TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DANE KEOLA LLOYD...................................................................... BOARD 3RD VICE CHAIR	1.00 .................	X	X
(2) DANIEL GOMES...................................................................... BOARD CHAIR	1.00 .................	X	X
(3) LA JUAINE SUISO...................................................................... BOARD 2ND VICE CHAIR	1.00 .................	X	X
(4) BILLIE HAUGE...................................................................... BOARD SECRETARY	1.00 .................	X	X
(5) WAYNE SUEHIRO...................................................................... BOARD TREASURER	1.00 .................	X	X
(6) MERRIE AIPOALANI...................................................................... BOARD DIRECTOR	1.00 .................	X
(7) VIRGINIA FUATA...................................................................... BOARD DIRECTOR	1.00 .................	X
(8) CHARLES HEW-LEN...................................................................... BOARD DIRECTOR	1.00 .................	X
(9) CLIFFORD ISARA...................................................................... BOARD DIRECTOR	1.00 .................	X
(10) JERALD KIMO ALAMA KEAULANA...................................................................... BOARD DIRECTOR	1.00 .................	X
(11) DENICE KELIIKOA...................................................................... BOARD DIRECTOR	1.00 .................	X
(12) FLORINE PELL...................................................................... BOARD DIRECTOR	1.00 .................	X
(13) RENEE REGO...................................................................... BOARD DIRECTOR	1.00 .................	X
(14) CHARLES WHEATLEY...................................................................... BOARD DIRECTOR	1.00 .................	X
(15) CAMERON NEKOTA...................................................................... BOARD DIRECTOR	1.00 .................	X
(16) JUDITH BABSON...................................................................... BOARD DIRECTOR	1.00 .................	X
(17) GENEVIEVE AKEN...................................................................... BOARD DIRECTOR	1.00 .................	X

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) ANTHONY MAKANA PARIS........................................................................ BOARD DIRECTOR	1.00 .......................	X			0	0
(19) ANTHONY KAIPO GUERRERO........................................................................ BOARD DIRECTOR	1.00 .......................	X			0	0
(20) TESHA MALAMA........................................................................ BOARD DIRECTOR	1.00 .......................	X			0	0
(21) RICHARD P BETTINI........................................................................ CHIEF EXECUTIVE OFFICER	40.00 .......................		X		457,460	45,968
(22) JAMES Z CHEN........................................................................ CHIEF FINANCIAL OFFICER	40.00 .......................		X		276,187	27,610
(23) NICHOLAS HUGHEY........................................................................ EXECUTIVE VICE PRESIDENT OPERATIONS	40.00 .......................		X		338,027	27,748
(24) STEPHEN P BRADLEY........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................		X		343,774	36,470
(25) JOYCE M O'BRIEN........................................................................ EXECUTIVE VICE PRESIDENT ADMINISTRATION	40.00 .......................		X		331,970	15,315
(26) KRISTELLE OMPAD........................................................................ CHIEF HR & FACILITIES OFFICER	40.00 .......................		X		212,576	34,431
(27) VIJA M SEHGAL........................................................................ MD -QUALITY OFFICER	40.00 .......................		X		250,956	33,718
(28) SCOTT T PADAVAN........................................................................ MD -EMERGENCY DEPT DIRECTOR	40.00 .......................			X	282,693	44,968
(29) PAUL C O'HARA........................................................................ MD-EMERGENCY MEDICINE	40.00 .......................			X	287,836	11,321
(30) NESTOR JR C HERANA........................................................................ MD -INTERNAL MEDICINE	40.00 .......................			X	326,902	15,315
(31) PAUL S STRAIT........................................................................ MD - EMERGENCY MEDICINE	40.00 .......................			X	289,014	25,253
(32) RICHARD PRICE........................................................................ MD -EMERGENCY MEDICINE	20.00 .......................			X	244,820	0

(A) Name and business address	(B) Description of services	(C) Compensation
NEXTGEN HEALTHCARE INFORMATION SYSTEMS L PO BOX 511449 LOS ANGELES,CA90051	CONTRACTOR	788,648
UNIVERSAL PROTECTION SERVICE LP PO BOX 277469 ATLANTA,GA303847469	SECURITY	757,747
KELLY SERVICES INC PO BOX 31001-0422 PASADENA,CA911100422	CONTRACTOR	624,700
UNIVERSAL CLEANING SYSTEMS LLC 87-1449 AKOWAI RD WAIANAE HI 9679 WAIANAE,HI96792	HOUSEKEEPING	574,686
G4S SECURE SOLUTIONS (USA) INC PO BOX 277469 ATLANTA,GA30384	SECURITY	334,309
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 18

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization WAIANAE DISTR COMPREHENSIVE HEALTH & HOSPITAL BOARD INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization WAIANAE DISTR COMPREHENSIVE HEALTH & HOSPITAL BOARD INC		Employer identification number 99-0148164

