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Nonprofiteer
← COMMUNITY CLINIC OF MAUI INC

Form 990 for tax year 2022

Filed by COMMUNITY CLINIC OF MAUI INC.

Totals

Total revenue
$21,002,241
Total expenses
$20,616,484
Contributions and grants received
$7,075,642
Grants paid
$0
Program service revenue
$13,799,374
Investment income
$95,601
Other revenue
$31,624
Total assets, end of year
$17,154,282
Total liabilities, end of year
$5,779,330
Net assets or fund balances, end of year
$11,374,952
Program services expenses (Part IX)
$15,301,560
Management and general expenses
$5,314,924
Fundraising expenses
$0
Program service expenses (Part III)
$15,301,560

Program services were 74.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $4,523,622

  • 1f · All other contributions, gifts and grants

    $2,552,020

  • 2a · Program service revenue: MEDICAID

    total $8,390,080 · related or exempt $8,390,080

  • 2b · Program service revenue: 340B PHARMACY REVENUE

    total $1,368,145 · related or exempt $1,368,145

  • 2c · Program service revenue: OTHER THIRD-PARTY PAYORS

    total $1,290,113 · related or exempt $1,290,113

  • 2d · Program service revenue: MEDICARE

    total $1,051,541 · related or exempt $1,051,541

  • 2e · Program service revenue: MEDICAID WRAPAROUND

    total $1,036,483 · related or exempt $1,036,483

  • 2f · All other program service revenue

    total $663,012 · related or exempt $663,012

  • 3 · Investment income

    total $97,777 · excluded $97,777

  • 7b · Less cost or other basis and sales expenses

    other assets $2,176

  • 7c · Gain or loss

    other assets -$2,176

  • 7d · Net gain or loss

    total -$2,176 · excluded -$2,176

  • 11d · All other revenue

    total $31,624 · related or exempt $31,624

  • 11e · Other revenue, total

    $31,624

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $947,080 · program services $771,642 · management and general $175,438

  • 7 · Other salaries and wages

    total $10,620,036 · program services $8,654,277 · management and general $1,965,759

  • 9 · Other employee benefits

    total $976,268 · program services $791,146 · management and general $185,122

  • 10 · Payroll taxes

    total $921,674 · program services $752,810 · management and general $168,864

  • 11b · Fees: legal

    total $87,983 · management and general $87,983

  • 11c · Fees: accounting

    total $73,652 · management and general $73,652

  • 11g · Fees: other

    total $1,739,508 · program services $1,155,549 · management and general $583,959

  • 12 · Advertising and promotion

    total $19,595 · program services $1,959 · management and general $17,636

  • 13 · Office expenses

    total $173,847 · program services $130,137 · management and general $43,710

  • 14 · Information technology

    total $700,358 · program services $395,546 · management and general $304,812

  • 16 · Occupancy

    total $285,130 · program services $195,130 · management and general $90,000

  • 17 · Travel

    total $180,261 · program services $143,251 · management and general $37,010

  • 19 · Conferences, conventions and meetings

    total $84,200 · program services $33,759 · management and general $50,441

  • 20 · Interest

    total $179,972 · management and general $179,972

  • 22 · Depreciation, depletion and amortization

    total $924,252 · management and general $924,252

  • 23 · Insurance

    total $95,985 · program services $69,360 · management and general $26,625

  • 24a · Other expenses: SUPPLIES AND MATERIALS

    total $1,980,801 · program services $1,855,191 · management and general $125,610

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $328,288 · program services $279,537 · management and general $48,751

  • 24c · Other expenses: RECRUITMENT AND RETENTI

    total $150,775 · program services $18,372 · management and general $132,403

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $107,129 · program services $46,374 · management and general $60,755

  • 24e · All other expenses

    total $39,690 · program services $7,520 · management and general $32,170

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $253,357 · end of year $227,909

  • 2 · Savings and temporary cash investments

    beginning of year $774,989 · end of year $3,878,024

  • 3 · Pledges and grants receivable

    beginning of year $441,815 · end of year $610,331

  • 4 · Accounts receivable

    beginning of year $1,739,659 · end of year $1,534,772

  • 8 · Inventories for sale or use

    beginning of year $20,353 · end of year $35,820

  • 9 · Prepaid expenses and deferred charges

    beginning of year $32,079 · end of year $259,964

  • 10a · Land, buildings and equipment: cost or other basis

    $20,892,713

  • 10b · Land, buildings and equipment: accumulated depreciation

    $11,749,051

  • 10c · Land, buildings and equipment, net

    beginning of year $9,612,162 · end of year $9,143,662

  • 11 · Investments: publicly traded securities

    beginning of year $299,512 · end of year $367,610

  • 14 · Intangible assets

    end of year $419,584

  • 15 · Other assets

    beginning of year $3,180,920 · end of year $676,606

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,078,699 · end of year $1,298,713

  • 19 · Deferred revenue

    beginning of year $234,936 · end of year $53,311

  • 23 · Secured mortgages and notes payable

    beginning of year $4,120,114 · end of year $3,998,461

  • 25 · Other liabilities

    beginning of year $0 · end of year $428,845

  • 27 · Net assets without donor restrictions

    beginning of year $10,921,097 · end of year $11,374,952

Mission and programs · 2022

Mission

TO PROVIDE CULTURALLY SENSITIVE, COORDINATED PRIMARY CARE SERVICES EMPHASIZING EDUCATION, PREVENTION, AND ADVOCACY, REGARDLESS OF ONE'S ABILITY TO PAY.

Activities or mission (Part I)

TO PROVIDE COORDINATED PRIMARY CARE SERVICES TO THE COMMUNITY OF MAUI.

  • PRIMARY CARE (ADULT, PEDIATRICS AND INTEGRATED HEALTH) PREVENTIVE HEALTH CARE INCLUDING PHYSICAL EXAMS, IMMUNIZATIONS, COMPREHENSIVE HEPATITIS B & C CARE, DIABETES EDUCATION & MANAGEMENT, HIV CARE, MANAGEMENT OF CHRONIC AND ACUTE ILLNESS, NUTRITION COUNSELING, TRANSGENDER CARE AND SAME DAY CARE, BEHAVIORAL MANAGEMENT OF CHRONIC MEDICAL CONDITIONS, PAIN MANAGEMENT, BEHAVIOR CHANGE AND TOBACCO CESSATION, PSYCHIATRIC CONSULTATION.

    Expenses $8,286,466 · Revenue $7,637,878

  • WOMEN'S HEALTH (OB/GYN) INCLUDES PRENATAL CASE MANGEMENT, PRENATAL AND POSTPARTUM CARE, BREAST & CERVICAL CANCER SCREENING. FAMILY PLANNING EDUCATIONAL & CLINICAL SERVICES INCLUDES CONFIDENTIAL COUNSELING, PREGNANCY TESTING, CONTRACEPTIVE DISPENSING, PELVIC EXAMS, PAP SMEARS AND STD SCREENING.

    Expenses $3,663,678 · Revenue $2,114,633

  • ORAL HEALTH (DENTAL) CARE PROGRAM CONSISTS OF DIAGNOSTIC EXAMINATIONS AND X-RAYS; PREVENTIVE SERVICES SUCH AS CLEANING, FLUORIDE, AND SEALANTS; RESTORATIVE SERVICES SUCH AS FILLINGS AND CROWNS; REHABILITATIVE SERVICES INCLUDING ENDODONTICS, PERIODONTICS, AND PROSTODONTICS SUCH AS BRIDGES AND DENTURES; ORAL SURGERY SUCH AS EXTRACTIONS AND PALLIATIVE CARE; AND EMERGENCY TREATMENT FOR ORAL INFECTIONS AND INJURIES WHICH THREATEN OR HAVE THE POTENTIAL TO THREATEN A PATIENT'S LIFE.

    Expenses $2,386,508 · Revenue $2,710,342

  • OTHER PROGRAM SERVICES: PHARMACY - THE HEALTH CENTER PARTICIPATES IN THE 340B PRESCRIPTION DISCOUNT PROGRAM.

    Expenses $964,908 · Revenue $1,368,145

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Andrea Poling

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Charles Keoho

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Elpidio Bucaneg Jr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Farah Mikhail

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Johana Rubles Luna

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Karey Kapoi

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Lorrin Pang

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Magalay Tapia

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nicole Galicinao

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sharon Lund

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Vanessa Medeiros

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Betty J Ott

    OUTGOING CHIEF EXECUTIVE OFFICER

    Total calculated
    $176,231
    From this org
    $145,725
    From related orgs
    $0
    Other
    $30,506
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,533
    Bonus
    $0
    Other
    $8,192
    Deferred
    $0
    Nontaxable benefits
    $30,506
    Filer's total
    $176,231
  • John R Vaz

    CEO/CMO

    Total calculated
    $297,077
    From this org
    $268,612
    From related orgs
    $0
    Other
    $28,465
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $264,340
    Bonus
    $0
    Other
    $4,272
    Deferred
    $0
    Nontaxable benefits
    $28,465
    Filer's total
    $297,077
  • Monique Van Der Aa

    CHIEF FINANCIAL OFFICER

    Total calculated
    $217,928
    From this org
    $208,758
    From related orgs
    $0
    Other
    $9,170
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,222
    Bonus
    $0
    Other
    $22,536
    Deferred
    $0
    Nontaxable benefits
    $9,170
    Filer's total
    $217,928
  • Andrew J Van Wieren

    CMO

    Total calculated
    $269,908
    From this org
    $232,938
    From related orgs
    $0
    Other
    $36,970
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $199,605
    Bonus
    $13,333
    Other
    $20,000
    Deferred
    $0
    Nontaxable benefits
    $36,970
    Filer's total
    $269,908
  • Cassandra Savell

    CHIEF OPERATING OFFICER/DE

    Total calculated
    $188,493
    From this org
    $181,082
    From related orgs
    $0
    Other
    $7,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,519
    Bonus
    $0
    Other
    $3,563
    Deferred
    $0
    Nontaxable benefits
    $7,411
    Filer's total
    $188,493
  • Aaron M Altura

    MD OB/GYN

    Total calculated
    $387,472
    From this org
    $380,061
    From related orgs
    $0
    Other
    $7,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $376,270
    Bonus
    $0
    Other
    $3,791
    Deferred
    $0
    Nontaxable benefits
    $7,411
    Filer's total
    $387,472
  • Erik Russell

    MD INTERNAL MEDICINE

    Total calculated
    $231,920
    From this org
    $217,640
    From related orgs
    $0
    Other
    $14,280
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,454
    Bonus
    $5,000
    Other
    $2,186
    Deferred
    $0
    Nontaxable benefits
    $14,280
    Filer's total
    $231,920
  • Jaimie Johnson

    MD OB/GYN

    Total calculated
    $296,972
    From this org
    $289,561
    From related orgs
    $0
    Other
    $7,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,253
    Bonus
    $3,780
    Other
    $1,528
    Deferred
    $0
    Nontaxable benefits
    $7,411
    Filer's total
    $296,972
  • Michael C Aaronoff

    MD OB/GYN

    Total calculated
    $386,210
    From this org
    $357,159
    From related orgs
    $0
    Other
    $29,051
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $354,158
    Bonus
    $0
    Other
    $3,001
    Deferred
    $0
    Nontaxable benefits
    $29,051
    Filer's total
    $386,210
  • Zena Monji

    MD OB/GYN

    Total calculated
    $356,816
    From this org
    $339,480
    From related orgs
    $0
    Other
    $17,336
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $336,521
    Bonus
    $0
    Other
    $2,959
    Deferred
    $0
    Nontaxable benefits
    $17,336
    Filer's total
    $356,816

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
INCLUDED ON SCHEDULE J, PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUSES. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUALS 2022 W2'S.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202401299349300105

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