Waianae Distr Comprehensive Health &

What it reported doing in 2024

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. 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. In 2025, the health center served over 35,000 patients. The majority of patients served are native hawaiian, followed by asian & other pacific islanders, and caucasians. Data shows 63% of patients are at 100% of the federal poverty level or below with 58% 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. Over 34% of waianae coast households are receiving snap/cash or other forms of public assistance. The average per capita income is very low and the unemployed rate is high for the waianae residents compared to other regions in the city and county of honolulu and the state of Hawaii.the health statistics of the waianae coast parallels the economic situation in the community related to the infant mortality rate, births to mothers under age 18, obesity, adults who smoke and diabetes. 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, specialty services, school-based centers, community health services, homeless outreach, native hawaiian traditional healing, nutrition and more.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 elected from the service area who are patients of the health center, and 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. 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 Hawaii, 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."

Financial Efficiency

• Mission deployment rate: 78.7%; rating input score 79
• Program expense ratio: 83%; rating input score 83
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.9%; rating input score 100; 46th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.7%; rating input score 51; 51st percentile among comparable filings
• Total-asset coverage ratio: 1.25; rating input score 47; 47th percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 57; 57th percentile among comparable filings
• Officer compensation ratio: 4.6%; rating input score 20; 20th percentile among comparable filings

Growth

• Program expense growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
• Revenue growth: 5.5% per year; rating input score 100; 47th percentile among comparable filings
• Asset growth: 7.7% per year; rating input score 100; 56th percentile among comparable filings