2025-04-17T21:25:44-05:00 2024-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2023-07-01 510437659 MOLOKAI OHANA HEALTH CARE INC MOLO 8085535038 PO BOX 2040 KAUNAKAKAI HI 96748 JAMES RARICK VICE PRESIDENT 8085535038 2025-04-17 1 0 RODNEY M HARANO P00389596 8085311040 2025-04-17 2023 2025-03-06 01:10:19Z MOLOKAI COMMUNITY HEALTH CTR MILTON CORTEZ PO BOX 2040 KAUNAKAKAI HI 96748 4136211 0 X WWW.MOLOKAICHC.ORG X 2002 HI TO PROVIDE AND PROMOTE ACCESSIBLE COMPREHENSIVE INDIVIDUAL AND COMMUNITY HEALTH CARE TO THE PEOPLE OF MOLOKAI WITH RESPECT AND ALOHA. 8 8 49 8 0 0 2365867 1717744 1700048 2349548 -305511 5334 51977 63585 3812381 4136211 0 0 0 0 2742255 2540083 0 0 0 2518275 2243278 5260530 4783361 -1448149 -647150 3990877 3345155 2527226 2528654 1463651 816501 TO PROVIDE AND PROMOTE ACCESSIBLE COMPREHENSIVE INDIVIDUAL AND COMMUNITY HEALTH CARE TO THE PEOPLE OF MOLOKAI WITH RESPECT AND ALOHA. 0 0 3692541 2350336 IN CY2023 HEALTH CARE WAS PROVIDED TO 1,580 MEDICAL PATIENTS, 1,435 DENTAL PATIENTS, & 179 BEHAVIORAL HEALTH PATIENTS. CHARITY CARE BENEFITS OF $18,765 WERE PROVIDED. 3692541 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1 49 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X DARA MAKAIWI FINANCE DIRECTOR 8086602622 30 OKI PLACE PO BOX 2040 KAUNAKAKAI HI 96748 JAMES RARICK VICE PRESIDENT 2.00 0.50 X X 0 0 0 JOHN NASH TREASURER 2.00 0.50 X X 0 0 0 BAHAR YAGHOUBI SECRETARY 2.00 0.50 X X 0 0 0 MICHAEL ARCE DIRECTOR 1.00 0.50 X 0 0 0 MAKENA FERNANDEZ DIRECTOR 1.00 0.50 X 0 0 0 JOWELL GUERREIRO DIRECTOR 1.00 0.50 X 0 0 0 GREG O'SHEA DIRECTOR 1.00 0.50 X 0 0 0 MELANIE DWYER DIRECTOR 1.00 0.50 X 0 0 0 SHANNA WILLING INTERIM CEO 40.00 2.00 X 132410 0 12355 RENEE FILSON FORMER CFO 40.00 X 39230 0 0 ADAM LONG FORMER DENTAL CLINICAL SUPERVISOR/DENTIST 40.00 X 257599 0 17468 429239 0 29823 2 0 1 0 ATHARVA JOSHI 6939 KAMEHAMEHA V HWY KAUNAKAKAI HI 96748 MEDICAL PRIMARY CARE PHYSICIAN SERVICES 108360 1 1623364 94380 1717744 PATIENT SERVICE REVENU 621110 2349548 2349548 2349548 5334 5334 62797 0 62797 62797 62797 OTHER INCOME 900099 788 788 788 4136211 2350336 0 68131 X 401793 177261 224532 1676991 1244969 432022 35202 26607 8595 230291 162930 67361 195806 134623 61183 4909 4909 37865 37865 593728 479815 113913 8730 1194 7536 76468 76169 299 151027 139573 11454 168402 142706 25696 46243 40691 5552 22522 9593 12929 79814 65384 14430 146521 130342 16179 206610 167413 39197 LOCUM SERVICES 546791 546791 SUPPLIES AND MATERIALS 127573 124815 2758 MISCELLANEOUS 19991 16024 3967 TAXES, LICENSES, FEES 6084 5641 443 4783361 3692541 1090820 0 76935 344723 112682 190128 78984 344985 284692 93969 44866 3796172 973341 2926208 2822831 13929 1100 3990877 3345155 378054 301336 11941 14460 1747231 1809758 390000 403100 2527226 2528654 X 1321792 649176 141859 167325 1463651 816501 3990877 3345155 -647150 0 X 0 1 X 1 1 1 X 2356509 2831391 2596810 2365867 1717744 11868321 2356509 2831391 2596810 2365867 1717744 11868321 5704 11862617 82457 63353 57912 51111 68131 322964 1843 24070 1133 788 27834 12219119 9141445 0.97080 0.96740 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 1,843. 2021 AMOUNT: $ 24,070. 2022 AMOUNT: $ 1,133. 2023 AMOUNT: $ 788. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1373912 1373912 1742016 619876 1122140 680244 353465 326779 2822831 DUE TO MCHC HOLDINGS, INC. 403100 403100 X PART X, LINE 2: U.S. GAAP REQUIRES UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AS OF JUNE 30, 2024 AND 2023 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. X X X 0 0 0 0 0 0 0 0 0 ADAM LONG FORMER DENTAL CLINICAL SUPERVISOR/DE 257599 0 0 0 0 0 10280 0 7188 0 275067 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SENT TO ALL BOARD MEMBERS FOR REVIEW VIA EMAIL OR SHAREPOINT UPLOAD. FORM IS THEN REVIEWED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS AT THE BEGINNING OF EACH ANNUAL PERIOD OF THEIR TERM. THE EXECUTIVE COMMITTEE DETERMINES WHETHER A CONFLICT ARISES. IF A CONFLICT EXISTS, THE PERSON WITH THE CONFLICT IS RECUSED FROM DISCUSSIONS AND VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 OFFICER AND KEY EMPLOYEE COMPENSATION ARE REVIEWED AND APPROVED ANNUALLY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD AND IS BASED ON HIS/HER PERFORMANCE EVALUATION AND COMPARISON WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) SALARY AND BENEFIT REPORT WHICH COMPARES OTHER HAWAII AND NATIONAL COMMUNITY HEALTH CARE ORGANIZATIONS. THE ORGANIZATION'S FINANCIAL CONDITION AND CHANGES TO COST OF LIVING INDICES ARE ALSO CONSIDERED. THE CFOO'S COMPENSATION IS REVIEWED AND APPROVED BY THE CEO AND IS BASED ON EVALUATIONS, COMPARISON WITH OTHER COMMUNITY HEALTH CARE ORGANIZATIONS, AND THE ORGANIZATION'S FINANCIAL CONDITION. DELIBERATIONS AND DETERMINATIONS RELATED TO COMPENSATION ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 479,815. MANAGEMENT AND GENERAL EXPENSES 113,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 593,728. MOLOKAI INVESTMENT FUND LLC 30 OKI PLACE PO BOX 2040 KAUNAKAKAI HI 96748 351236133 INV MGMT HI MOHC MCHC HOLDINGS INC 30 OKI PLACE PO BOX 2040 KAUNAKAKAI HI 96748 455433975 HOLD REAL PROPERTY HI 501(C)(2) MOHC 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0