2026-07-07T12:34:03-05:00 2025-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2024-07-01 510437659 MOLOKAI OHANA HEALTH CARE INC MOLO 8085535038 PO BOX 2040 KAUNAKAKAI HI 96748 MILTON CORTEZ CEO 8085535038 2026-07-07 1 0 RODNEY M HARANO P00389596 8085311040 2026-07-07 2024 2025-03-06 01:10:19Z MOLOKAI COMMUNITY HEALTH CTR MILTON CORTEZ PO BOX 2040 KAUNAKAKAI HI 96748 6060504 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. 9 9 49 9 0 0 1717744 3581049 2349548 2425074 5334 3190 63585 51191 4136211 6060504 0 0 0 0 2540083 2581501 0 0 0 2243278 1824761 4783361 4406262 -647150 1654242 3345155 4842651 2528654 2371908 816501 2470743 TO PROVIDE AND PROMOTE ACCESSIBLE COMPREHENSIVE INDIVIDUAL AND COMMUNITY HEALTH CARE TO THE PEOPLE OF MOLOKAI WITH RESPECT AND ALOHA. 0 0 3338577 2427275 THE ORGANIZATION OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE PRIMARY MEDICAL CARE, PREVENTIVE SCREENINGS, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES DESIGNED TO IMPROVE ACCESS TO CARE AND HEALTH OUTCOMES FOR LOW-INCOME AND UNINSURED INDIVIDUALS. 3338577 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 21 0 1 49 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X MILTON CORTEZ CEO 8086602622 30 OKI PLACE PO BOX 2040 KAUNAKAKAI HI 96748 JAMES RARICK PRESIDENT 2.00 0.50 X X 0 0 0 MELANIE DWYER VICE-PRESIDENT 2.00 0.50 X X 0 0 0 JOHN NASH TREASURER 2.00 0.50 X X 0 0 0 GREG O'SHEA SECRETARY 2.00 0.50 X X 0 0 0 BAHAR YAGHOUBI DIRECTOR 1.00 0.50 X 0 0 0 MICHAEL ARCE DIRECTOR 1.00 0.50 X 0 0 0 HAUNANI MADELA DIRECTOR 1.00 0.50 X 0 0 0 JILL COOMBS DIRECTOR 1.00 0.50 X 0 0 0 DONNA GAMIAO DIRECTOR 1.00 0.50 X 0 0 0 SHANNA WILLING FORMER CHIEF EXECUTIVE OFFICER 40.00 2.00 X 39845 0 1427 MILTON CORTEZ CHIEF EXECUTIVE OFFICER 40.00 2.00 X 120255 0 7568 SHAWNNA WATAOKA CHIEF OPERATING OFFICER 40.00 0.00 X 89748 0 11423 DARA MAKAIWI FINANCE DIRECTOR 40.00 0.00 X 57828 0 11099 KAMEO SMITH CHIEF MEDICAL OFFICER 40.00 0.00 X 180980 0 3219 488656 0 34736 2 0 1 0 STATTIN GROUP CONSTRUCTION 40 KUPAOA STREET MAKAWAO HI 96768 DENTAL CLINIC EXPANSION 683841 1 2988344 592705 6105 3581049 PATIENT SERVICE REVENU 621110 2425074 2425074 2425074 3190 3190 48990 0 48990 48990 48990 OTHER INCOME 900099 2201 2201 2201 6060504 2427275 0 52180 387922 387922 1737204 1478660 258544 30086 24718 5368 222635 175818 46817 203654 143817 59837 4969 4969 44869 44869 316742 286856 29886 2396 2396 79494 79106 388 278672 267846 10826 231402 196735 34667 36784 20110 16674 88714 42066 46648 110146 68240 41906 145703 129719 15984 213489 173018 40471 SUPPLIES AND MATERIALS 208347 192620 15727 CREDIT LOSSES 46330 46330 MISCELLANEOUS 9499 3710 5789 TAXES, LICENSES, FEES 7205 6812 393 4406262 3338577 1067685 0 628511 112682 151971 78984 325431 284692 172405 44866 52364 4625661 1113692 2822831 3511969 1100 0 3345155 4842651 301336 317679 14460 15834 1809758 1648395 403100 390000 2528654 2371908 X 649176 2037320 167325 433423 816501 2470743 3345155 4842651 1654242 0 X 0 1 X 1 1 1 X 2831391 2596810 2365867 1717744 3581049 13092861 2831391 2596810 2365867 1717744 3581049 13092861 155661 12937200 63353 57912 51111 68131 52180 292687 24070 1133 788 2201 28192 13413740 9797799 0.96450 0.97080 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 24,070. 2022 AMOUNT: $ 1,133. 2023 AMOUNT: $ 788. 2024 AMOUNT: $ 2,201. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1373912 1373912 2505086 685713 1819373 746663 427979 318684 3511969 DUE TO MCHC HOLDINGS, INC. 390000 390000 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 CENTER'S TAX POSITIONS AS OF JUNE 30, 2025 AND 2024 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. THE CENTER 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 KAMEO SMITH CHIEF MEDICAL OFFICER 172326 0 0 0 8654 0 3219 0 0 0 184199 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. 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