KO OLAULOA HEALTH CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- KO OLAULOA HEALTH CENTER (EIN 73-1681833)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202102259349302835
- Schema version
- 2019v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-13T20:15:18-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 852721660 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAULEA CONSULTING LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 61375 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 968391375 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731681833 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOOLAULOA HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KOOL | BusinessNameControlTxt |
| Phone | 8082939216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 395 | AddressLine1Txt |
| City | KAHUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96731 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE H ARATANI | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8087923840 | PhoneNum |
| Signature | 2021-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE M CHOY | PreparerPersonNm |
| PTIN | P00404796 | PTIN |
| Phone | 8082235024 | PhoneNum |
| Preparation | 2021-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRENCE H ARATANI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54-316 KAMEHAMEHA HIGHWAY | AddressLine1Txt |
| City | KAHUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,665,933 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KOOLAULOAACHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | THE CENTER IS A CULTURALLY SENSITIVE, COMMUNITY-BASED UNIT WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES PRIMARILY TO RESIDENTS IN THE KO`OLAULOA REGION OF OAHU, HAWAII. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 71 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,630,492 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,554,299 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,290,187 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,111,543 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76 | PYInvestmentIncomeAmt |
| CY Investment Income | $91 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,920,755 | PYTotalRevenueAmt |
| CY Total Revenue | $5,665,933 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,266,973 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,852,752 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $17,723 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,139,789 | PYOtherExpensesAmt |
| CY Other Expenses | $2,446,524 | CYOtherExpensesAmt |
| PY Total Expenses | $6,406,762 | PYTotalExpensesAmt |
| CY Total Expenses | $6,299,276 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $513,993 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$633,343 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,630,772 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,631,088 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $278,477 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $912,136 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,352,295 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,718,952 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CENTER IS A CULTURALLY SENSITIVE, COMMUNITY-BASED UNIT WHICH PROVIDES COMPREHENSEIVE HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL AND BEHAVIORAL SERVICES, PRIMARILY TO RESIDENTS IN THE KO`OLAULOA REGION OF OAHU, HAWAII. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,660,035 | ExpenseAmt |
| Grant | $2,525,643 | GrantAmt |
| Revenue | $3,111,544 | RevenueAmt |
| Desc | HEALTHCARE SERVICES: MEDICAL, DENTAL AND PHARMACY SERVICES TO RESIDENTS IN KO`OLAULOA REGION ON THE ISLAND OF OAHU THROUGH FACILITIES IN HAU`ULA AND KAHUKU. | Desc |
| Total Program Service Expenses | $4,660,035 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 71 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE H ARATANI | PersonNm |
| Phone | 8082939216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54-316 KAMEHAMEHA HIGHWAY | AddressLine1Txt |
| City | KAHUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96717 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JUDY H FOMIN | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOE WILSON | ||||||
| VICE-PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WINONA KANIHO | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MELISSA PRIMACIO | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANELA OLEVAO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGELIQUE SOLOMON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAHEA TOOMALATAI | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAULA OGIMI | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOAGAIFASA MATAAFA | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DONNA L CHING | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TERRENCE H ARATANI | ||||||
| CEO | 40.35 | Yes (X) | $176,017 | $0 | $0 | |
| ISABELLA GARY | ||||||
| COO | 44.63 | Yes (X) | $124,625 | $0 | $0 | |
| DANIELL LUM | ||||||
| CMO | 40.00 | Yes (X) | $123,135 | $0 | $0 | |
| ALLEN BAGALSO | ||||||
| PHARMACY DIR | 40.00 | Yes (X) | $126,503 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $550,280 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $2,523,643 | GovernmentGrantsAmt |
| All Other Contributions | $30,656 | AllOtherContributionsAmt |
| Total Contributions | $2,554,299 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Total Revenue Column | $3,111,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,111,543 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,111,543 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $91 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,665,933 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,111,634 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,280 | TotalAmt |
| Program Services | $249,638 | ProgramServicesAmt |
| Management And General | $300,642 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,506,655 | TotalAmt |
| Program Services | $1,932,242 | ProgramServicesAmt |
| Management And General | $565,662 | ManagementAndGeneralAmt |
| Fundraising | $8,751 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,841 | TotalAmt |
| Program Services | $20,963 | ProgramServicesAmt |
| Management And General | $7,799 | ManagementAndGeneralAmt |
| Fundraising | $79 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,911 | TotalAmt |
| Program Services | $332,183 | ProgramServicesAmt |
| Management And General | $104,671 | ManagementAndGeneralAmt |
| Fundraising | $1,057 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,065 | TotalAmt |
| Program Services | $181,279 | ProgramServicesAmt |
| Management And General | $144,329 | ManagementAndGeneralAmt |
| Fundraising | $3,457 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,726 | TotalAmt |
| Program Services | $11,008 | ProgramServicesAmt |
| Management And General | $4,561 | ManagementAndGeneralAmt |
| Fundraising | $157 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,663 | TotalAmt |
| Program Services | $76,064 | ProgramServicesAmt |
| Management And General | $31,512 | ManagementAndGeneralAmt |
| Fundraising | $1,087 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,682 | TotalAmt |
| Program Services | $4,677 | ProgramServicesAmt |
| Management And General | $1,938 | ManagementAndGeneralAmt |
| Fundraising | $67 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,368 | TotalAmt |
| Program Services | $5,368 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,101 | TotalAmt |
| Program Services | $85,244 | ProgramServicesAmt |
| Management And General | $34,396 | ManagementAndGeneralAmt |
| Fundraising | $461 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,962 | TotalAmt |
| Program Services | $616,420 | ProgramServicesAmt |
| Management And General | $3,424 | ManagementAndGeneralAmt |
| Fundraising | $118 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,450 | TotalAmt |
| Program Services | $137,910 | ProgramServicesAmt |
| Management And General | $47,888 | ManagementAndGeneralAmt |
| Fundraising | $1,652 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,396 | TotalAmt |
| Program Services | $3,777 | ProgramServicesAmt |
| Management And General | $1,619 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,944 | TotalAmt |
| Program Services | $5,257 | ProgramServicesAmt |
| Management And General | $1,687 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,026 | TotalAmt |
| Program Services | $30,818 | ProgramServicesAmt |
| Management And General | $12,768 | ManagementAndGeneralAmt |
| Fundraising | $440 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,665 | TotalAmt |
| Program Services | $27,065 | ProgramServicesAmt |
| Management And General | $11,213 | ManagementAndGeneralAmt |
| Fundraising | $387 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASES | $958,071 | $670,650 | $287,421 |
| REPAIRS & MAINTENANCE | $105,510 | $73,857 | $31,653 |
| LICENSES & FEES | $94,062 | $94,062 | |
| FEES | $49,425 | $35,074 | $14,351 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,473 | TotalAmt |
| Program Services | $66,479 | ProgramServicesAmt |
| Management And General | $13,984 | ManagementAndGeneralAmt |
| Fundraising | $10 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,299,276 | TotalAmt |
| Program Services | $4,660,035 | ProgramServicesAmt |
| Management And General | $1,621,518 | ManagementAndGeneralAmt |
| Fundraising | $17,723 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,326 | BOYAmt |
| EOY | $1,481,701 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,154,806 | BOYAmt |
| EOY | $479,174 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,168 | BOYAmt |
| EOY | $34,394 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,627 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,508,041 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $884,196 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,871 | BOYAmt |
| EOY | $623,845 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,987 | BOYAmt |
| EOY | $1,987 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,987 | BOYAmt |
| EOY | $9,987 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,630,772 | BOYAmt |
| EOY | $2,631,088 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,477 | BOYAmt |
| EOY | $263,536 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $648,600 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,477 | BOYAmt |
| EOY | $912,136 | 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 | $2,352,295 | BOYAmt |
| EOY | $1,718,952 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,352,295 | BOYAmt |
| EOY | $1,718,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,630,772 | BOYAmt |
| EOY | $2,631,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$633,343 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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 Minus4 Years | $1,868,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,677,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,195,269 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,630,492 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,523,643 | CurrentTaxYearAmt |
| Total | $10,895,301 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,868,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,677,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,195,269 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,630,492 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,523,643 | CurrentTaxYearAmt |
| Total | $10,895,301 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,895,301 | PublicSupportTotal170Amt |
| Total Support | $10,895,301 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $12,275,345 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $375,000 | OtherCostOrOtherBasisAmt |
| Book Value | $375,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,133,041 | OtherCostOrOtherBasisAmt |
| Depreciation | $884,196 | DepreciationAmt |
| Book Value | $248,845 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $623,845 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PPP LOAN PAYABLE | Desc |
| Amt | $648,600 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $648,600 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,665,933 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $5,665,933 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,665,933 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,299,276 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,299,276 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,299,276 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE H ARATANI | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $176,017 | BaseCompensationFilingOrgAmt |
| Total Compensation Filing Org | $176,017 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE CENTER IS A CULTURALLY SENSITIVE, COMMUNITY-BASED UNIT WHICH PROVIDES COMPREHENSEIVE HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL AND BEHAVIORAL SERVICES, PRIMARILY TO RESIDENTS IN THE KO`OLAULOA REGION OF OAHU, HAWAII. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE RETURN IS ROUTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTERST POLICY IS REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION OF THE FOLLOWING PERSONS ARE REVIEWED AND APPROVED ANNUALLY BY THE FINANCE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES ARE REVIEWED AND APPROVED ANNUALLY BY THE FINANCE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 18 | THE RETURN ARE AVAILABLE ON THE GUIDESTAR WEBSITE AND UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |