KALIHI PALAMA HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- KALIHI PALAMA HEALTH CENTER (EIN 99-0161221)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202421349349306957
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-13T14:49:41-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 CHURCH STREET 12TH FLOOR | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990161221 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KALIHI-PALAMA HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | (HALE HO'OLA HOU) | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KALI | BusinessNameControlTxt |
| Phone | 8088458578 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 NORTH KING STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA CARRIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8088458578 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DIANA | PersonFirstNm |
| Person Last | CARRIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9592007000 | PhoneNum |
| Preparation | 2024-05-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DIANA CARRIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 NORTH KING STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,719,683 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KPHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE NEEDED PREVENTIVE AND PRIMARY CARE, ADVOCATE FOR THOSE IN NEED, AND EDUCATE - FROM THE INDIVIDUAL PATIENTS & GROUPS IN THE COMMUNITY TO AGENCIES & COMMUNITY LEADERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 309 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,781,436 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,947,423 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,789,358 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,763,327 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,122 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,272 | CYInvestmentIncomeAmt |
| PY Other Revenue | $477,315 | PYOtherRevenueAmt |
| CY Other Revenue | $1,007,498 | CYOtherRevenueAmt |
| PY Total Revenue | $36,062,231 | PYTotalRevenueAmt |
| CY Total Revenue | $35,715,976 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,836,958 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,589,359 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,831,724 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,051,180 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,237,115 | PYOtherExpensesAmt |
| CY Other Expenses | $12,305,142 | CYOtherExpensesAmt |
| PY Total Expenses | $33,905,797 | PYTotalExpensesAmt |
| CY Total Expenses | $34,945,681 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,156,434 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $770,295 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,158,933 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,778,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,474,808 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,596,397 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,684,125 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,181,709 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY, INTEGRATED HEALTH AND SOCIAL SERVICES TO OUR COMMUNITY AND ALL OTHERS IN NEED OF HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,960,725 | ExpenseAmt |
| Revenue | $16,317,956 | RevenueAmt |
| Desc | GENERAL MEDICAL SERVICES INCLUDING PHYSICAL EXAMS, IMMUNIZATIONS, PRENATAL CARE, AND CONTINUED HEALTH CARE THROUGH THE DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES AND DISEASES. WE PROVIDE PRIMARY CARE SERVICES FOR PEOPLE WITH A WIDE VARIETY OF ADULT HEALTH PROBLEMS. WE DO SCREENING EVALUATIONS FOR COMMON CONDITIONS IN PEOPLE WHO DO NOT HAVE ANY SYMPTOMS. WE DIAGNOSE MEDICAL CONDITIONS AND COORDINATE EVALUATION AND TREATMENT. WE HELP PATIENTS MANAGE CHRONIC MEDICAL CONDITIONS LIKE DIABETES, HYPERTENSION, HEART DISEASE, LUNG DISEASE AND HIGH CHOLESTEROL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,579,002 | ExpenseAmt |
| Grant | $2,589,359 | GrantAmt |
| Desc | HEALTHCARE FOR THE HOMELESS PROJECT PROVIDES ACCESSIBLE, QUALITY CARE FOR INDIVIUALS AND FAMILIES WHO ARE HOMELESS THROUGH INTEGRATED MEDICAL, MENTAL HEALTH, OUTREACH, AND SOCIAL SERVICES. HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL CARE, MENTAL HEALTH, SUBSTANCE ABUSE, AND SOCIAL SERVICES REFERRAL. THE GOAL OF THE PROGRAM IS TO REACH AND CARE FOR INDIVIDUALS MOST IN NEED OF HELP WHO ARE LEAST LIKELY TO RECEIVE SERVICES IN OTHER SETTINGS. WE PROVIDE ACCESS TO PROFESSIONAL AND INTEGRATED MEDICAL, MENTAL HEALTH, AND SOCIAL SERVICES. WE ACHIEVE OUR MISSION THROUGH COST-EFFECTIVE DIRECT SERVICES, PREVENTION, ADVOCACY, RESEARCH, AND BY ENHANCING THE EDUCATION OF PROFESSIONAL CARE PROVIDERS, POLICY