373174ProgramServices
Management And General19305ManagementAndGeneral
Fundraising25367Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total313761Total
Program Services280217ProgramServices
Management And General14497ManagementAndGeneral
Fundraising19047Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total185334Total
Program Services172678ProgramServices
Management And General12656ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total26662Total
Management And General26662ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total235248Total
Program Services149656ProgramServices
Management And General24678ManagementAndGeneral
Fundraising60914Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total166383Total
Program Services141982ProgramServices
Management And General18838ManagementAndGeneral
Fundraising5563Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total242098Total
Program Services182301ProgramServices
Management And General50886ManagementAndGeneral
Fundraising8911Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total65966Total
Program Services41428ProgramServices
Management And General21314ManagementAndGeneral
Fundraising3224Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5739Total
Program Services393ProgramServices
Management And General5258ManagementAndGeneral
Fundraising88Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total309Total
Program Services283ProgramServices
Management And General26ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total210152Total
Program Services201236ProgramServices
Management And General8251ManagementAndGeneral
Fundraising665Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total25428Total
Program Services5795ProgramServices
Management And General19633ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES250475250475
REPAIRS AND MAINTENANCE105997963388765894
MISCELLANEOUS49336196051335616375
BAD DEBT2381223812
TRAINING209601592937761255

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30030Total
Program Services19669ProgramServices
Management And General9681ManagementAndGeneral
Fundraising680Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6430845Total
Program Services5622586ProgramServices
Management And General433771ManagementAndGeneral
Fundraising374488Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY30639BOY
EOY47365EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1428871BOY
EOY1701178EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1034202BOY
EOY692565EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY178087BOY
EOY226273EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY28671EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY107668BOY
EOY119370EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1542774LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec508998LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY589931BOY
EOY1033776EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24732BOY
EOY26482EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3394130BOY
EOY3875680EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY379428BOY
EOY420329EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY65293BOY
EOY116084EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY444721BOY
EOY536413EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2753846BOY
EOY3186169EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY195563BOY
EOY153098EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2949409BOY
EOY3339267EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3394130BOY
EOY3875680EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses389858ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2302561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2978140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2947244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3505929CurrentTaxYearMinus1Year
Current Tax Year3628202CurrentTaxYear
Total15362076Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2302561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2978140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2947244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3505929CurrentTaxYearMinus1Year
Current Tax Year3628202CurrentTaxYear
Total15362076Total
FieldValueIRS element (for citing)
Public Support Total17015362076PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6526CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4288CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year287CurrentTaxYearMinus1Year
Current Tax Year155CurrentTaxYear
Total18239Total
FieldValueIRS element (for citing)
Total Support15380315TotalSupport
Gross Receipts From Admissions Etc10641315GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99880PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99860PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$1,246DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1246TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE ORGANIZATION'S EXECUTIVE DIRECTOR PROVIDED TESTIMONY TO LEGISLATORS AND THEIR STAFF REGARDING UNINSURED FUNDING, ADULT MENTAL HEALTH FUNDING CUTS, CIGARETTE TAX DISTRIBUTION, FUNDING FOR OUT-STATIONED ELIGIBILITY WORKERS, OBESITY EDUCATION, AND OTHER HEALTHCARE ISSUES OF INTEREST TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC).Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis660390OtherCostOrOtherBasis
Depreciation31438Depreciation
Book Value628952BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis387075OtherCostOrOtherBasis
Depreciation157979Depreciation
Book Value229096BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis495309OtherCostOrOtherBasis
Depreciation319581Depreciation
Book Value175728BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1033776TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO GRANT SUBRECIPIENTS$39,388
REFUNDABLE ADVANCES$76,696
FieldValueIRS element (for citing)
Total Of Amounts116084TotalOfAmounts
Total Revenue6820703TotalRevenue
Total Expenses6430845TotalExpenses
Excess Or Deficit For Year389858ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS389858ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6860946TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities40243DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99040243RevenueNotRptdF990
Revenue Subtotal6820703RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9906820703TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6471088TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities40243DonatedServicesUseOfFacilities
Expenses Not Rptd F99040243ExpensesNotRptdF990
Expenses Subtotal6430845ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906430845TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COMMUNITY CLINIC OF MAUI INC
1881 NANI STWAILUKUHI96793990303304501(C)(3)62000STAFFING FOR CASE MANAGEMENT AND MEDICAL SERVICES FOR PATIENTS WITH HIV/AIDS
COMMUNITY CLINIC OF MAUI INC
1881 NANI STWAILUKUHI96793990303304501(C)(3)22106STAFFING FOR MEDICAL, SOCIAL, HEALTH CARE, AND OTHER RELATED SERVICES FOR THE HOMELESS
WAIANAE COAST COMPREHENSIVE HEALTH CENTER
86-260 FARRINGTON HWYWAIANAEHI96792990148164501(C)(3)31105STAFFING FOR MEDICAL, SOCIAL, HEALTH CARE, AND OTHER RELATED SERVICES FOR THE HOMELESS
KALIHI-PALAMA HEALTH CENTER
915 N KING STHONOLULUHI96817990161221501(C)(3)126677STAFFING FOR MEDICAL, SOCIAL, HEALTH CARE, AND OTHER RELATED SERVICES FOR THE HOMELESS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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: THE ORGANIZATION'S GRANTEES ARE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS WITH ANNUAL REQUIREMENTS FOR AUDITED FINANCIAL STATEMENTS, UDS REPORTS, QUALITY REVIEWS, AND HRSA OVERSIGHT OF GOVERNANCE AND OPERATIONAL ISSUES. IN ADDITION, GRANTS ARE FOR FUNDING OF SPECIFIC EXPENSES AND INVOICES ARE REVIEWED BY THE ORGANIZATION'S CFO. GRANTEES ALSO PROVIDE QUARTERLY DATA WITH INVOICES AND ANNUAL SITE VISITS ARE MADE TO EACH GRANTEE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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

FieldValueIRS element (for citing)
Name PersonELLIOT KALAUAWANamePerson
Base Compensation Filing Org156460BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org7835DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org4954NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org169249TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHOWARD LEENamePerson
FieldValueIRS element (for citing)
RelationshipDIRECTOR AND OFFICER OF THE ORGANIZATIONRelationship
Amount Of Transaction322528AmountOfTransaction
Description Of TransactionTHE ORGANIZATION PURCHASES EMPLOYEE HEALTH INSURANCE FROM UNIVERSITY HEALTH ALLIANCE. HOWARD LEE IS THE CHIEF OPERATING OFFICER OF UNIVERSITY HEALTH ALLIANCE. HOWARD LEE WAS NOT COMPENSATED BY WAIKIKI HEALTH CENTER.THE DECISION TO PURCHASE HEALTH INSURANCE FROM UNIVERSITY HEALTH ALLIANCE WAS MADE BY USING COMPETITIVE BIDS. FULL DISCLOSURE WAS MADE TO THE BOARD ABOUT THE DECISION.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED FOR REVIEW BY THE CFO AND REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD. AN ELECTRONIC COPY IS SENT TO ALL BOARD MEMBERS PRIOR TO FILING.
ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY UPON BECOMING A DIRECTOR AND ALSO ANNUALLY. EMPLOYEES ARE EXPECTED TO FOREGO ANY OUTSIDE ACTIVITIES DAMAGING TO OR CONFLICTING WITH THE ORGANIZATION'S INTEREST. ACTIVITIES IN WHICH A CONFLICT OF INTEREST OCCUR INCLUDE: ACTIVITIES WHICH ADVERSELY AFFECT JOB PERFORMANCE, CUSTOMER RELATIONS OR COMMUNITY RELATIONS; ACTIONS WHICH GIVE OUR COMPETITORS AN ADVANTAGE; IMPROPER VENDOR AND SUBCONTRACTOR RELATIONS; ACCEPTANCE OF GIFTS, ENTERTAINMENT OR OTHER FAVORS OF MORE THAN A TOKEN NATURE.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF DIRECTORS. THE DIRECTORS MEET IN EXECUTIVE SESSION FOR DISCUSSION. THE PERSONNEL COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD AND USES THE FOLLOWING RESOURCES: COMPARATIVE DATA FROM HAWAII EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND THE HAWAII PRIMARY CARE ASSOCIATION (HPCA). THE CHIEF EXECUTIVE OF THE HPCA, WHO IS INDEPENDENT OF THE BOARD OF DIRECTORS, ACTED AS AN ADVISOR AND CONSULTANT DURING THE 2007 HIRING OF THE NEW EXECUTIVE DIRECTOR. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE DIRECTOR, USING THE AVAILABLE EXTERNAL RESOURCES LISTED ABOVE AND WITH INPUT ON COMPARABLE MARKET SALARIES FROM THE HR MANAGER.FORM 990, PART VI, SECTION B, LINE 15
ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE AT THE OFFICE OF THE EXECUTIVE DIRECTOR. NOTICE IS MADE ON THE ORGANIZATION'S WEBSITE.FORM 990, PART VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C: