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HAWAII DENTAL SERVICE: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
HAWAII DENTAL SERVICE (EIN 99-0107971)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-08-25
IRS object ID
202542379349301804
Schema version
2024v5.2
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

FieldValueIRS element (for citing)
Return2025-08-25T17:09:36-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN205325889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ACCUITY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1999 BISHOP STREET STE 2300AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990107971EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAWAII DENTAL SERVICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAWABusinessNameControlTxt
Phone8085211431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 FORT STREET MALL SUITE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE SL PALOMAPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8085211431PhoneNum
Signature2025-08-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOAN FUJITAPreparerPersonNm
PTINP00235894PTIN
Phone8085313400PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIANE SL PALOMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 FORT STREET MALL SUITE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$369,380,362GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HAWAIIDENTALSERVICE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionPROMOTE BETTERMENT OF MEDICAL & DENTAL HEALTH OF THE PUBLIC FOR THE GENERAL WELFARE OF THE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee160TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$4,059TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,753NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$248,098,694PYProgramServiceRevenueAmt
CY Program Service Revenue$258,234,249CYProgramServiceRevenueAmt
PY Investment Income$13,493,680PYInvestmentIncomeAmt
CY Investment Income$16,959,491CYInvestmentIncomeAmt
PY Other Revenue$2,059,129PYOtherRevenueAmt
CY Other Revenue$59,596CYOtherRevenueAmt
PY Total Revenue$263,651,503PYTotalRevenueAmt
CY Total Revenue$275,253,336CYTotalRevenueAmt
PY Grants And Similar Paid$2,219,146PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,988,639CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$205,491,811PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$212,600,641CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,815,826PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,131,152CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,447,683PYOtherExpensesAmt
CY Other Expenses$16,442,609CYOtherExpensesAmt
PY Total Expenses$236,974,466PYTotalExpensesAmt
CY Total Expenses$247,163,041CYTotalExpensesAmt
PY Revenues Less Expenses$26,677,037PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,090,295CYRevenuesLessExpensesAmt
Total Assets BOY$400,402,813TotalAssetsBOYAmt
Total Assets EOY$448,191,415TotalAssetsEOYAmt
Total Liabilities BOY$34,290,492TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,617,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$366,112,321NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$417,574,032NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$231,646,151ExpenseAmt
Grant$1,988,639GrantAmt
Revenue$252,990,108RevenueAmt
DescHAWAII DENTAL SERVICE (HDS) OFFERS AND ADMINISTERS DENTAL CARE PROGRAMS TO ABOUT 644,000 INDIVIDUALS THROUGHOUT THE STATE OF HAWAII. AS A MEMBER OF THE DELTA DENTAL PLANS ASSOCIATION, A NATIONAL ASSOCIATION SUPPORTING DELTAS NATION-WIDE, HDS SUBSCRIBERS ARE ABLE TO ACCESS DELTA CONTRACTED PROVIDERS IN EVERY STATE. IN 2024, HDS PROCESSED OVER 1.2 MILLION CLAIMS FOR SUBSCRIBERS AND THEIR DEPENDENTS. TO ENSURE PROVIDERS ARE SUBMITTING CLAIMS APPROPRIATELY, HDS CONTINUALLY AUDITS CLAIMS. IN ADDITION, HDS AWARDED OVER $1.9 MILLION IN GRANTS TO OTHER CHARITABLE ORGANIZATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,775,141ExpenseAmt
Revenue$3,631,290RevenueAmt
DescMANAGING THE DENTAL BENEFITS OF ELIGIBLE BENEFICIARIES COVERED BY THE STATE OF HAWAII MED-QUEST PROGRAM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$1,612,851RevenueAmt
DescPROGRAM-RELATED INVESTMENTS. HDS INVESTS IN CERTAIN PROGRAM-RELATED INVESTMENTS WITH OTHER DELTA DENTAL COMPANIES TO PROVIDE DENTAL CARE TO INDIVIDUALS, GROUPS AND MEMBERS OF THE PUBLIC AND GENERALLY TO DO ALL THINGS NECESSARY TO RENDER DENTAL SERVICES MORE AVAILABLE. FMG HAS CONTRACTS WITH COMMUNITY CARE NETWORK (CCN), FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE (FEDVIP), AND VETERAN AFFAIRS DENTAL INSURANCE PROGRAM (VADIP).Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$234,421,292TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related PersonYes (1)GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4037IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee160EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QUIN OGAWABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8085211431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 FORT STREET MALL SUITE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP968133705ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MASON A SAVAGE DDS
DIRECTOR1.001.00Yes (X)$0$0$0
NONA TAMANAHA
DIRECTOR1.00Yes (X)$0$0$0
NELSON KM LAU
DIRECTOR1.00Yes (X)$0$0$0
KERIANN ERNST
DIRECTOR1.001.00Yes (X)$0$0$0
KEVIN S HASEYAMA
DIRECTOR1.00Yes (X)$0$0$0
SHAKIL AHMED
DIRECTOR1.00Yes (X)$0$0$0
MARTIN OISHI DDS
DIRECTOR1.00Yes (X)$0$0$0
DAVID K TODANI
DIRECTOR (TILL 06/24)1.001.00Yes (X)$0$0$0
TYLER KIMURA
DIRECTOR1.00Yes (X)$0$0$0
ALLISON P TRAN DDS
DIRECTOR1.001.00Yes (X)$0$0$0
KAIMANA GOO-RAHTZ DMD
DIRECTOR1.001.00Yes (X)$0$0$0
EMI ENO ORIKASA DDS
DIRECTOR1.001.00Yes (X)$0$0$0
COLBERT SETO CIO TILL 1124
ASSISTANT SECRETARY (TILL 11/24)40.001.00$322,294$0$88,459Yes (X)
ELAINE FUJIWARA CCO EFF 0624
ASSISTANT SECRETARY (TILL 06/24)40.001.00$291,312$0$114,948Yes (X)
T KIMO BLAISDELL
CHAIR1.00$0$0$0Yes (X)
DIANE SL PALOMA PHD
PRESIDENT & CEO40.002.00$553,563$0$70,288Yes (X)
MINNA-MARI LEHTI COO ALL YEAR
SEC. (TILL 06/24), VP (EFF 06/24)40.001.00$368,994$0$135,297Yes (X)
QUIN OGAWA
TREASURER & CFO40.002.00$326,479$0$64,050Yes (X)
EMMIT A KANE
VICE CHAIR1.001.00$0$0$0Yes (X)
CHAD YANO
DIRECTOR OF INFO SYSTEMS40.00$186,083$0$50,875Yes (X)
CLESSON PANG
DIRECTOR OF UNDERWRITING40.00$211,250$0$82,456Yes (X)
JOEY LEE
DIRECTOR OF SALES40.00$151,329$0$43,698Yes (X)
JAN IGA
DIRECTOR OF HR40.00$171,206$0$47,920Yes (X)
ROQUE ARANADOR
DIRECTOR OF INFORMATION TECHNOLOGY40.00$197,183$0$86,364Yes (X)
IOANA GEBAUER
DIRECTOR OF PROFESSIONAL RELATIONS40.00$147,957$0$40,373Yes (X)
TRACIE MUKAI
DIRECTOR - PROJECT MANAGEMENT OFFICE40.00$147,359$0$50,895Yes (X)
JUNKO KAWABATA
APPLICATION SUPPORT MANAGER40.00$141,395$0$39,994Yes (X)
PATTI GARRETT
FORMER ASSISTANT SECRETARY40.001.00$220,129$0$49,220Yes (X)
CARA NUMASAKI
FORMER INTERIM CFO/ TREAS40.002.00$169,041$0$52,524Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,605,574TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,017,361TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMMUNITY CASE MANAGEMENT CORPORATION
91-1360 KARAYAN STREETEWA BEACHHI96706CARE COORDINATION$1,141,166
COMPASS CONSULTING GROUP INC
200 GALLERIA PARKWAY SE STE 1950ATLANTAGA30339BROKER$354,063
LOVELYTICS DATA LLC
4201 WILSON BLVD SUITE 110-372ARLINGTONVA222031859DATA ANALYSTIC CONSULTING SERVICES$316,413
ACCUITY LLP
999 BISHOP STREET SUITE 2300HONOLULUHI96813AUDIT AND TAX PREPARATION$269,529
HIGH TECH HUI LLC
1050 QUEEN STREET SUITE 100HONOLULUHI96814SYSTEM CONSULTING SERVICES$234,329
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUBSCRIPTIONS EARNED621300$256,621,398$256,621,398
FMG DENTAL INSURANCE CONTRACTS621300$1,612,851$1,612,851
FieldValueIRS element (for citing)
Total Program Service Revenue$258,234,249TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,426,271TotalRevenueColumnAmt
Related Or Exempt Func Income$16,426,271RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,299RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$8,299RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,651,947SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$94,118,727SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$533,220SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$533,220TotalRevenueColumnAmt
Exclusion$533,220ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MISC. OTHER INCOME621300$55,537$55,537
PROFESSIONAL SERVICES621300$4,059$4,059
FieldValueIRS element (for citing)
Other Revenue Total$59,596OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,253,336TotalRevenueColumnAmt
Related Or Exempt Func Income$274,716,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,059UnrelatedBusinessRevenueAmt
Exclusion$533,220ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,988,639TotalAmt
Program Services$1,988,639ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$212,600,641TotalAmt
Program Services$212,600,641ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,626,437TotalAmt
Program Services$1,549,461ProgramServicesAmt
Management And General$1,076,976ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,718,376TotalAmt
Program Services$6,623,367ProgramServicesAmt
Management And General$3,095,009ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,190,692TotalAmt
Program Services$702,032ProgramServicesAmt
Management And General$488,660ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,667,749TotalAmt
Program Services$983,305ProgramServicesAmt
Management And General$684,444ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$927,898TotalAmt
Program Services$547,089ProgramServicesAmt
Management And General$380,809ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$261,273TotalAmt
Management And General$261,273ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,989TotalAmt
Management And General$21,989ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$754,088TotalAmt
Management And General$754,088ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,815,345TotalAmt
Program Services$1,647,581ProgramServicesAmt
Management And General$1,167,764ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$481,549TotalAmt
Management And General$481,549ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$409,134TotalAmt
Program Services$368,356ProgramServicesAmt
Management And General$40,778ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,895,707TotalAmt
Program Services$1,275,170ProgramServicesAmt
Management And General$620,537ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,112,844TotalAmt
Program Services$745,605ProgramServicesAmt
Management And General$367,239ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$266,454TotalAmt
Program Services$201ProgramServicesAmt
Management And General$266,253ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$143,795TotalAmt
Management And General$143,795ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,002,858TotalAmt
Program Services$2,721,304ProgramServicesAmt
Management And General$1,281,554ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$846,197TotalAmt
Program Services$680,690ProgramServicesAmt
Management And General$165,507ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKER COMMISSIONS$1,355,179$1,355,179
DUES$559,856$559,856
PRINTING$344,662$75,533$269,129
BUSINESS DEVELOPMENT$327,360$327,360

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$844,319TotalAmt
Program Services$557,139ProgramServicesAmt
Management And General$287,180ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$247,163,041TotalAmt
Program Services$234,421,292ProgramServicesAmt
Management And General$12,741,749ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$60,668,324BOYAmt
EOY$49,270,204EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,557,679BOYAmt
EOY$14,340,843EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,300,168BOYAmt
EOY$6,275,704EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,804,491LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,307,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,235,479BOYAmt
EOY$10,497,114EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$297,820,835BOYAmt
EOY$355,614,859EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,820,328BOYAmt
EOY$12,192,691EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$400,402,813BOYAmt
EOY$448,191,415EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,324,479BOYAmt
EOY$13,570,364EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,938,347BOYAmt
EOY$4,679,201EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,027,666BOYAmt
EOY$12,367,818EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,290,492BOYAmt
EOY$30,617,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$366,112,321BOYAmt
EOY$417,574,032EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$366,112,321BOYAmt
EOY$417,574,032EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$400,402,813BOYAmt
EOY$448,191,415EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,090,295ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,413,953NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,957,463OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,185,290OtherCostOrOtherBasisAmt
Depreciation$438,637DepreciationAmt
Book Value$746,653BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,862,163OtherCostOrOtherBasisAmt
Depreciation$1,983,465DepreciationAmt
Book Value$878,698BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,757,038OtherCostOrOtherBasisAmt
Depreciation$10,885,275DepreciationAmt
Book Value$8,871,763BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,497,114TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE GROUP SUBSCRIPTIONS$6,192,232
LEASE OBLIGATION$6,175,586
FieldValueIRS element (for citing)
Total Liability$12,367,818TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$256,063,945TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$18,413,953NetUnrealizedGainsInvstAmt
Other Revenue$1,677,343OtherRevenueAmt
Revenue Not Reported$20,091,296RevenueNotReportedAmt
Revenue Subtotal$235,972,649RevenueSubtotalAmt
Investment Expenses Not Incld$832,718InvestmentExpensesNotIncldAmt
Other Revenues Not Included$38,447,969OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$39,280,687RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$275,253,336TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$209,382,354TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,500,000OtherExpensesIncludedAmt
Expenses Not Reported$1,500,000ExpensesNotReportedAmt
Expenses Subtotal$207,882,354ExpensesSubtotalAmt
Investment Expenses Not Incld2$832,718InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$38,447,969OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$39,280,687ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$247,163,041TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 12BTHE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAII DENTAL SERVICE, HAWAII DENTAL SERVICE FOUNDATION, AND HAWAII CLIENT SERVICES CORPORATION. THE HDS AUDIT COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS, SELECTS THE AUDITORS AND REVIEWS THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D - OTHER ADJUSTMENTSEQUITY INVESTMENT IN CORPORATE SUBSIDIARY - $177,343 GRANT TO HDSF - $1,500,000
SCHEDULE D, PART XI, LINE 4B - OTHER ADJUSTMENTSIN ACCORDANCE WITH GAAP, AUDITED FINANCIALS DO NOT INCLUDE SELF-INSURED PREMIUMS AND RELATED CLAIM PAYMENTS.
SCHEDULE D, PART XII, LINE 4B - OTHER ADJUSTMENTSIN ACCORDANCE WITH GAAP, AUDITED FINANCIALS DO NOT INCLUDE SELF-INSURED PREMIUMS AND RELATED CLAIM PAYMENTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ALOHA UNITED WAY
200 NORTH VINEYARD BLVD SUITE 700HONOLULUHI96817990073494501(C)(3)$37,800$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