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization WAIANAE DISTR COMPREHENSIVE HEALTH & HOSPITAL BOARD INC			Employer identification number 99-0148164
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	400,000	400,000	400,000	400,000
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	-400,000
f	Administrative expenses ....
g	End of year balance ......		400,000	400,000	400,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,732,360		1,732,360
b	Buildings ....	65,456,525	23,025,100	42,431,425
c	Leasehold improvements	1,889,818	1,521,377	368,441
d	Equipment ....	18,834,144	13,794,887	5,039,257
e	Other .....	779,438		779,438
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				50,350,921

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	110,530
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	MANAGEMENT HAS DETERMINED THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2022 OR 2021 AND IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2019.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number
99-0148164

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) WAIMANALO HEALTH CENTER 41-137 KALANIANAOLE HWY WAMANALO,HI96795	99-0273205	501(C)(3)	143,787	0		PROVIDING OUTREACH AND SUPPORT TO COVID-19 PATIENTS, INCLUDING CONNECTING TO TELEMEDICINE HEALTHCARE SERVICES, SOCIAL SERVICES AND CONTACT TRACING. ENGAGING WITH COMMUNITY MEMBERS, ESPECIALLY THOSE WHO HAVE CHALLENGES ACCESSING CARE, TO RAISE AWARENESS ABOUT THE PANDEMIC, MITIGATION STRATEGIES, AVAILABLE HEALTH CARE CENTER SERVICES AND COMMUNITY RESOURCES.
(2) BAY CLINIC INC 450 KILAUEA AVE HILO,HI96720	99-0222784	501(C)(3)	97,653	0		PROVIDING OUTREACH AND SUPPORT TO COVID-19 PATIENTS, INCLUDING CONNECTING TO TELEMEDICINE HEALTHCARE SERVICES, SOCIAL SERVICES AND CONTACT TRACING. ENGAGING WITH COMMUNITY MEMBERS, ESPECIALLY THOSE WHO HAVE CHALLENGES ACCESSING CARE, TO RAISE AWARENESS ABOUT THE PANDEMIC, MITIGATION STRATEGIES, AVAILABLE HEALTH CARE CENTER SERVICES AND COMMUNITY RESOURCES.
(3) HAMAKUA HEALTH CENTER 45-549 PLUMERIA ST HONOKAA,HI96727	99-0115515	501(C)(3)	263,537	0		PROVIDING OUTREACH AND SUPPORT TO COVID-19 PATIENTS, INCLUDING CONNECTING TO TELEMEDICINE HEALTHCARE SERVICES, SOCIAL SERVICES AND CONTACT TRACING. ENGAGING WITH COMMUNITY MEMBERS, ESPECIALLY THOSE WHO HAVE CHALLENGES ACCESSING CARE, TO RAISE AWARENESS ABOUT THE PANDEMIC, MITIGATION STRATEGIES, AVAILABLE HEALTH CARE CENTER SERVICES AND COMMUNITY RESOURCES.
(4) 'ELEPAIO SOCIAL SERVICES 86-260 FARRINGTON HWY WAIANAE,HI96792	87-1098803	501(C)(3)	675,750	0		PROVIDE COMMUNITY WELLNESS AND HUMAN SERVICES.
(5) 'ELEPAIO SOCIAL SERVICES 86-260 FARRINGTON HWY WAIANAE,HI96792	87-1098803	501(C)(3)	0	279,834	3 FRIDGES, 1 FORKLIFT, 1 VEHICLE AND FOOD WAREHOUSE RENOVATIONS	RESPONDING TO CRITICAL COMMUNITY NEED FOR WRAP AROUND SOCIAL SERVICES AND FOOD, INCLUDING STORAGE OF AND DELIVERY OF FOOD RELATED TO COMMUNITY FOOD DISTRIBUTIONS.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

GRANT MANAGEMENT STARTS DURING THE PRE-APPLICATION PHASE WHEN POTENTIAL GRANTS ARE ANALYZED BY STAFF FOR FIT WITH THE GOALS OF THE ORGANIZATION AND CURRENT PROJECTS/PROGRAMS, AND IMPACT (STAFFING, OFFICE SPACE, ETC.) ON THE ORGANIZATION. ONCE A GRANT IS RECEIVED, CONTRACT/GRANT DELIVERABLES ARE MONITORED BY THE PROGRAM DIRECTOR FOR THE GRANT/PROGRAM, AS WELL AS THE LEADERSHIP TEAM MEMBER AND/OR DEPARTMENT HEAD THAT SUPERVISES THE PROGRAM DIRECTOR. THE PROJECT OFFICER FOR THE FUNDING AGENCY IS ALSO PART OF THE EVALUATION PROCESS.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1RICHARD P BETTINI CHIEF EXECUTIVE OFFICER	(i) (ii)	329,693 ------------- 0	95,730 ------------- 0	32,037 ------------- 0	14,500 ------------- 0	31,468 ------------- 0	503,428 ------------- 0	0 ------------- 0
2STEPHEN P BRADLEY CHIEF MEDICAL OFFICER	(i) (ii)	281,258 ------------- 0	36,485 ------------- 0	26,031 ------------- 0	14,500 ------------- 0	21,970 ------------- 0	380,244 ------------- 0	0 ------------- 0
3NICHOLAS HUGHEY EXECUTIVE VICE PRESIDENT OPERATIONS	(i) (ii)	242,621 ------------- 0	74,001 ------------- 0	21,405 ------------- 0	14,500 ------------- 0	13,248 ------------- 0	365,775 ------------- 0	0 ------------- 0
4JOYCE M O'BRIEN EXECUTIVE VICE PRESIDENT ADMINISTRAT	(i) (ii)	245,695 ------------- 0	63,880 ------------- 0	22,395 ------------- 0	14,500 ------------- 0	815 ------------- 0	347,285 ------------- 0	0 ------------- 0
5NESTOR JR C HERANA MD -INTERNAL MEDICINE	(i) (ii)	261,620 ------------- 0	65,282 ------------- 0	0 ------------- 0	14,500 ------------- 0	815 ------------- 0	342,217 ------------- 0	0 ------------- 0
6SCOTT T PADAVAN MD -EMERGENCY DEPT DIRECTOR	(i) (ii)	267,509 ------------- 0	14,884 ------------- 0	300 ------------- 0	14,500 ------------- 0	30,468 ------------- 0	327,661 ------------- 0	0 ------------- 0
7PAUL S STRAIT MD - EMERGENCY MEDICINE	(i) (ii)	271,234 ------------- 0	17,780 ------------- 0	0 ------------- 0	14,500 ------------- 0	10,753 ------------- 0	314,267 ------------- 0	0 ------------- 0
8JAMES Z CHEN CHIEF FINANCIAL OFFICER	(i) (ii)	204,513 ------------- 0	52,191 ------------- 0	19,483 ------------- 0	13,982 ------------- 0	13,628 ------------- 0	303,797 ------------- 0	0 ------------- 0
9PAUL C O'HARA MD-EMERGENCY MEDICINE	(i) (ii)	278,461 ------------- 0	9,375 ------------- 0	0 ------------- 0	1,500 ------------- 0	9,821 ------------- 0	299,157 ------------- 0	0 ------------- 0
10VIJA M SEHGAL MD -QUALITY OFFICER	(i) (ii)	221,188 ------------- 0	9,278 ------------- 0	20,490 ------------- 0	12,885 ------------- 0	20,833 ------------- 0	284,674 ------------- 0	0 ------------- 0
11KRISTELLE OMPAD CHIEF HR & FACILITIES OFFICER	(i) (ii)	157,491 ------------- 0	40,318 ------------- 0	14,767 ------------- 0	11,111 ------------- 0	23,320 ------------- 0	247,007 ------------- 0	0 ------------- 0
12RICHARD PRICE MD -EMERGENCY MEDICINE	(i) (ii)	241,221 ------------- 0	3,599 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	244,820 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

COMPENSATION FOR SOME OF THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES CELLPHONE ALLOWANCES.

PART I, LINE 7

COMPENSATION OF OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES NON-FIXED PAYMENTS IN THE FORM OF BONUSES AND/OR INCENTIVE PAYMENTS HELD ON EITHER A QUARTERLY OR ANNUAL BASIS. THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE VISIONLINK ADVISORY GROUP CONDUCTS A REVIEW OF KEY EMPLOYEE COMPENSATION INTENDED TO SATISFY THE SAFE HARBOR FOR ORANIZATION MANAGERS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-1 AND REBUTTABLE PRESUMPTION STANDARD DESCRIBED IN TREASURY REGULATION SECTION 53.4958.6. THIS PROCESS WAS LAST COMPLETED IN AUGUST 2021.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Return Reference	Explanation
FORM 990, PART III, LINE 4D CONTINUED:	THE HEALTH CENTER'S FULL ARRAY OF PRIMARY HEALTH CARE SERVICES IS DESIGNED TO MEET THE NEEDS OF THE TARGET POPULATION. MUCH ATTENTION IS PAID IN PLACING CLINICS THAT ARE STRATEGICALLY LOCATED ALONG BUS ROUTES THAT ARE VISIBLE TO THE COMMUNITY. THE HOURS OF OPERATION AT ALL SITES REPRESENT A COMMITMENT TO MEET THE NEEDS OF PATIENTS AND THEIR PERSONAL SITUATIONS. CLINICS ARE OPEN WEEKDAYS AS EARLY AS 7:00 AM AND STAY OPEN, AT THE LATEST, TILL 5:30 PM. SEVERAL CLINICS OR SERVICES ARE ALSO OPEN ON SATURDAYS. THE HEALTH CENTER HAS SCHOOL BASED CLINICS AT WAIANAE HIGH, WAIANAE INTERMEDIATE, NANAKULI HIGH/INTERMEDIATE SCHOOLS, AND KAMAILE ACADEMY. THE HEALTH CENTER'S EMERGENCY ROOM IS OPEN 24 HOURS, 365 DAYS A YEAR. PRIMARY, PREVENTIVE, AND ENABLING SERVICES ARE AVAILABLE AND ACCESSIBLE TO ALL LIFE CYCLES REGARDLESS OF ABILITY TO PAY FOR SERVICES. SPECIFIC PREVENTIVE (CHRONIC DISEASE MANAGEMENT; HEALTH EDUCATION - DIABETES, ASTHMA, NUTRITION, AND SMOKING CESSATION) AND ENABLING SERVICES (CASE MANAGEMENT, ELIGIBILITY ASSISTANCE) ARE INTEGRATED WITH PRIMARY CARE. RENOVATIONS AND EXPANSION OF THE DENTAL BUILDING AT THE MAIN CENTER EXPERIENCED NUMERSOUS DELAYS DUE TO COVID AND PERMITTING BUT CONSTRUCTION BEGAN DECEMBER 2022 AND IS SLATED FOR COMPLETION NOVEMBER 2023. EXPANSION OF THE HEALTH CENTER'S EWA-WEST OAHU COMMUNITY HEALTH STARTED OPENED IN FEBRUARY 2022 WITH EXPANDED BEHAVIORAL HEALTH SERVICES AND SERVICES VIA A TELEHEALTH KIOSK. A KEY INITIATIVE FOR THE HEALTH CENTER CONTINUES TO BE DEVELOPING A "PRIMARY CARE HEALTH CARE HOME" THAT FITS THE MODEL OF CARE THAT MEETS THE BROAD HEALTH CARE NEEDS OF OUR PATIENTS. THE HEALTH CENTER CONTINUES TO GROW ITS PARTNERSHIP THROUGH AHARO, A VIRTUAL ACCOUNTABLE CARE ORGANIZATION WHICH CURRENTLY INCLUDES HEALTH CENTERS ON OAHU, MOLOKAI, MAUI AND HAWAII ISLAND WHOSE MISSION IS "PROMOTING ACCESS, QUALITY, AND COST EFFECTIVENESS IN HEALTHCARE BY EMPOWERING CONSUMERS TO EVALUATE THE PERFORMANCE OF HEALTHCARE AGENCIES THAT SERVE THEM."
FORM 990, PART VI, SECTION A, LINE 6	THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY BETWEEN FEBRUARY - APRIL.
FORM 990, PART VI, SECTION A, LINE 7A	THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY IN FEBRUARY - APRIL.
FORM 990, PART VI, SECTION B, LINE 11B	SENIOR MANAGEMENT IS RESPONSIBLE FOR THE TIMELY PREPARATION OF THE FORM 990. THE COMPLETED FORM 990 AND, IF APPLICABLE, FORM 990-T AND RELATED STATE FORMS ARE PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IN ADVANCE OF THE FILING DEADLINE. AFTER ALL QUESTIONS AND CONCERNS OF THE FINANCE COMMITTEE HAVE BEEN ADDRESSED AND CHANGES INCORPORATED INTO THE FORM 990, AS APPLICABLE, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE INVITED TO REVIEW THE COMPLETED FORM 990 IN ADVANCE OF THE FILING DEADLINE VIA A DEDICATED WCCHC WEBSITE. AFTER ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED AND ANY CHANGES INCORPORATED INTO THE FORM 990, SENIOR MANAGEMENT FILES THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C	ANY MEMBER OF THE BOARD IS REQUIRED TO RECUSE THEMSELVES FROM MAKING ANY DECISION RELATING TO WCCHC BUSINESS WHEN THEY ARE AWARE OF CIRCUMSTANCES THAT MIGHT REASONABLY CAUSE THEIR IMPARTIALITY TO BE QUESTIONED. COVERED UNDER THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY ARE THE BOARD OF DIRECTORS AND ANY NON MEMBER OF THE BOARD OF DIRECTORS THAT SERVES ON A BOARD COMMITTEE. DETERMINATIONS ON WHETHER A CONFLICT OF INTEREST EXISTS IS MADE BY 1) REVIEWING ANNUAL DISCLOSURE FORMS COMPLETED BY BOARD MEMBERS AND NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE; AND 2) CONDUCTING A DISCUSSION AND HOLDING A VOTE BY BOARD MEMBERS WHEN A BOARD MEMBER/OTHER MEMBER DISCLOSES A CONFLICT DURING A BOARD AND OR BOARD COMMITTEE MEETING. CONFLICTS OF INTEREST ARE REVIEWED AT THE FOLLOWING LEVELS: 1) AN ANNUAL STATEMENT IS COMPLETED BY BOARD MEMBERS AND OR NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE. 2) DISCLOSURE IS MADE AT A BOARD AND/OR BOARD COMMITTEE MEETING.
FORM 990, PART VI, SECTION B, LINE 15	THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE VISIONLINK ADVISORY GROUP CONDUCTS A REVIEW OF KEY EMPLOYEE COMPENSATION INTENDED TO SATISFY THE SAFE HARBOR FOR ORANIZATION MANAGERS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-1 AND REBUTTABLE PRESUMPTION STANDARD DESCRIBED IN TREASURY REGULATION SECTION 53.4958.6. THIS PROCESS WAS LAST COMPLETED IN JULY 2021. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHES A CEO EVALUATION COMMITTEE TO REVIEW HIS PERFORMANCE, COMPLETED OBJECTIVES AND ANY COMPENSATION STUDIES. ONCE COMPLETED THE COMMITTEE PREPARES THEIR RECOMMENDATIONS ON COMPENSATION AND BONUSES AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED ON AUGUST 2021. FORM 990, PART VI, LINE 15B: THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE HEALTH CENTER PARTICIPATES IN THE NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) HEALTH CENTER COMPENSATION & BENEFIT STUDY EACH YEAR. THE HEALTH CENTER STARTED PARTICIPATING IN 2004. THE HEALTH CENTER ANNUALLY REVIEWS ITS COMPENSATION TO DETERMINE IF ANY ADJUSTMENTS NEED TO BE MADE TO ITS PAY SCALE UTILIZING CURRENT COMPENSATION SURVEYS. THIS PROCESS WAS LAST REVIEWED IN MARCH 2021.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ALTHOUGH NOT PUBLICIZED, ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART X, LINES 1 & 2:	THE CLASSIFICATION OF THESE ASSETS FROM THE PRIOR YEAR BETWEEN NON-INTEREST BEARING AND INTEREST BEARING HAS BEEN UPDATED BASED ON INFORMATION FROM THE RESPECTIVE BANKS.
FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS OR FUND BALANCES:	- CONTRIBUTIONS IN KIND $495,909

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WAIANAE DISTR COMPREHENSIVE HEALTH &
HOSPITAL BOARD INC

Employer identification number

99-0148164

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MAILI COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON WAIANAE,HI967923199 99-0148164	HOLD & DEVELOP PROPERTY	HI	0	528,154	WDCHHB
(2) MAKAHA COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON WAIANAE,HI967923199 83-1654397	HOLD & DEVELOP PROPERTY	HI	2,674	1,269,311	WDCHHB

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)'ELEPAIO SOCIAL SERVICES 86-260 FARRINGTON HWY WAIANAE,HI96792 87-1098803	SOCIAL SERVICES	HI	501(C)(3)	LINE 7	WDCHHB	Yes
(2)NANAKULI COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON HWY WAIANAE,HI96792 83-1036020	HOLD & DEVELOP PROPERTY	HI	501(C)(3)	LINE 12A, I	WDCHHB	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1)								Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) 'ELEPAIO SOCIAL SERVICES	B	955,574	ACCRUAL
(2) 'ELEPAIO SOCIAL SERVICES	D	356,617	ACCRUAL
(3) NANAKULI COMMUNITY DEVELOPMENT LLC	K	330,900	ACCRUAL
(4) 'ELEPAIO SOCIAL SERVICES	L	219,896	ACCRUAL
(5) 'ELEPAIO SOCIAL SERVICES	M	132,890	ACCRUAL

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	23,242,159	25,258,739
9	Program service revenue (Part VIII, line 2g) .........	54,378,390	63,837,037
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	83,617	187,982
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,482,554	2,513,897
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	82,186,720	91,797,655
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	144,996	1,462,562
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	48,998,466	53,605,688
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	29,718,051	28,077,054
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	78,861,513	83,145,304
19	Revenue less expenses. Subtract line 18 from line 12.......	3,325,207	8,652,351
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	92,918,204	94,244,415
21	Total liabilities (Part X, line 26).............	24,854,291	17,528,151
22	Net assets or fund balances. Subtract line 21 from line 20.....	68,063,913	76,716,264

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 26,603,577 including grants of $ 0 ) (Revenue $ 42,146,118 )
	MEDICAL CARE: PRIMARY CARE MEDICAL SERVICES (PEDIATRICS, WOMEN'S, ADULT MEDICINE AND INTERNAL MEDICINE) ARE PROVIDED THROUGH A MAIN CLINIC SITE AND FOUR SATELLITE CLINICS SERVING THE LEEWARD AREA ON THE ISLAND OF OAHU. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 8,008,850 including grants of $ 0 ) (Revenue $ 6,654,598 )
	EMERGENCY MEDICAL SERVICES: TWENTY-FOUR HOUR EMERGENCY MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY THROUGH THE HEALTH CENTER'S MAIN CLINIC SITE ON THE WAIANAE COAST. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 6,024,258 including grants of $ 0 ) (Revenue $ 9,729,400 )
	PHARMACY: THE HEALTH CENTER OPERATES FOUR 340B PHARMACIES ON SITE WHICH REDUCES THE BARRIERS FOR PATIENTS WITHOUT DRUG COVERAGE BENEFITS OR HAVING TO MAKE AN ADDITIONAL STOP AT AN OFF-SITE PHARMACY TO PICK UP A PRESCRIPTION. THE PHARMACIES ARE LOCATED AT THE MAIN HEALTH CENTER IN WAIANAE, THE KAPOLEI HEALTH CARE CENTER IN KAPOLEI, THE JAMES AND ABIGAIL CAMPBELL CLINIC IN NANAKULI AND IN THE TAMURA SUPER MARKET IN WAIANAE.

	(Code: ) (Expenses $ 29,579,397 including grants of $ 1,462,562 ) (Revenue $ 7,780,129 )
	THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER SERVES THE MEDICALLY UNDERSERVED AND ECONOMICALLY DISADVANTAGED COMMUNITY OF WAIANAE AND SURROUNDING COMMUNITIES IN THE WEST OAHU AREA ON THE ISLAND OF OAHU IN THE STATE OF HAWAII. SERVING THE COMMUNITY SINCE 1972, THE HEALTH CENTER CELEBRATED ITS 50TH ANNIVERSARY IN THE FALL OF 2022. FROM ITS START AS A ONE DOCTOR OFFICE, THE HEALTH CENTER IS THE SECOND LARGEST, AND OLDEST, OF THE FOURTEEN COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAII. THE STRENGTH OF THE HEALTH CENTER LIES IN THE STRONG FOUNDATION SET BY ITS FOUNDERS, THE VISION AND EXPERTISE OF ITS BOARD OF DIRECTORS, THE SENSE OF OWNERSHIP BY ITS STAFF, PATIENTS AND COMMUNITY, THE YEARS OF SERVICE AND COMMITMENT OF ITS MANAGEMENT TEAM, AND THE RELATIONSHIPS FORGED AT THE COMMUNITY, STATE AND NATIONAL LEVEL. THROUGHOUT THE COVID PANDEMIC, THE HEALTH CENTER'S PRIMARY SERVICE AREA OF THE WAIANAE COAST EXPERIENCED THE HIGHEST COVID+ RATES AND THE LOWEST COVID IMMUNIZATION RATES IN THE STATE. COMMUNITY RELUCTANCE TO ACCEPT VACCINATIONS CONTINUES TO BE A SIGNIFICANT HURDLE THAT REQUIRES A MULTI-PRONG APPROACH OF OUTREACH, MULTI-MEDIA, AND USING CULTURAL LEADERS TO INTERVENE AND EDUCATE THE COMMUNITY.THE HEALTH CENTER HAS CONTINUED MANY OF THE SERVICES ESTABLISHED EARLY IN 2020 TO ADDRESS COVID INCLUDING CURBSIDE PHARMACY PICKUP AND DELIVERIES, DISTRIBUTING PREPARED AND PACKAGED FOODS TO RESIDENTS OF THE WAIANAE COAST, PROVIDING OUTREACH TO HIGH RISK PATIENTS, THE ELDERLY AND HOMELESS, ELEVATING USE OF SOCIAL MEDIA, TV AND PRINT FOR ADVERTISING, INFORMATION AND EDUCATION, REPURPOSING STAFF TO ADDRESS COVID RELATED NEEDS, ETC. TELEHEALTH IMPLEMENTATION WAS A MAJOR TRANSFORMATION FOR THE HEALTH CENTER IN 2020 TO ADDRESS PATIENT CARE DURING A PANDEMIC. PATIENTS HAVE RETURNED FOR FACE-TO-FACE VISITS BUT TELEHEALTH REMAINS AN OPTION FOR MANY PATIENTS. FOR PRIMARY CARE, THE HEALTH CENTER AVERAGES 71% IN-PERSON, 22% TELEVIDEO, AND 7% VISITS BY TELEPHONE. BEHAVIORAL HEALTH VISITS CONTINUE TO AVERAGE THE MAJORITY OF VISITS AS TELEHEALTH WITH 56% BY TELEVIDEO AND 23% BY TELEPHONE. THE POST-PANDEMIC HEALTHCARE DELIVERY PARADIGM HAS MOVED THE HEALTH CENTER TO CONTINUE TO REVAMP/RE-EVALUATE ITS OPERATIONS TO ASCERTAIN THE RIGHT MIX OF TELEHEALTH VS FACE-TO-FACE VISITS TO ACCOMMODATE THIS NEW REALITY. REALIZING THAT A NEW SKILL SET IS NECESSARY TO MOVE INTO THE FUTURE, WE ARE HIRING AND TRAINING STAFF IN A NEW WAY. CLINICAL ASSISTANTS, WHO COME FROM THE COMMUNITY, ARE BEING TRAINED TO PERFORM A SERIES OF BACKGROUND OPERATIONS THAT ALLOW PROVIDERS TO BE KEPT UP TO DATE ON PATIENT NEEDS AND GAPS IN FULFILLING QUALITY MEASURES. AMBULATORY CARE REGISTERED NURSES ARE ALSO BEING HIRED AND TRAINED TO ASSIST PROVIDERS IN TASKS THAT REQUIRE A HIGHER DEGREE OF MEDICAL KNOWLEDGE SUCH AS PRESCRIPTION REFILLS, PATIENT CALL-BACKS FOR NORMAL STUDIES AND FILLING OUT FORMS NECESSARY FOR PATIENT CARE. WITH THESE TASKS FULFILLED, OUR MEDICAL ASSISTANTS ARE FREE TO ENGAGE PATIENTS ON A PERSONAL LEVEL CHECKING THEM IN FOR VISITS BOTH IN CLINIC AND VIRTUALLY, AND PERFORM VACCINATIONS, TESTING, ETC. IN THIS WAY, PROVIDERS WILL BE BETTER INFORMED AND MORE ABLE TO SEE THE INCREASING NUMBER OF PATIENTS WHO NEED ASSISTANCE AS WE EXIT FROM THE PANDEMIC.IN 2022, THE HEALTH CENTER SERVED 34,800 PATIENTS, WHICH IS STILL SLIGHTLY BELOW OUR PRE-COVID ANNUAL PATIENT LEVEL. THE MAJORITY OF PATIENTS SERVED ARE NATIVE HAWAIIAN (49%), FOLLOWED BY ASIAN & OTHER PACIFIC ISLANDERS (26%), AND CAUCASIANS (10%). DATA SHOWS 71% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW (2% MORE THAN 2021), 4% ARE UNINSURED, AND 60% ARE RECEIVING COVERAGE UNDER QUEST, THE STATE OF HAWAII'S MEDICAID PROGRAM. THE WAIANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 50,000. TWENTY-THREE PERCENT (23%) OF THE POPULATION HAS AN ANNUAL INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL, WHICH IS THE 2ND HIGHEST LEVEL IN THE CITY AND COUNTY OF HONOLULU AND 2ND HIGHEST IN THE STATE OF HAWAII. THIRTY-FOUR PERCENT (34%) OF WAIANAE COAST HOUSEHOLDS ARE RECEIVING SNAP/CASH OR OTHER FORMS OF PUBLIC ASSISTANCE. THIS IS THE 2ND HIGHEST RATE IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE OF HAWAII. THE AVERAGE PER CAPITA INCOME IS $21,084 MAKING IT THE THIRD LOWEST IN THE CITY AND COUNTY OF HONOLULU AND THE STATE OF HAWAII. ALMOST 12% OF THE POPULATION IS UNEMPLOYED, THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND FOURTH HIGHEST IN THE STATE. THE HEALTH STATISTICS OF THE WAIANAE COAST PARALLELS THE ECONOMIC SITUATION IN THE COMMUNITY. THE INFANT MORTALITY RATE (9.6 PER 1,000) IN WAIANAE IS 2ND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE. BIRTHS TO MOTHERS UNDER AGE 18 (2.7 PER 1,000) IS THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE. MORBIDITY AND MORTALITY INDICATORS SHOW THAT THE WAIANAE COAST RANKS HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE FOR OBESITY (46.8%); ADULTS WHO SMOKE (22%); ADULTS WITH DIABETES (15%); AND CANCER (187.9 PER 100,000). THE HEALTH CENTER ACHIEVES ITS MISSION BY NOT ONLY SERVING PATIENTS WHO SEEK SERVICES, BUT ALSO BY INCORPORATING THE GOAL OF IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. THE VISION OF THE FOUNDERS TO OFFER COMPREHENSIVE HEALTH SERVICES HAS GUIDED THE DEVELOPMENT OF SERVICES AND ACTIVITIES OF OUR PATIENT CENTERED HEALTH CARE HOME, WHICH INCLUDES:PRIMARY CARE CLINICS (ADULT MEDICINE, PEDIATRIC HEALTH, WOMEN'S HEALTH), DENTAL, 24-HOUR EMERGENCY MEDICAL SERVICES, 24-HOUR LABORATORY, 24-HOUR IMAGING, SCHOOL-BASED CENTERS, WALK-IN CLINICS, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER TREATMENT, PHARMACY, MAMMOGRAPHY, VISION CARESPECIALISTS: CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL SURGERY, NEPHROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY, PSYCHIATRY, WOUND CARE COMMUNITY HEALTH SERVICES, CASE MANAGEMENT/CARE COORDINATION, CHRONIC DISEASE MANAGEMENT, HOMELESS OUTREACH, FAMILY PLANNING, PERINATAL CASE MANAGEMENT, HEALTH EMERGENCY LIAISON, HEALTH PROMOTION PROGRAMS, INTEGRATIVE WEIGHT MANAGEMENT, MAKEKE FARMERS & GREEN MARKETS, HEALTH EDUCATION, COMMUNITY WELLNESS, NUTRITION COUNSELING, NATIVE HAWAIIAN TRADITIONAL HEALING, CULTURAL EDUCATION, INSTITUTIONAL REVIEW BOARD FOR RESEARCH, PATIENT ASSISTANT SERVICES, PATIENT FINANCIAL SERVICES, WALKING TRAILS, HEALTHY DINING RESTAURANT, TRANSPORTATION, HEALTH CAREER/PROFESSIONAL TRAINING, WOMEN, INFANT, CHILDREN PROGRAM (WIC), LGBTQ+ HEALTH, AND OSTEOPATHIC MANIPULATIVE TREATMENT THE HEALTH CENTER IS A MAJOR ECONOMIC PROVIDER IN THE COMMUNITY, EMPLOYING OVER 700 INDIVIDUALS, THE MAJORITY OF WHOM RESIDE ON THE WAIANAE COAST.THE HEALTH CENTER IS GOVERNED AND GUIDED BY A BOARD OF DIRECTORS THAT INCLUDES UP TO 10 MEMBERS ELECTED FROM THE SERVICE AREA WHO ARE PATIENTS OF THE HEALTH CENTER, AND UP TO 10 MEMBERS APPOINTED FOR EXPERTISE IN BUSINESS, MEDICINE, LAW, OR COMMUNITY AFFAIRS. THE HEALTH CENTER HAS MAINTAINED A POSITIVE FINANCIAL POSITION BY CONTINUOUSLY INCREASING PRODUCTIVITY, DEVELOPING REVENUE GENERATING SERVICES, INITIATING TECHNOLOGICAL INNOVATIONS AND PROMOTING COMMUNITY INVOLVEMENT. SEE PART III, LINE 4D CONTINUATION BELOW.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 29,579,397 including grants of $ 1,462,562 ) (Revenue $ 7,780,129 )
4e	Total program service expenses70,216,082