MAKERS, AND THE GENERAL PUBLIC. OUR APPROACH TO HEALTH CARE IS TEAM-ORIENTED, CLIENT DRIVEN, RESPECTFUL, CREATIVE, KIND, AND NON-JUDGEMENTAL. CLINICS:KA'A'AHI STREET CLINIC: LOCATED AT THE INSTITUTE FOR HUMAN SERVICES, WOMENS AND FAMILIES HOMELESS SHELTER: THE KA'A'AHI STREET CLINIC PROVIDES AN ARRAY OF SERVIES INCLUDING PSYCHIATRIC CARE, FIRST AID, ACUTE MEDICAL CARE, TB SCREENING, INFECTION CONTROL, CASE MANAGEMENT, FOLLOW-UP AND REFERRAL SERVICES.KOHOU STREET CLINIC: THE KOHOU STREET CLINIC IS THE HOMECASE FOR THE PATH OUTREACH WORKERS, ALONG WITH HPHA FUNDED OUTREACH WORKERS, THE COMMUNITY BASED CASE MANAGEMENT TEAM (CBCM) AND THE ADMINISTRATIVE STAFF OF HEALTH CARE FOR THE HOMELESS PROJECT. MONDAY THROUGH FRIDAY, CLIENTS CAN GO TO THE KOHOU CLINIC FOR CASE MANAGEMENT SERVICES, PSYCHIATRIC SERVICES AND REPRESENTATIVE PAYEE SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,585,912 | ExpenseAmt |
| Revenue | $3,607,266 | RevenueAmt |
| Desc | DENTAL HEALTH SERVICES INCLUDING EXAMS, CLEANINGS AND ALL STANDARD FAMILY DENTAL SERVICES. OUR DENTISTS AND DENTAL STAFF PROVIDE QUALITY, INTEGRATED, FAMILY DENTAL CARE FOR THE COMMUNITY AND ALL OTHERS IN NEED OF DENTAL CARE. OUR FOCUS IS ON PREVENTIVE AND PRIMARY DENTAL CARE, PROVIDED IN A RESPECTFUL, CARING AND CULTURALLY SENSITIVE ENVIRONMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,411,217 | ExpenseAmt |
| Revenue | $1,845,603 | RevenueAmt |
| Desc | BEHAVORIAL HEALTH, WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM, HEALTH EDUCATION, OPTOMETRY SERVICES. BEHAVIORAL HEALTH:THE GOAL OF THE BEHAVIORAL HEALTH PROGRAM IS TO PROVIDE QUALITY HOLISTIC BEHAVORIAL HEALTH SERVICES TO THE PATIENTS OF KALIHI-PALAMA HEALTH CENTER. KALIHI-PALAMA HEALTH CENTER IS CURRENTLY WORKING ON INTEGRATING ITS BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES, AND ALLOWING INSTANT ACCESS TO BEHAVIORAL HEALTH SERVICES. FROM SIMPLE CHANGES SUCH AS DIATING FOR DIABETES TO DEPRESSION THE STAFF WILL ASSIST YOU. WOMEN'S HEALTH - PRENATAL CARE AND DELIVERY SERVICES - MIDWIFERY CARE- GYNECOLOGICAL SERVICES - FAMILY PLANNING COUNSELING AND EXAMS - FAMILY PLANNING METHODS - PREGNANCY COUNSELING AND TESTING - EMERGENCY CONTRACEPTION - ANNUAL EXAMS, INCLUDING PAP AND BREAST SCREENING - STD TESTING AND TREATMENT - REFERRALS FOR MAMMOGRAPHY AND ULTRASONOGRAPHY - OTHER PERINATAL AND GYNECOLOGICAL SERVICES - HEALTH EDUCATION - FAMILY PLANNING - CHILDBIRTH PREPARATION AND EDUCATION - STD/HIV COUNSELING AND EDUCATION - OUTREACH EDUCATION - LAMAZE CLASSES. WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM (WIC) IS A FREE HEALTH AND FOOD PROGRAM FOR WOMEN, INFANTS, AND CHILDREN. WIC STAFF GIVE ADVICE ON HOW TO EAT WELL, STAY HEALTHY, AND PROVIDE FOOD COUPONS. HEALTH PROFESSIONS EDUCATION: THE KALIHI-PALAMA COMMUNITY HEALTH SEMINAR IS A UH SERVICE-LEARNING COURSE TAUGHT ON SITE AT KPHC IN WHICH HEALTH PROFESSIONS STUDENTS PROVIDE HEALTH EDUCATION TO CHILDREN AND PARENTS AT LIKELIKE AND KAIULANI ELEMENTARY SCHOOLS. FARRINGTON HIGH SCHOOL, HEALTH ACADEMY STUDENTS AND UH COLLEGE STUDENTS PLACED AT KPHC FOR TRAINING AND MENTORING. CLINICAL TRAINING AND INTERNSHIPS FOR HEALTH PROFESSIONS STUDENTS IN MEDICINE, BURSING, PUBLIC HEALTH, SOCIAL WORK, AND OTHER HEALTH FIELDS. PATIENT EDUCATION:SMOKING CESSATION COUNSELING FOR PREGNANT WOMEN AND NEW PARENTS - DIABETES CLINIC - CARDIOVASCULAR DISEASE CASE MANAGEMENT AND OUTREACH - FAMILY PLANNING, PRE-NATAL COUNSELING AND CLASSES, HIV/AIDS TEST AND COUNSELINGOPTOMETRY:WE PROVIDE COMPREHENSIVE EYE EXAMINATION, TREATMENT AND MANAGEMENT OF OCULAR DISEASE, PRE AND POST OPERATIVE CO-MANAGEMENT, FITTING AND DISPENSING OF CONTACT LENSES AND GLASSES. SOME OF THE SPECIALTY EYEWEAR THAT IS AVAILABLE - SPORT GOGGLES - SWIMMING GOGGLES - NO-LINE BIFOCAL - COMPUTER GLASSES. SPECIALTY CONTACT LENS LIKE BIFOCAL AND COLORED LENSES ARE ALSO AVAILABLE." | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,411,217 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,845,603 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $30,536,856 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 120 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 309 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANA CARRIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8088437238 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 NORTH KING STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER PATING | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLIFFORD CHANG | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LIANE SUGIMOTO | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| LOUISE LI | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MATTLIE DAVIS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER HANASHIRO | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| RICHARD KEENE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROSEMARIE V MENDOZA | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUSSELL KAUPU | |||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| TANYA SUAPAIA | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| VERNON Y NAKAMURA | |||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| DIANA CARRIS | |||||||||
| CFO | 40.00 | $163,449 | $0 | $4,903 | Yes (X) | ||||
| EMMANUEL KINTU | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | $313,239 | $0 | $28,653 | 1.00 | Yes (X) | |||
| DARRIN SATO | |||||||||
| COO | 40.00 | $178,837 | $0 | $18,132 | 1.00 | Yes (X) | |||
| KEITH LARSON | |||||||||
| DENTAL DIRECTOR | 40.00 | $208,810 | $0 | $26,842 | Yes (X) | ||||
| BEATRICE LOO | |||||||||
| DENTIST | 40.00 | $171,235 | $0 | $5,137 | Yes (X) | ||||
| GLENN REDIGER | |||||||||
| MEDICAL DOCTOR | 40.00 | $210,311 | $0 | $15,213 | Yes (X) | ||||
| JENNIFER TAN HEAHLKE | |||||||||
| DENTIST | 40.00 | $189,451 | $0 | $5,684 | Yes (X) | ||||
| MICHAEL WALTER | |||||||||
| MEDICAL DOCTOR | 40.00 | $192,733 | $0 | $36,630 | Yes (X) | ||||
| TAYLOR BRANA | |||||||||
| PSYCHIATRIST | 40.00 | $235,269 | $0 | $10,115 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,863,334 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $151,309 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KAPI'OLANI MEDICAL SPECIALISTS | |||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | STAFFING SERVICES | $429,706 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | STAFFING SERVICES | $403,654 |
| PHOENIX SECURITY HAWAII | |||||
| 286 KALIHI ST | HONOLULU | HI | 96819 | SECURITY SERVICE | $357,160 |
| COVERALL NORTH AMERICA INC | |||||
| 2955 MOMENTUM PLACE | CHICAGO | IL | 60689 | HOUSEKEEPING | $352,226 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAX | TX | 753972633 | STAFFING SERVICES | $237,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $1,974,804 | FederatedCampaignsAmt |
| Government Grants | $9,538,045 | GovernmentGrantsAmt |
| All Other Contributions | $2,434,574 | AllOtherContributionsAmt |
| Noncash Contributions | $1,065,386 | NoncashContributionsAmt |
| Total Contributions | $13,947,423 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $13,439,561 | $13,439,561 |
| 340B PHARMACY REVENUE | 624100 | $2,787,936 | $2,787,936 |
| OTHER THIRD PARTY PAYORS | 624100 | $2,004,415 | $2,004,415 |
| RISK POOL/CAPTITATION REVENUE | 624100 | $1,986,508 | $1,986,508 |
| PATIENTS | 624100 | $282,607 | $282,607 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $262,300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $262,300 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,763,327 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,435 | TotalRevenueColumnAmt |
| Exclusion | $1,435 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,707 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,707 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,707 | TotalRevenueColumnAmt |
| Exclusion | -$3,707 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INSURANCE INCENTIVES | 900099 | $843,612 | $843,612 |
| MCR COST REPORT SETTELMENT | 900099 | $58,791 | $58,791 |
| MEDICAL RECORD FEE | 900099 | $7,677 | $7,677 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97,418 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $97,418 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,007,498 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,715,976 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,770,825 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,272 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,589,359 | TotalAmt |
| Program Services | $2,589,359 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,853 | TotalAmt |
| Program Services | $862,038 | ProgramServicesAmt |
| Management And General | $93,815 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,566,510 | TotalAmt |
| Program Services | $14,069,401 | ProgramServicesAmt |
| Management And General | $1,497,109 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,915 | TotalAmt |
| Program Services | $346,168 | ProgramServicesAmt |
| Management And General | $52,747 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819,100 | TotalAmt |
| Program Services | $1,578,568 | ProgramServicesAmt |
| Management And General | $240,532 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,802 | TotalAmt |
| Program Services | $1,137,479 | ProgramServicesAmt |
| Management And General | $173,323 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,509 | TotalAmt |
| Management And General | $28,509 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,891,906 | TotalAmt |