ALZHEIMER'S ASSOCIATION
677 ALA MOANA BOULEVARD SUITE 301HONOLULUHI96813133039601501(C)(3)$15,050$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & WALK TO END ALZHEIMER'S SPONSORSHIP
AMERICAN HEART ASSOCIATION
PO BOX 4002030DES MOINESIA50340135613797501(C)(3)$15,253$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & HEART WALK SPONSORSHIP
AMERICAN LUNG ASSOCIATION
1050 QUEEN STREET SUITE 100HONOLULUHI96814131632524501(C)(3)$7,000$0OUTSTANDING MOTHER AWARDS AND PROGRAM SUPPORT
BOYS AND GIRLS CLUB OF HAWAII
1000 BISHOP STREET SUITE 505HONOLULUHI96813996005407501(C)(3)$6,050$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & 28TH ANNUAL WALK IN THE COUNTRY DINNER SPONSORSHIP
CENTER FOR TOMORROW'S LEADERS - HAWAII
874 DILLINGHAM BLVD BLDG 72A ROOMHONOLULUHI96817463490591501(C)(3)$50,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION116
FAMILY HUI HAWAII
PO BOX 22596HONOLULUHI96813464318561501(C)(3)$10,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
GIRL SCOUTS OF HAWAII
410 ATKINSON DRIVE SUITE 2E1 BOX 3HONOLULUHI96814990073488501(C)(3)$6,500$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & 2024 WOMEN OF DISTINCTION TABLE SPONSORSHIP
HAWAII DENTAL ASSOCIATION FOUNDATION
1345 S BERETANIA ST SUITE 301HONOLULUHI96814813947506501(C)(3)$20,000$0GIVE KIDS A SMILE GALA SPONSORSHIP
HAWAII DENTAL SERVICE FOUNDATION
900 FORT STREET MALL SUITE 1900HONOLULUHI96813990246999501(C)(4)$1,500,000$0SUPPORT ORGANIZATION MISSION
HAWAII HIGH SCHOOL ATHLETIC ASSOCIATION
PO BOX 11419HONOLULUHI96828990330769501(C)(3)$10,000$02024-2025 GIRLS FLAG FOOTBALL SPONSORSHIP
HELPING HANDS HAWAII
2100 N NIMITZ HIGHWAYHONOLULUHI96819237365077501(C)(3)$15,100$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & 50TH ANNIVERSARY PAINA SPONSORSHIP
HONOLULU COMMUNITY ACTION PROGRAM
1132 BISHOP STREET SUITE 100HONOLULUHI96813990140622501(C)(3)$25,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
MARCH OF DIMES (MARCH FOR BABIES OAHU)
1550 CRYSTAL DR SUITE 1300ARLINGTONVA22202131846366501(C)(3)$5,200$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & SIGNATURE CHEFS FEEDING MOTHERHOOD SPONSORSHIP
PARTNERS IN DEVELOPMENT FOUNDATION
2040 BACHELOT STREETHONOLULUHI96817943271325501(C)(3)$5,050$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION AND ULU HANA PEWA AWARDS - KOKUA SPONSOR
RESIDENTIAL YOUTH SERVICES & EMPOWERMENT
42-470 KALANIANAOLE HIGHWAYKAILUAHI96734812102826501(C)(3)$50,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
RISEHI FOUNDATION
105B N KAINALU DRIVEKAILUAHI96734822170434501(C)(3)$10,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
RONALD MCDONALD HOUSE CHARITIES OF HAWAII
1970 JUDD HILLSIDE ROADHONOLULUHI96822990222124501(C)(3)$16,200$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & HOPE AND HEROES 2024 GALA SPONSORSHIP
SUSANNAH WESLEY COMMUNITY CENTER
1117 KAILI STHONOLULUHI96819990073528501(C)(3)$50,000$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
THE SALVATION ARMY
2950 MANOA ROADHONOLULUHI96822941156347501(C)(3)$5,100$0SUPPORT FOR COMMUNITY SERVICES FOR MAUI RELIEF EFFORTS PROVIDED BY THE NON-PROFIT ORGANIZATION AND BRING JOY HOLIDAY SPONSORSHIP
UNIVERSITY OF HAWAII FOUNDATION
1314 SOUTH KING STREET SUITE BHONOLULUHI96814990085260501(C)(3)$12,900$0SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION AND VARIOUS SPONSORSHIPS
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PURPOSE OF THE GRANTS AWARDED BY HAWAII DENTAL SERVICE (HDS) ARE REVIEWED AND APPROVED BY THE HDS CEO AND ANOTHER EXECUTIVE. OTHER DONATIONS ARE CONTRIBUTED TO VARIOUS PUBLIC CHARITABLE ORGANIZATIONS TO SUPPORT THE EXEMPT FUNCTIONS OF THE ORGANIZATIONS AND ARE NOT MONITORED AFTER AWARDED. HOWEVER, IF THE CEO AND/OR EXECUTIVE HAVE A POTENTIAL CONFLICT OF INTEREST, HE OR SHE WILL RECUSE THEMSELVES FROM THE SELECTION PROCESS, AND/OR BOARD OF DIRECTOR WILL MAKE THE DECISION ON THE GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANE SL PALOMA PHD
