KALIHI PALAMA HEALTH CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: KALIHI PALAMA HEALTH CENTER (EIN 99-0161221)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-13
IRS object ID: 202321339349300802
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-13T00:30:17-05:00	ReturnTs
Tax Period End	2022-06-30	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	2021-07-01	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	2023-05-12	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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LORI ROTHE YOKOBOSKY CPA	PreparerPersonNm
PTIN	P01273422	PTIN
Phone	9592007000	PhoneNum
Preparation	2023-05-12	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)
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	$36,062,231	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	321	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,194,380	PYContributionsGrantsAmt
CY Contributions Grants	$15,781,436	CYContributionsGrantsAmt
PY Program Service Revenue	$18,683,580	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,789,358	CYProgramServiceRevenueAmt
PY Investment Income	$29,703	PYInvestmentIncomeAmt
CY Investment Income	$14,122	CYInvestmentIncomeAmt
PY Other Revenue	$401,580	PYOtherRevenueAmt
CY Other Revenue	$477,315	CYOtherRevenueAmt
PY Total Revenue	$34,309,243	PYTotalRevenueAmt
CY Total Revenue	$36,062,231	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,921,468	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,836,958	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$19,011,412	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,831,724	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,918,209	PYOtherExpensesAmt
CY Other Expenses	$11,237,115	CYOtherExpensesAmt
PY Total Expenses	$32,851,089	PYTotalExpensesAmt
CY Total Expenses	$33,905,797	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,458,154	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,156,434	CYRevenuesLessExpensesAmt
Total Assets BOY	$27,219,735	TotalAssetsBOYAmt
Total Assets EOY	$26,158,933	TotalAssetsEOYAmt
Total Liabilities BOY	$9,666,132	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,474,808	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,553,603	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$19,684,125	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	$17,788,759	ExpenseAmt
Revenue	$15,576,704	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	$5,205,918	ExpenseAmt
Grant	$2,836,958	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:OHANA PROJECT (OAHU HEALTH ACCESS AND NETWORK ASSOCIATION): THE OHANA PROJECT PROVIDES INREACH TO QUEEN'S MEDICAL CENTER IN DOWNTOWN HONOLULU. OHANA WORKS WITH INDIVIDUALS WHO ARE IN THE HOSPITAL AND WILL BE RELEASED WITH NO HOUSING. OHANA PROVIDES FOLLOW-UP CARE AFTER A PERSON IS DISCHARGED FROM THE HOSPITAL. CASE MANAGEMENT AND REFERRALS ARE ALL PROVIDED AT THE OHANA PROJECT LOCATED IN KALIHI VALLEY. 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	$4,248,241	ExpenseAmt
Revenue	$2,939,549	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	$2,270,120	ExpenseAmt
Revenue	$1,750,420	RevenueAmt
Desc	OTHER PROGRAM SERVICE ACTIVITIES: 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	$2,270,120	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$1,750,420	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$29,513,038	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	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	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	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
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	321	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	0	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	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
DOUGLAS WOOTEN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
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	Yes (X)
TANYA SUAPAIA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
VERNON Y NAKAMURA
PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
EMMANUEL KINTU
EXECUTIVE DIRECTOR	40.00		$304,412	$0	$26,596	Yes (X)
LIANE SUGIMOTO
CFO	40.00		$225,144	$0	$14,242	Yes (X)
DARRIN SATO
COO	40.00		$174,027	$0	$16,806		Yes (X)
KEITH LARSON
DENTAL DIRECTOR	40.00		$194,335	$0	$24,393		Yes (X)
BEATRICE LOO
DENTIST	40.00		$163,968	$0	$4,919			Yes (X)
GLENN REDIGER
PHYSICAN	40.00		$196,998	$0	$15,951			Yes (X)
JENNIFER TAN HEAHLKE
DENTIST	40.00		$181,626	$0	$5,449			Yes (X)
MARIVIC RAYMUNDO
PHYSICAN	40.00		$208,185	$0	$3,180			Yes (X)
MICHAEL WALTER
PHYSICAN	40.00		$174,771	$0	$34,159			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,823,466	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$145,695	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	36	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
COVERALL NORTH AMERICA INC
2955 MOMENTUM PLACE	CHICAGO	IL	60689	HOUSEKEEPING	$415,755
UNIVERSITY CLINICAL EDUCATION & RESEARCH
PO BOX 31000	HONOLULU	HI	96849	STAFFING SERVICES	$389,421
PHOENIX SECURITY HAWAII
286 KALIHI ST	HONOLULU	HI	96819	SECURITY SERVICE	$342,107
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	STAFFING SERVICES	$193,251
ALTRES STAFFING INC
PO BOX 1410	HONOLULU	HI	96807	STAFFING SERVICES	$187,459

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$2,052,512	FederatedCampaignsAmt
Government Grants	$13,670,484	GovernmentGrantsAmt
All Other Contributions	$58,440	AllOtherContributionsAmt
Noncash Contributions	$914,836	NoncashContributionsAmt
Total Contributions	$15,781,436	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID	624100	$13,151,369	$13,151,369
340B PHARMACY REVENUE	624100	$2,551,655	$2,551,655
OTHER THIRD PARTY PAYORS	624100	$2,250,166	$2,250,166
RISK POOL/CAPTITATION REVENUE	624100	$1,270,433	$1,270,433
MEDICARE	624100	$299,838	$299,838

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$265,897	TotalRevenueColumnAmt
Related Or Exempt Func Income	$265,897	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,789,358	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,122	TotalRevenueColumnAmt
Exclusion	$14,122	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE INCENTIVES	900099	$366,950	$366,950
MEDICAL RECORD FEE	900099	$6,210	$6,210

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$104,155	TotalRevenueColumnAmt
Related Or Exempt Func Income	$104,155	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$477,315	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,062,231	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,266,673	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$14,122	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,836,958	TotalAmt
Program Services	$2,836,958	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$992,177	TotalAmt
Program Services	$230,898	ProgramServicesAmt
Management And General	$761,279	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,421,947	TotalAmt
Program Services	$14,513,552	ProgramServicesAmt
Management And General	$908,395	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$385,449	TotalAmt
Program Services	$351,943	ProgramServicesAmt
Management And General	$33,506	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,714,597	TotalAmt
Program Services	$1,504,030	ProgramServicesAmt
Management And General	$210,567	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,317,554	TotalAmt
Program Services	$1,141,868	ProgramServicesAmt
Management And General	$175,686	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,245	TotalAmt
Management And General	$15,245	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,430,889	TotalAmt
Program Services	$1,321,687	ProgramServicesAmt
Management And General	$1,109,202	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$120,586	TotalAmt
Program Services	$17,309	ProgramServicesAmt
Management And General	$103,277	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$678,955	TotalAmt
Program Services	$440,975	ProgramServicesAmt
Management And General	$237,980	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,333,177	TotalAmt
Program Services	$1,119,059	ProgramServicesAmt
Management And General	$214,118	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$51,847	TotalAmt
Program Services	$31,311	ProgramServicesAmt
Management And General	$20,536	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$76,826	TotalAmt
Program Services	$20,979	ProgramServicesAmt
Management And General	$55,847	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$130,152	TotalAmt
Program Services	$130,152	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,360,156	TotalAmt
Program Services	$1,321,744	ProgramServicesAmt
Management And General	$38,412	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$95,636	TotalAmt
Program Services	$70,291	ProgramServicesAmt
Management And General	$25,345	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & PROGRAM SUPPL	$3,091,405	$3,084,586	$6,819
REPAIRS & MAINTENANCE	$1,252,303	$958,147	$294,156
SECURITY	$410,187	$363,393	$46,794
DUES & SUBSCRIPTIONS	$122,245	$54,156	$68,089

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,506	TotalAmt
Management And General	$67,506	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,905,797	TotalAmt
Program Services	$29,513,038	ProgramServicesAmt
Management And General	$4,392,759	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,003,907	BOYAmt
EOY	$4,350,661	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$712,865	BOYAmt
EOY	$595,634	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,030,945	BOYAmt
EOY	$3,827,244	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,229,572	BOYAmt
EOY	$1,215,148	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$52,973	BOYAmt
EOY	$88,759	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$434,128	BOYAmt
EOY	$498,090	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$26,290,551	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,177,436	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,245,398	BOYAmt
EOY	$15,113,115	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$106,504	BOYAmt
EOY	$92,945	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$403,443	BOYAmt
EOY	$377,337	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,219,735	BOYAmt
EOY	$26,158,933	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,572,743	BOYAmt
EOY	$3,284,026	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$93,771	BOYAmt
EOY	$305,926	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,010,518	BOYAmt
EOY	$2,884,856	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,989,100	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,666,132	BOYAmt
EOY	$6,474,808	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	$17,553,603	BOYAmt
EOY	$19,684,125	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,553,603	BOYAmt
EOY	$19,684,125	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,219,735	BOYAmt
EOY	$26,158,933	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,156,434	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$25,912	NetUnrlzdGainsLossesInvstAmt
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	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	$21,672,842	OtherCostOrOtherBasisAmt
Depreciation	$8,709,949	DepreciationAmt
Book Value	$12,962,893	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,203,843	OtherCostOrOtherBasisAmt
Depreciation	$2,467,487	DepreciationAmt
Book Value	$1,736,356	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,866	OtherCostOrOtherBasisAmt
Book Value	$53,866	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,113,115	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$36,036,319	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$25,912	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$25,912	RevenueNotReportedAmt
Revenue Subtotal	$36,062,231	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$36,062,231	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$33,905,797	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$33,905,797	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$33,905,797	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2022 AND 2021, 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 FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.	ExplanationTxt

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	345	RecipientCnt
Cash Grant	$2,836,958	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	$279,249	$0	$25,163	$0	$0	$0	$8,700	$0	$17,896	$0	$331,008	$0	$0	$0
LIANE SUGIMOTO
CFO	$217,144	$0	$8,000	$0	$0	$0	$6,754	$0	$7,488	$0	$239,386	$0	$0	$0
KEITH LARSON
DENTAL DIRECTOR	$191,169	$0	$3,166	$0	$0	$0	$6,153	$0	$18,240	$0	$218,728	$0	$0	$0
GLENN REDIGER
PHYSICAN	$191,766	$0	$5,232	$0	$0	$0	$5,955	$0	$9,996	$0	$212,949	$0	$0	$0
MARIVIC RAYMUNDO
PHYSICAN	$205,185	$0	$3,000	$0	$0	$0	$3,180	$0	$0	$0	$211,365	$0	$0	$0
MICHAEL WALTER
PHYSICAN	$169,978	$0	$4,793	$0	$0	$0	$5,867	$0	$28,292	$0	$208,930	$0	$0	$0
DARRIN SATO
COO	$168,773	$0	$5,254	$0	$0	$0	$5,340	$0	$11,466	$0	$190,833	$0	$0	$0
JENNIFER TAN HEAHLKE
DENTIST	$180,626	$0	$1,000	$0	$0	$0	$5,449	$0	$0	$0	$187,075	$0	$0	$0
BEATRICE LOO
DENTIST	$162,968	$0	$1,000	$0	$0	$0	$4,919	$0	$0	$0	$168,887	$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

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$12,353	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$902,483	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 REPRESENT NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: 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.
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 OCTOBER 2022 BOARD MEETING. THE APPROVAL OF THE BOARD WAS DONE IN OCTOBER OF 2022.
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.