| Program Services | $1,618,364 | ProgramServicesAmt |
| Management And General | $1,273,542 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,344 | TotalAmt |
| Program Services | $15,771 | ProgramServicesAmt |
| Management And General | $55,573 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,706 | TotalAmt |
| Program Services | $504,366 | ProgramServicesAmt |
| Management And General | $167,340 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,534,022 | TotalAmt |
| Program Services | $1,257,781 | ProgramServicesAmt |
| Management And General | $276,241 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,632 | TotalAmt |
| Program Services | $70,247 | ProgramServicesAmt |
| Management And General | $35,385 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,091 | TotalAmt |
| Program Services | $27,189 | ProgramServicesAmt |
| Management And General | $60,902 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,343 | TotalAmt |
| Program Services | $170,343 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,351,217 | TotalAmt |
| Program Services | $1,309,907 | ProgramServicesAmt |
| Management And General | $41,310 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,919 | TotalAmt |
| Program Services | $68,079 | ProgramServicesAmt |
| Management And General | $28,840 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & PROGRAM SUPPL | $2,371,229 | $2,359,715 | $11,514 |
| REPAIRS & MAINTENANCE | $1,253,355 | $1,081,097 | $172,258 |
| DONATED VACCUNES | $1,065,386 | $1,065,386 | |
| SECURITY | $393,797 | $341,590 | $52,207 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,686 | TotalAmt |
| Program Services | $64,008 | ProgramServicesAmt |
| Management And General | $147,678 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,945,681 | TotalAmt |
| Program Services | $30,536,856 | ProgramServicesAmt |
| Management And General | $4,408,825 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,350,661 | BOYAmt |
| EOY | $3,252,025 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $595,634 | BOYAmt |
| EOY | $595,812 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,827,244 | BOYAmt |
| EOY | $5,421,427 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,215,148 | BOYAmt |
| EOY | $1,428,880 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $572,662 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,759 | BOYAmt |
| EOY | $95,831 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,090 | BOYAmt |
| EOY | $483,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,531,958 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,510,520 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,113,115 | BOYAmt |
| EOY | $14,021,438 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,945 | BOYAmt |
| EOY | $101,631 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,718,603 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,741,069 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,337 | BOYAmt |
| EOY | $344,914 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,158,933 | BOYAmt |
| EOY | $32,778,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,284,026 | BOYAmt |
| EOY | $3,376,324 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,926 | BOYAmt |
| EOY | $271,305 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,884,856 | BOYAmt |
| EOY | $2,160,488 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,788,280 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,474,808 | BOYAmt |
| EOY | $10,596,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,684,125 | BOYAmt |
| EOY | $20,681,709 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,500,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,684,125 | BOYAmt |
| EOY | $22,181,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,158,933 | BOYAmt |
| EOY | $32,778,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $770,295 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,686 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,718,603 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $360,000 | OtherCostOrOtherBasisAmt |
| Book Value | $360,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,696,799 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,810,854 | DepreciationAmt |
| Book Value | $11,885,945 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,265,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,699,666 | DepreciationAmt |
| Book Value | $1,566,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,453 | OtherCostOrOtherBasisAmt |
| Book Value | $209,453 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,021,438 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN HAWAII HOMELESS HEALTHCARE HUI | Desc |