PRESIDENT & CEO$366,312$0$181,913$0$5,338$0$42,715$0$27,573$0$623,851$0$0$0
MINNA-MARI LEHTI COO ALL YEAR
SEC. (TILL 06/24), VP (EFF 06/24)$271,800$0$97,194$0$0$0$128,012$0$7,285$0$504,291$0$0$0
COLBERT SETO CIO TILL 1124
ASSISTANT SECRETARY (TILL 11/24)$237,401$0$84,893$0$0$0$66,360$0$22,099$0$410,753$0$0$0
ELAINE FUJIWARA CCO EFF 0624
ASSISTANT SECRETARY (TILL 06/24)$227,294$0$64,018$0$0$0$100,699$0$14,249$0$406,260$0$0$0
QUIN OGAWA
TREASURER & CFO$240,484$0$85,995$0$0$0$56,700$0$7,350$0$390,529$0$0$0
CLESSON PANG
DIRECTOR OF UNDERWRITING$182,609$0$28,141$0$500$0$70,774$0$11,682$0$293,706$0$0$0
ROQUE ARANADOR
DIRECTOR OF INFORMATION TECHNOLOGY$170,853$0$26,330$0$0$0$80,849$0$5,515$0$283,547$0$0$0
PATTI GARRETT
FORMER ASSISTANT SECRETARY$190,735$0$29,394$0$0$0$43,322$0$5,898$0$269,349$0$0$0
CHAD YANO
DIRECTOR OF INFO SYSTEMS$161,403$0$24,680$0$0$0$29,518$0$21,357$0$236,958$0$0$0
CARA NUMASAKI
FORMER INTERIM CFO/ TREAS$146,771$0$22,270$0$0$0$39,166$0$13,358$0$221,565$0$0$0
JAN IGA
DIRECTOR OF HR$148,499$0$22,707$0$0$0$27,630$0$20,290$0$219,126$0$0$0
TRACIE MUKAI
DIRECTOR - PROJECT MANAGEMENT OFFICE$128,722$0$18,137$0$500$0$29,400$0$21,495$0$198,254$0$0$0
JOEY LEE
DIRECTOR OF SALES$133,905$0$17,424$0$0$0$22,442$0$21,256$0$195,027$0$0$0
IOANA GEBAUER
DIRECTOR OF PROFESSIONAL RELATIONS$131,033$0$16,924$0$0$0$27,814$0$12,559$0$188,330$0$0$0
JUNKO KAWABATA
APPLICATION SUPPORT MANAGER$128,582$0$12,813$0$0$0$30,672$0$9,322$0$181,389$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASUPPLEMENTAL COMPENSATION INFORMATION: HDS HOLDS A CORPORATE MEMBERSHIP IN A SOCIAL CLUB IN WHICH THE CLUB REQUIREMENTS DICTATE THAT AN INDIVIDUAL BE IDENTIFIED TO AUTHORIZE TRANSACTIONS. AS SUCH, HDS'S CEO HAS BEEN DESIGNATED AS THE AUTHORIZED INDIVIDUAL. ONLY BUSINESS TRANSACTIONS ARE ALLOWED TO BE PAID BY HDS AND MUST BE SUBSTANTIATED BY PROPER DOCUMENTATION. DISCRETIONARY SPENDING ACCOUNT: ONLY BUSINESS RELATED TRANSACTIONS ARE ALLOWED AND SUBSTANTIATED BY PROPER DOCUMENTATION.
PART I, LINE 6FIRST CLASS TRAVEL IS AVAILABLE TO THE PRESIDENT/CEO AND BOARD CHAIR PERSON FOR TRAVEL OF 3,000 MILES OR MORE.
PART I, LINE 7NON-FIXED PAYMENTS: HDS HAS AN INCENTIVE PLAN DETAILING THE INCENTIVE CALCULATION WHEN THE COMPANY ACHIEVES CERTAIN PERFORMANCE STANDARDS AND STRATEGIC GOALS. THE INCENTIVE AMOUNT VARIES EACH YEAR DEPENDING ON ACHIEVEMENT OF STRATEGIC GOALS. INCENTIVE AMOUNTS FOR OFFICERS ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE WHICH IS DOCUMENTED IN MINUTES. INCENTIVE AMOUNTS FOR MANAGEMENT AND STAFF ARE APPROVED BY OFFICERS AND THE BOARD OF DIRECTORS THROUGH THE ANNUAL BUDGETING PROCESS.

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DR MATTHEW OISHIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgFAMILY MEMBER OF DIRECTORRelationshipWithOrgTxt
Cash Grant$1,455CashGrantAmt
Type Of AssistanceGRANTTypeOfAssistanceTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesIndTransactionTransactionAmt
MARTIN OISHI
DIRECTORSEE NOTE 20
MASON A SAVAGE
DIRECTORSEE NOTE 20$338,664
ALLISON TRAN
DIRECTORSEE NOTE 20$287,147
RCUH
NOTE 3SEE NOTE 30$900,148
NONA TAMANAHA
DIRECTORSEE NOTE 10$3,105,900
KERIANN ERNST
DIRECTORSEE NOTE 10$5,613,966
EMMIT KANE
DIRECTORSEE NOTE 10$1,605,333
KEVIN HASEYAMA
DIRECTORSEE NOTE 10$1,739,861
EMI ENO ORIKASA
DIRECTORSEE NOTE 20$182,544
JOSEPH CHA
DIRECTORSEE NOTE 20$217,685
KAIMANA GOO - RAHTZ
DIRECTORSEE NOTE 20$178,052
JAN BOIVIN
DIRECTORSEE NOTE 10$5,613,966
BRANDON YOKOTA
FAMILY MEMBER OF DIRECTORSEE NOTE 20$323,309
PARENTS AND CHILDREN TOGETHER
NOTE 1SEE NOTE 10$128,536

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IV:NOTE 1 - PREMIUMS FOR DENTAL PLAN - EMPLOYER GROUP PURCHASES AN HDS DENTAL PLAN BUT THE DIRECTOR DOES NOT INFLUENCE DECISION MAKING IN PURCHASING THE DENTAL PLAN FROM HDS.NOTE 2 - DENTIST PARTICIPATING IN HDS PROVIDER NETWORK OFFERING DENTAL SERVICES TO HDS SUBSCRIBERS.NOTE 3 -PREMIUMS ARE RECEIVED FROM VARIOUS ORGANIZATIONS IN WHICH OFFICERS AND DIRECTORS OF HDS SERVE AS BOARD MEMBERS.
(E) PURPOSE OF ASSISTANCESMILEFUND GRANT FROM HAWAII DENTAL SERVICE FOUNDATION (HDSF) TO THE UNIVERSITY OF HAWAII FOUNDATION (UHF). THIS GRANT FROM HDSF TO UHF WAS APPROVED TO PAY FOR THE REGISTRATION FEES FOR DR. MATTHEW OISHI TO ATTEND THE PACIFIC REGION INDIGENOUS DOCTORS CONGRESS AND PRESENT HIS ORAL HEALTH RESEARCH FINDINGS TO MEDICAL COLLEAGUES. THE GRANT WAS AWARDED ON AN OBJECTIVE, NONDISCRIMINARY BASIS BASED ON PRE-ESTABLISHED CRITERIA. DR. MATTHEW OISHI IS THE ORAL HEALTH DIRECTOR AT THE JOHN A. BURNS SCHOOL OF MEDICINE AT THE UNIVERSITY OF HAWAII AND IS THE SON OF DR. MARTIN OISHI WHO IS A HAWAII DENTAL SERVICE (HDS) BOARD MEMBER. HDSF IS A CONTROLLED ENTITY OF HDS (EIN: 99-0107971). DR. MARTIN OISHI IS NOT ON THE BOARD OF HDSF, NOR WAS THE GRANT DIRECTLY TO DR. MATTHEW OISHI. THE GRANT WAS AWARDED AT THE DISCRETION OF THE HDSF DIRECTOR, AND DUE TO THE SIZE OF THE GRANT, THE GRANT DID NOT REQUIRE BOARD APPROVAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6DESCRIPTION OF ORGANIZATION'S MEMBERS: MEMBERSHIP IS SOLELY AVAILABLE TO DENTISTS WHO HAVE BEEN DULY LICENSED TO PRACTICE IN THE STATE OF HAWAII AND WHO MEET ANY ADDITIONAL REQUIREMENTS CONSISTENT WITH APPLICABLE LAW ESTABLISHED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. APPLICATION IS MADE IN WRITING AND APPROVED BY THE BOARD OF DIRECTORS. MEMBERS MAY AT ANY TIME BY A MEETING DULY CALLED FOR SUCH PURPOSE DEPOSE OR REMOVE FROM OFFICE ANY DENTIST DIRECTOR, WITH OR WITHOUT CAUSE, EXCEPT AS SUCH REMOVAL WOULD BE CONTRARY TO LAW.
FORM 990, PART VI, SECTION A, LINE 7AELECT BOARD MEMBERS A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE COMPRISED OF NON-DENTIST REPRESENTATIVES FROM THE GENERAL PUBLIC AND THE REMAINING MEMBERS SHALL BE MEMBER DENTISTS. MEMBER DENTISTS AND PUBLIC DIRECTORS RESPECTIVELY ELECT DENTISTS AND PUBLIC DIRECTORS TO THE BOARD OF DIRECTORS FOR A THREE YEAR TERM.
FORM 990, PART VI, SECTION A, LINE 7BAPPROVAL OF DECISIONS: BYLAWS AND ARTICLES OF INCORPORATION MAY BE ALTERED OR REPEALED, OR NEW BYLAWS AND ARTICLES OF INCORPORATION MAY BE ADOPTED IN LIEU THEREOF, BY ADOPTION OF A RESOLUTION BY THE BOARD OF DIRECTORS SETTING FORTH THE PROPOSED AMENDMENT AND DIRECTING THAT IT BE SUBMITTED TO A VOTE AT THE ANNUAL OR SPECIAL MEETING OF THE MEMBERS. THE PROPOSED AMENDMENT SHALL BE ADOPTED UPON RECEIVING AT LEAST TWO-THIRDS OF THE VOTES WHICH MEMBERS PRESENT IN PERSON AT THE MEETING ARE ENTITLED TO CAST. THE BYLAWS MAY ALSO BE AMENDED BY AFFIRMATIVE VOTE OF THE DIRECTORS THEN IN OFFICE, WITHOUT FURTHER ACTION BY THE MEMBERS, FOR THE PURPOSE OF CURING AMBIGUITIES, CORRECTING OR SUPPLEMENTING DEFECTIVE OR INCONSISTENT PROVISIONS, OR ENABLING THE CORPORATION TO COMPLY WITH APPLICABLE LAWS AND REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11BAPPROVED COPY OF FORM 990: THE RETURN IS THOROUGHLY REVIEWED BY THE CONTROLLER PRIOR TO FINAL REVIEW WITH THE CHIEF FINANCIAL OFFICER AND PRESIDENT. A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CWRITTEN CONFLICT OF INTEREST POLICY: THE HDS COMPLIANCE PROGRAM CONTAINS THE HDS CONFLICTS OF INTEREST POLICY. ALL EMPLOYEES, BOARD OF DIRECTORS, AND OFFICERS OF HDS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND CERTIFICATION TO DISCLOSE ANY ARRANGEMENTS WHICH MAY CONSTITUTE AN ACTUAL CONFLICT OF INTEREST OR GIVE RISE TO THE APPEARANCE OF A CONFLICT OF INTEREST ANNUALLY. THE HDS COMPLIANCE DEPARTMENT REVIEWS THE ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND CERTIFICATIONS AND REPORTS POTENTIAL CONFLICTS OF INTERESTS TO THE HDS BOARD OF DIRECTORS. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ALSO BE RAISED BY ANY OTHER MEMBER OF THE BOARD OF DIRECTORS OR THROUGH NORMAL REPORTING PROCESSES AT HDS. IN ADDITION, THE ORGANIZATION PROVIDES ANNUAL FIDUCIARY TRAINING TO ITS DIRECTORS AND OFFICERS AND REVIEWS SCENARIOS WHICH MAY GIVE RISE TO A CONFLICT OF INTEREST. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS, BUT AFTER SUCH PRESENTATION, THE INTERESTED PERSON SHALL RECUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR THE CEO AND OFFICERS ARE BASED ON ADVICE FROM AN EXTERNAL COMPENSATION CONSULTANT USING RELEVANT MARKET DATA FOR COMPARABLE POSITIONS. OFFICERS COMPENSATION IS APPROVED BY THE BOARD'S COMPENSATION COMMITTEE AND DOCUMENTED IN MINUTES. COMPENSATION ADJUSTMENTS ARE PROCESSED WITH THE COMPANY WIDE INCREASES ANNUALLY. COMPENSATION FOR NON-OFFICER ROLES ARE ADJUSTED BASED ON RELEVANT MARKET DATA AND APPROVED BY THE OFFICERS OF HDS.
FORM 990, PART VI, SECTION C, LINE 19TAX RETURNS AND OTHER REQUIRED DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN ACCRUED POSTRETIREMENT LIABILITIES 4,957,460. ROUNDING 3.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HAWAII DENTAL SERVICE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 FORT STREET MALL SUITE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP968133705ZIPCd
FieldValueIRS element (for citing)
EIN990246999EIN
Primary ActivitiesORAL HEALTH SUPPORTPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Exempt Code Section501(C)(4)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HAWAII CLIENT SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 FORT STREET MALL SUITE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP968133705ZIPCd
FieldValueIRS element (for citing)
EIN452740308EIN
Primary ActivitiesADMIN SERVICESPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HAWAII DENTAL SERVICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$54,491ShareOfTotalIncomeAmt
Share Of EOY Assets$2,012,273ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HAWAII DENTAL SERVICE FOUNDATION
A$8,299COST
HAWAII DENTAL SERVICE FOUNDATION
B$1,500,000COST
HAWAII DENTAL SERVICE FOUNDATION
O$338,780COST
HAWAII DENTAL SERVICE FOUNDATION
Q$510,492COST
HAWAII CLIENT SERVICES
Q$7,516COST