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,642,215	0	318,117

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	21,211,232

f	All other contributions, gifts, grants, and similar amounts not included above		1f	4,047,507

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		25,258,739

1	Briefly describe the organization’s mission or most significant activities: THE HEALTH CENTER PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND HEALING SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	757
6	Total number of volunteers (estimate if necessary) .............	6	79
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	40,689
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Business Code
2a	NET PATIENT SERVICE REVENUE	621400	62,888,481	62,888,481
b	CAPITATION REVENUE	621400	490,029	490,029
c	SETTLEMENT INCOME	621400	435,951	435,951
d	MOB-RENTAL MENTAL HEALTH CENTER	621400	22,576	22,576
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		63,837,037

3 Investment income (including dividends, interest, and othersimilar amounts) ......			187,982			187,982
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	TRAINING PROGRAMS		621400	476,903	476,903
b	SOURCE INCENTIVE PAYMENTS		621400	422,581	422,581
c	MANAGEMENT FEE INCOME		621400	236,869	236,869
d	All other revenue ....			1,377,544	1,336,855	40,689
e	Total. Add lines 11a–11d ......			2,513,897
12	Total revenue. See instructions.....			91,797,655	66,310,245	40,689	187,982

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,460,562	1,460,562
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	2,000	2,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,748,488		2,748,488
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	41,073,971	37,114,288	3,959,683
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,385,073	1,233,846	151,227
9	Other employee benefits .......	5,353,318	4,711,638	641,680
10	Payroll taxes ...........	3,044,838	2,623,754	421,084
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	414,602		414,602
c	Accounting ...........	157,363		157,363
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,105,718	2,192,210	913,508
12	Advertising and promotion ....	205,635	136,866	68,769
13	Office expenses .......	10,765,262	9,601,905	1,163,357
14	Information technology ......	2,514,222	1,561,938	952,284
15	Royalties ..
16	Occupancy ...........	6,016,282	5,665,167	351,115
17	Travel ............	248,250	148,847	99,403
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	30,284	26,782	3,502
20	Interest ...........	215,138	100,666	114,472
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,305,722	2,859,264	446,458
23	Insurance ...	583,823	403,446	180,377
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	EMPLOYEE INCENTIVES	291,410	283,698	7,712
b	DUES AND LICENSES	51,002	44,851	6,151
c	EMPLOYEE RECRUITMENT	44,377	31,063	13,314
d	GENERAL EXCISE TAXES	7,244	7,244
e	All other expenses	120,720	6,047	114,673
25	Total functional expenses. Add lines 1 through 24e	83,145,304	70,216,082	12,929,222	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,573,130	1	25,349,773
2	Savings and temporary cash investments .........			167,032	2	167,151
3	Pledges and grants receivable, net ......			4,430,758	3	2,732,736
4	Accounts receivable, net .............			4,277,799	4	5,108,290
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			7,870,620	7	8,474,741
8	Inventories for sale or use ............			578,908	8	491,357
9	Prepaid expenses and deferred charges ......			1,169,706	9	1,123,446
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	88,692,285
b	Less: accumulated depreciation	10b	38,341,364	52,304,251	10c	50,350,921
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			546,000	15	446,000
16	Total assets. Add lines 1 through 15 (must equal line 33)...			92,918,204	16	94,244,415

17	Accounts payable and accrued expenses .....	8,485,892	17	10,004,303
18	Grants payable ...		18
19	Deferred revenue .........	2,200,115	19	2,040,809
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	14,105,213	23	5,372,509
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	63,071	25	110,530
26	Total liabilities. Add lines 17 through 25..	24,854,291	26	17,528,151

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	65,793,348	27	74,536,205
28	Net assets with donor restrictions ...........	2,270,565	28	2,180,059
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	68,063,913	32	76,716,264
33	Total liabilities and net assets/fund balances ........	92,918,204	33	94,244,415