| Book Value | $1,718,603 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,718,603 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITIES | Desc |
| Amt | $4,788,280 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,788,280 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,449,675 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,686 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,725,013 | OtherRevenueAmt |
| Revenue Not Reported | $1,733,699 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,715,976 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,715,976 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $36,027,112 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,081,431 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,081,431 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,945,681 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,945,681 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION REVENUE 6,410. TRANSFER OF NET ASSETS 1,718,603. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION EXPENSES 1,081,431. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CLIENT OUTREACH ASSISTANCE AND EMERGENCY | GrantTypeTxt |
| Recipient | 210 | RecipientCnt |
| Cash Grant | $2,589,359 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT MONITORING PROCEDURES: THE MONEY IS A PASS THROUGH FOR OUR HEALTHCARE FOR THE HOMELESS PROJECTS. THE ASSISTANCE GIVEN IS IN ACCORDANCE WITH THE AGREEMENT FOR THE PROGRAM FROM THE CITY AND COUNTY OF HONOLULU DEPARTMENT OF COMMUNITY SERVICES. COMPLIANCE WITH THE AGREEMENT IS MAINTAINED THROUGH PROPER RECORDKEEPING AND REPORTING, WHICH IS ALSO REQUIRED BY AGREEMENT WITH THE CITY & COUNTY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMMANUEL KINTU | ||||||||||||||
| EXECUTIVE DIRECTOR | $264,052 | $0 | $30,000 | $0 | $19,187 | $0 | $9,150 | $0 | $19,503 | $0 | $341,892 | $0 | $0 | $0 |
| TAYLOR BRANA | ||||||||||||||
| PSYCHIATRIST | $235,269 | $0 | $0 | $0 | $0 | $0 | $1,811 | $0 | $8,304 | $0 | $245,384 | $0 | $0 | $0 |
| KEITH LARSON | ||||||||||||||
| DENTAL DIRECTOR | $194,555 | $0 | $2,618 | $0 | $11,637 | $0 | $6,622 | $0 | $20,220 | $0 | $235,652 | $0 | $0 | $0 |
| MICHAEL WALTER | ||||||||||||||
| MEDICAL DOCTOR | $184,503 | $0 | $2,410 | $0 | $5,820 | $0 | $6,439 | $0 | $30,191 | $0 | $229,363 | $0 | $0 | $0 |
| GLENN REDIGER | ||||||||||||||
| MEDICAL DOCTOR | $206,391 | $0 | $3,920 | $0 | $0 | $0 | $6,309 | $0 | $8,904 | $0 | $225,524 | $0 | $0 | $0 |
| DARRIN SATO | ||||||||||||||
| COO | $176,138 | $0 | $2,699 | $0 | $0 | $0 | $5,495 | $0 | $12,637 | $0 | $196,969 | $0 | $0 | $0 |
| JENNIFER TAN HEAHLKE | ||||||||||||||
| DENTIST | $187,555 | $0 | $1,896 | $0 | $0 | $0 | $5,684 | $0 | $0 | $0 | $195,135 | $0 | $0 | $0 |
| BEATRICE LOO | ||||||||||||||
| DENTIST | $169,220 | $0 | $2,015 | $0 | $0 | $0 | $5,137 | $0 | $0 | $0 | $176,372 | $0 | $0 | $0 |
| DIANA CARRIS | ||||||||||||||
| CFO | $155,386 | $0 | $2,510 | $0 | $5,553 | $0 | $4,903 | $0 | $0 | $0 | $168,352 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID NON-FIXED BONUS PAYMENTS DURING THE YEAR BASED ON MERIT/RECOGNITION. BONUS IS SUBJECT TO FINAL BOARD APPROVAL. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,065,386 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY COVERING BOARD MEMBERS AND COVERING EMPLOYEES. THE BOARD REVIEWS THE CORPORATE COMPLIANCE POLICY ANNUALLY. THE BOARD COMPLETES AND SIGNS THE CONFLICT OF INTEREST FORM ANNUALLY. IN ADDITION TO SELF-POLICING, THE CORPORATE COMPLIANCE OFFICER MONITORS AND REVIEWS CORPORATE TRANSACTIONS FOR COMPLIANCE WITH THE CONFLICT OF INTEREST GUIDELINES. AN INTERESTED PERSON MUST LEAVE ANY MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING POSSIBLE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO IS EVALUATED FOR PERFORMANCE ANNUALLY. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. TO DETERMINE CEO COMPENSATION, THE BOARD USES DATA OF COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS, THE SALARY/PAY HISTORY FOR CEO, THE OPERATING BUDGET AND STAFF RATE INCREASES. THE CEO WAS EVALUATED IN REGARDS TO PERFORMANCE AND COMPENSATION BY THE BOARD DURING THE EXECUTIVE SESSION OF THE APRIL 2024 BOARD MEETING. THE APPROVAL OF THE BOARD WAS DONE IN APRIL 2024. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS 1,718,603. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAII HOMELESS HEALTHCARE HUI | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 PUNCHBOWL STREET CLARK APT 41 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823190718 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KALIHI-PALAMA HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAII HOMELESS HEALTHCARE HUI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $572,662 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |