HAWAII HEALTH INFORMATION EXCHANGE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HAWAII HEALTH INFORMATION EXCHANGE (EIN 41-2201519)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-04-20
- IRS object ID
- 202331109349301853
- Schema version
- 2021v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-20T16:28:34-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 261659234 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CW ASSOCIATES CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 BISHOP STREET SUITE 1040 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 412201519 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAII HEALTH INFORMATION EXCHANGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAWA | BusinessNameControlTxt |
| Phone | 8084411346 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 FORT STREET MALL 1050 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK HOPFER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8084411346 | PhoneNum |
| Signature | 2023-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICK | PersonFirstNm |
| Person Last | HOPFER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE A KING | PreparerPersonNm |
| PTIN | P00220997 | PTIN |
| Phone | 8085311040 | PhoneNum |
| Preparation | 2023-04-19 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | RICK HOPFER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 FORT STREET MALL 1050 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,117,327 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HAWAIIHIE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | HAWAI'I HEALTH INFORMATION EXCHANGE IS THE STATE'S DESIGNATED ENTITY FOR HEALTH DATA EXCHANGE. WE PROVIDE THE TECHNOLOGY, TECHNICAL EXPERTISE, AND GOVERNANCE THAT ENABLES HEALTH CARE PROVIDERS AND STAKEHOLDERS TO SHARE AND ACCESS COMPLETE HEALTH DATA, RESULTING IN AN IMPROVED QUALITY OF LIFE FOR HAWAII'S PEOPLE AND LOWER HEALTH CARE COSTS FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 18 | TotalEmployeeCnt |
| Total Volunteers | 23 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $181,400 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,343,453 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,117,288 | CYProgramServiceRevenueAmt |
| PY Investment Income | $87 | PYInvestmentIncomeAmt |
| CY Investment Income | $39 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,524,940 | PYTotalRevenueAmt |
| CY Total Revenue | $3,117,327 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,506,833 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,497,350 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $161,693 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,977,961 | PYOtherExpensesAmt |
| CY Other Expenses | $1,787,659 | CYOtherExpensesAmt |
| PY Total Expenses | $3,484,794 | PYTotalExpensesAmt |
| CY Total Expenses | $3,285,009 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $40,146 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$167,682 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,782,903 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,431,144 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $820,571 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $636,494 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $962,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $794,650 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HAWAI'I HEALTH INFORMATION EXCHANGE IS THE STATE'S DESIGNATED ENTITY FOR HEALTH DATA EXCHANGE. WE PROVIDE THE TECHNOLOGY, TECHNICAL EXPERTISE, AND GOVERNANCE THAT ENABLES HEALTH CARE PROVIDERS AND STAKEHOLDERS TO SHARE AND ACCESS COMPLETE HEALTH DATA, RESULTING IN AN IMPROVED QUALITY OF LIFE FOR HAWAII'S PEOPLE AND LOWER HEALTH CARE COSTS FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,029,816 | ExpenseAmt |
| Revenue | $3,117,288 | RevenueAmt |
| Desc | THE HAWAI'I HEALTH INFORMATION EXCHANGE PROVIDES HEALTH INFORMATION TECHNOLOGY SERVICES THAT CONNECTS HEALTH CARE PROVIDERS TOGETHER TO SECURELY SHARE PATIENT INFORMATION, WHENEVER AND WHERE EVER IT IS NEEDED.TOTAL NUMBER OF PATIENTS IN THE COMMUNITY HEALTH RECORD IS OVER 3.6 MILLION WITH APPROXIMATELY 453,000 LOGINS IN A YEAR. | Desc |
| Total Program Service Expenses | $2,029,816 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 18 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCIS CHAN CHIEF EXECUTIVE OFFIC | PersonNm |
| Phone | 8084411411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 FORT STREET MALL NO 1050 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ROBERT HIROKAWA | |||||||
| PRESIDENT / DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID M SAITO MD | |||||||
| VICE PRESIDENT / DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MONEY ATWAL | |||||||
| TREASURER / DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA WONG | |||||||
| SECRETARY / DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JULIE-BETH AKO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY CARLSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROY ESAKI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL HALL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG HESTER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICK HOPFER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEONARD LICINA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES C LIN MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD MORGAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD MOSCHO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN PELLEGRIN PHD MBA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID PETTINGER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN VOULGARIDIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK WASIELEWSKI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND YEUNG | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL HATA | |||||||
| FORMER DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW A KOENIG MD | |||||||
| FORMER DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY J SHAPIRO MD | |||||||
| FORMER DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEIDAR THORDARSON MBA | |||||||
| FORMER DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANCIS CHAN MT ASCP MPH | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $135,419 | $0 | $23,560 | ||
| AMY CORBISIER | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $113,550 | $0 | $3,902 | ||
| REBECCA BURTON | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $114,264 | $0 | $19,452 | Yes (X) | ||
| ALBERT K OGATA | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $114,150 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $477,383 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,914 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTH CATALYST INC | |||||
| DEPT CH 17917 | PALATINE | IL | 600557917 | COMMUNITY HEALTH RECORDS SERVICES | $1,068,252 |
| NEXTGATE SOLUTIONS INC | |||||
| 3579 E FOOTHILL BLVD 587 | PASADENA | CA | 91107 | ENTERPRISE MASTER PATIENT INDEX | $173,470 |
| FIRSTVITALS HEALTH AND WELLNESS INC | |||||
| 521 ALA MOANA BLVD SUITE 261 | HONOLULU | HI | 96814 | PROVIDER OF HEALTHCARE SOFTWARE | $101,351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,117,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,117,288 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,117,288 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39 | TotalRevenueColumnAmt |
| Exclusion | $39 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,117,327 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,117,288 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $39 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,294 | TotalAmt |
| Program Services | $141,714 | ProgramServicesAmt |
| Management And General | $120,337 | ManagementAndGeneralAmt |
| Fundraising | $12,243 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $988,084 | TotalAmt |
| Program Services | $337,260 | ProgramServicesAmt |
| Management And General | $558,912 | ManagementAndGeneralAmt |
| Fundraising | $91,912 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,340 | TotalAmt |
| Program Services | $7,204 | ProgramServicesAmt |
| Management And General | $17,249 | ManagementAndGeneralAmt |
| Fundraising | $2,887 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,579 | TotalAmt |
| Program Services | $24,365 | ProgramServicesAmt |
| Management And General | $40,822 | ManagementAndGeneralAmt |
| Fundraising | $6,392 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,053 | TotalAmt |
| Program Services | $53,140 | ProgramServicesAmt |
| Management And General | $71,858 | ManagementAndGeneralAmt |
| Fundraising | $11,055 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,490 | TotalAmt |
| Management And General | $42,490 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,358 | TotalAmt |
| Program Services | $59,741 | ProgramServicesAmt |
| Management And General | $7,469 | ManagementAndGeneralAmt |
| Fundraising | $1,148 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,879 | TotalAmt |
| Program Services | $91 | ProgramServicesAmt |
| Management And General | $9,349 | ManagementAndGeneralAmt |
| Fundraising | $1,439 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,389,850 | TotalAmt |
| Program Services | $1,358,870 | ProgramServicesAmt |
| Management And General | $26,849 | ManagementAndGeneralAmt |
| Fundraising | $4,131 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,838 | TotalAmt |
| Program Services | $27,136 | ProgramServicesAmt |
| Management And General | $101,142 | ManagementAndGeneralAmt |
| Fundraising | $15,560 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,266 | TotalAmt |
| Management And General | $8,897 | ManagementAndGeneralAmt |
| Fundraising | $1,369 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,414 | TotalAmt |
| Management And General | $62,759 | ManagementAndGeneralAmt |
| Fundraising | $9,655 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,073 | TotalAmt |
| Program Services | $19,739 | ProgramServicesAmt |
| Management And General | $4,623 | ManagementAndGeneralAmt |
| Fundraising | $711 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|---|
| OUTREACH AND RECRUITMEN | $20,842 | $18,063 | $2,779 | |
| DUES AND SUBSCRIPTION | $3,649 | $2,681 | $412 | $556 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,285,009 | TotalAmt |
| Program Services | $2,029,816 | ProgramServicesAmt |
| Management And General | $1,093,500 | ManagementAndGeneralAmt |
| Fundraising | $161,693 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,025 | BOYAmt |
| EOY | $366,827 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,410 | BOYAmt |
| EOY | $319,487 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,449 | BOYAmt |
| EOY | $88,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,003,170 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $347,274 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,019 | BOYAmt |
| EOY | $655,896 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,782,903 | BOYAmt |
| EOY | $1,431,144 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,464 | BOYAmt |
| EOY | $360,090 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,107 | BOYAmt |
| EOY | $276,404 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,571 | BOYAmt |
| EOY | $636,494 | 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 | $952,693 | BOYAmt |
| EOY | $785,011 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,639 | BOYAmt |
| EOY | $9,639 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,332 | BOYAmt |
| EOY | $794,650 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,782,903 | BOYAmt |
| EOY | $1,431,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$167,682 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $181,400 | CurrentTaxYearMinus1YearAmt |
| Total | $181,400 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $181,400 | CurrentTaxYearMinus1YearAmt |
| Total | $181,400 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $181,400 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,193 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,104 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $87 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39 | CurrentTaxYearAmt |
| Total | $36,858 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50 | CurrentTaxYearMinus4YearsAmt |
| Total | $50 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $218,308 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $14,171,892 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.83090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85800 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 50. | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,003,170 | OtherCostOrOtherBasisAmt |
| Depreciation | $347,274 | DepreciationAmt |
| Book Value | $655,896 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $655,896 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,277,053 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $159,726 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $159,726 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,117,327 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,117,327 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,444,735 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $159,726 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $159,726 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,285,009 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,285,009 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | U.S. GAAP REQUIRES UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT EVALUATED HHIE'S TAX POSITIONS AS OF JUNE 30, 2022 AND 2021 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT HHIE HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. HHIE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCIS CHAN MT ASCP MPH | PersonNm |
| Title | CHIEF EXECUTIVE OFFICER | TitleTxt |
| Base Compensation Filing Org | $135,269 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $150 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $5,562 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $17,998 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $158,979 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ULU HI-TECH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MORE THAN 35% CONSTRUCTIVELY OWNED BY GREG HESTER, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $112,953 | TransactionAmt |
| Transaction | SERVICE PROVIDER | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, PART V, LINE 2A: | THE ORGANIZATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH A PROFESSIONAL EMPLOYER ORGANIZATION, WHO IS THE EMPLOYER OF RECORD. THE ORGANIZATION IS THE WORKSITE EMPLOYER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE, CEO AND CFO. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING AND WILL BE REVIEWED AT THE NEXT BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ACCORDING TO THE PROCEDURES MENTIONED IN HHIE'S CONFLICT OF INTEREST POLICY: 1. THE POLICY IS REVIEWED ANNUALLY. 2. APPROVED POLICY IS ANNOUNCED TO ALL STAFF AND SAVED IN THE SHARED NETWORK. 3. THE POLICY CONTAINS DETAILED PROCEDURES FROM DETERMINING EXISTENCE OF CONFLICT TO RESOLUTIONS AND PROCEEDINGS IF ANY. 4. THE COMPLIANCE OFFICER IS RESPONSIBLE IN DISCLOSING ANY CONFLICT OF INTEREST FROM AN INTERESTED PERSON TO THE LEGAL POLICY COMMITTEE. 5. LEGAL POLICY COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. 6. ANY EXISTING CONFLICTS ARE ADDRESSED AND RESOLVED AT THE BOARD COMMITTEE. 7. A STATEMENT IS SIGNED BY INTERESTED PERSON. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A: IN DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, THE COMPANY HAS A PROCESS WHERE THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION. THE PROCEDURES INCLUDE THE FOLLOWING ELEMENTS: 1. PERSONS WITH A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT ARE NOT INVOLVED. 2. EMPLOYEE COMPENSATION ANALYSIS REPORTS ARE USED AS REFERENCE FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE KEPT FOR RECORD. THIS COMPENSATION DETERMINATION PROCESS WAS LAST UNDERTAKEN DURING 2020. LINE 15B: IN DETERMINING COMPENSATION OF THE CHIEF FINANCIAL OFFICER, THE COMPANY HAS A PROCESS WHERE THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE COMPENSATION. THE PROCEDURES INCLUDE THE FOLLOWING ELEMENTS: 1. EMPLOYEE COMPENSATION ANALYSIS REPORTS ARE USED AS REFERENCE FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 2. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE KEPT FOR RECORD. THIS COMPENSATION DETERMINATION PROCESS WAS LAST UNDERTAKEN DURING 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |