COMMUNITY FIRST INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY FIRST INC (EIN 47-1389123)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-17
- IRS object ID
- 202041999349300009
- Schema version
- 2019v5.1
- 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 | 2020-07-17T08:41:33-07:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT ACCOUNTING SOLUTIONS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1123 11TH AVE STE 401 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 968162433 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471389123 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FIRST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8086752750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 PONAHAWAI ST | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE SAYAMA | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8086752750 | PhoneNum |
| Signature | 2020-07-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH HOLTZ | PreparerPersonNm |
| PTIN | P00751124 | PTIN |
| Phone | 8087390577 | PhoneNum |
| Preparation | 2020-07-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.253.19.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-17 | IPDt |
| IP Tm | 08:41:23 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F7D04A07B875FCD26159B2681A1C39CF9ADF1203 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F7D04A07B875FCD26159B2681A1C39CF9ADF1203 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE SAYAMA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 PONAHAWAI ST | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,403,887 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY FIRST SERVES AS A NEUTRAL FORUM FOR THE COMMUNITY TO COME TOGETHER AND AS A CATALYST FOR SOLUTIONS TO IMPROVE HEALTH AND LOWER MEDICAL COST ON HAWAII ISLAND BASED ON COMMUNITY GOOD. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 53 | TotalVolunteersCnt |
| Total Gross UBI | $5,968 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,683,095 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,397,919 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $5,968 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,683,095 | PYTotalRevenueAmt |
| CY Total Revenue | $1,403,887 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $111,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $108,833 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $260,265 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,182,765 | PYOtherExpensesAmt |
| CY Other Expenses | $1,295,069 | CYOtherExpensesAmt |
| PY Total Expenses | $2,293,765 | PYTotalExpensesAmt |
| CY Total Expenses | $1,664,167 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $389,330 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$260,280 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $748,760 | TotalAssetsBOYAmt |
| Total Assets EOY | $488,480 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $748,760 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $488,480 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMUNITY FIRST SERVES AS A NEUTRAL FORUM FOR THE COMMUNITY TO COME TOGETHER AND AS A CATALYST FOR SOLUTIONS TO IMPROVE HEALTH AND LOWER MEDICAL COST ON HAWAII ISLAND BASED ON COMMUNITY GOOD. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,462,067 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | EFFECTIVE CARE NAVVIS WAS INVOLVED IN THE SUPPORT AND DEVELOPMENT OF THE FOLLOWING STRATEGIC INITIATIVES FOR 2019: COMPLEX PATIENT CENTERED MEDICAL HOME (C-PCMH), COREO CARE, QA COMMITTEE, COMMUNITY ACTION NETWORK (CAN). THE C-PCMH INITIATIVE: IN SUMMARY, THE FOLLOWING WAS ACCOMPLISHED: A. IN ADDITION TO THE CORE CHW WORKER, AN APRN WAS HIRED BY HMC TO PARTNER WITH THE CHW TO MANAGE PATIENTS. BEHAVIORIAL HEALTH AND OTHER 'WRAP AROUND' SERVICES ARE ALSO PROVIDED BY HMC AS NEEDED. B. AS OF FEBRUARY 2019, 85 HMSA QUEST MEMBERS HAVE BEEN CARED FOR THROUGH THE C-PCMH PROGRAM. THE DATA SHOWS A DOWNWARD TREND IN AVOIDABLE ED COSTS/PMPM, ED UTILIZATION, AND HOSPITAL UTILIZATION. COREO CARE INITIATIVE: IS A CARE COORDINATION PLATFORM SUPPORTING POPULATION HEALTH, CASE/DISEASE MANAGEMENT PROGRAMS, UM, AND MEDICAL MANAGEMENT. TO CREATE EFFICIENCY AND ACCOUNTABILITY, THE PILOT FOR AN ONLINE REFERRAL SYSTEM IS CURRENTLY BEING IMPLEMENTED BETWEEN THE HMC C-PCMH, THE BIG ISLAND SUBSTANCE ABUSE COUNCIL (BISAC), HAWAII COUNTY OFFICE OF AGING, HOPE SERVICES FOR THE HOMELESS, AND HUI MALAMA OLA NA 'OIWI. THE GOAL OF THE PLATFORM IS TO COORDINATE CARE AND CONNECT MEDICAL AND SOCIAL SERVICE PROVIDERS IN EAST HAWAII EFFICIENTLY AND EFFECTIVELY. QA COMMITTEE INITIATIVE: IN SUMMARY, THE FOLLOWING WAS ACCOMPLISHED: A. TO ALLOW FOR THE EXCHANGE OF PHI, AN ORGANIZED HEALTHCARE ARRANGEMENT (OHCA) WAS FORMED. B. THE FIRST EAST HAWAII COMMUNITY QA COMMITTEE WAS HELD ON AUGUST 29, 2019 AND INCLUDED 9 MEDICAL AND SOCIAL SERVICE ORGANIZATIONS ALONG WITH HMSA. TWO ADDITIONAL MEETINGS WERE HELD IN 2019 COVERING FIVE COMPLEX, CROSS-SECTOR CASES. PARTICIPANTS INCLUDE BAY CLINIC, HAWAII COUNTY FIRE DEPARTMENT, HILO MEDICAL CENTER, HOPE SERVICES, HMSA, OHANA, ALOHACARE, KA'U RURAL HEALTH COMMUNITY ASSOC., BIG ISLAND SUBSTANCE COUNCIL, HAWAII CARE CHOICES, HAWAII COUNTY OFFICE OF AGING, HUI MALAMA OLA NA 'OIWI, NAVVIS, AND COMMUNITY FIRST. SINCE AUGUST AN ADDITIONAL 2 MEETINGS HAVE BEEN HELD WITH A PLAN TO CONTINUE MEETING AT LEAST QUARTERLY GOING FORWARD. CAN INITIATIVE: IN SUMMARY, THE FOLLOWING HAS BEEN ACCOMPLISHED: A. NAVVIS PROVIDED STAFF AND CONSULTING SERVICES TO SUPPORT CAN. THEY DEVELOP AGENDAS, MATERIALS AND FACILIATED MONTHLY CAN MEETINGS IN CONJUNCTION WITH THE CHAIR (DARRYL OLIVEIRA) AND CO-CHAIR (MARTHA YAMADA). THERE HAS BEEN AN AVERAGE ATTENDANCE OF 35 COMMUNITY MEMBERS, REPRESENTING OVER 20 ORGANIZATIONS. HMSA COMMUNITY ENGAGEMENT COMMIITTEE MEMBERS (TERRY GEORGE AND LORRAINE AKIBA) ALONG WITH SEVERAL HMSA EXECUTIVE LEADERS ATTENDED A CAN MEETING ON JANUARY 15TH, 2020 TO LEARN MORE ABOUT THE GROUP, ITS PARTICIPANTS, AND THE TOPICS DISCUSSED. B. BEHAVIORAL HEALTH: IN RESPONSE TO THE BEHAVIORAL HEALTH CHALLENGES IN EAST HAWAII, THE CAN CREATED A TASK FORCE TO FOCUS ON BEHAVIORAL HEALTH. THE BEHAVIORAL HEALTH TASK FORCE PRODUCED A COMPREHENSIVE BEHAVIORAL HEALTH ARRAY OF SERVICES TO SERVE AS A RESOURCE DIRECTORY FOR EAST HAWAII. ALSO, IN ORDER TO SUPPORT THE COMMUNITY IN ADDRESSING AN IDENTIFIED GAP IN CERTAIN BEHAVIORAL HEALTH RESIDENTIAL SERVICES ON THE ISLAND, NAVVIS SUPPORTED BISAC IN RESPONDING TO THE SUACUTE STABILIZATION RESIDENTIAL SERVICES (SSRS) RFP FROM THE STATE OF HAWAII DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION. KEY TOPICS THAT THE CAN IDENTIFIED AND ADDRESSED INCLUDED: I. IDENTIFYING AND ARRANGING A VENDOR FOR TRANSPORTATION SERVICES (STAN'S TAXI) FOR EXCEPTION FUNDING TRANSPORT NEEDS. II. IDENTIFYING FREE PROVIDERS OF CELLPHONES TO INCREASE ACCESS AND SERVICE TO THOSE WITHOUT PHONES OR COVERAGE. III. UNDERSTANDING SNAP SERVICES AND ELIGIBILITY BY INVITING SNAP REPRESENTATTIVES TO PRESENT AND SHARE INFORMATION DUE TO A LACK OF UNDERSTANDING OF SNAP OFFERINGS AND FOOD RESOURCES ACROSS EAST HAWAII. IV. UNDERSTANDING AND SHARING OF AGING AND DISABILITY SERVICES TO ASSIST THE ELDERLY AND OTHERS WHO QUALIFY FOR ADDITIONAL SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $108,858 | ExpenseAmt |
| Grant | $100,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | RECRUIT AND RETAIN PHYSICIANS PHYSICIANS SUBSIDY SELECTION COMMITTEE AWARDED $100,000 TO DR. OLIVIA KAPONO FOR NEW PHYSICIAN RECRUITMENT AT HAWAII ISLAND HEALTHCARE IN EAST HAWAII FOR A THREE-YEAR COMMITMENT BEGINNING SEPTEMBER 1, 2019. TH RECRUIT AND RETAIN INITIATIVE, INCLUDING $75,000 REMAINING IN THE FUND, WAS TRANSFERRED TO HILO MEDICAL CENTER FOUNDATION IN LATE 2019 AS THE BARRY TANIGUCHI COMMUNITY FIRST HEALTH PROFESSIONS SUBSIDY PROGRAM. THIS WILL ALSO INCLUDE ALL ELIGIBLE PRIVATE PRACTICE PRIMARY CARE PHYSICIANS WHO HIRE EITHER APRNs OR PHYSICIAN ASSISTANTS IN RURAL HEALTHCARE AREAS TROUGHOUT THE STATE OF HAWAII AND THERE WILL BE A SPECIFIC FUND FOR EAST HAWAII. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $50,323 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | RHIC IN MAY OF 2019 COMMUNITY FIRST HOSTED A TWO-DAY RETREAT WITH THE SENIOR LEADERSHIP OF EAST HAWAII IPA, HILO MEDICAL CENTER, MED-QUEST, HMSA, BAY CLINIC, AND HAWAII HEALTHCARE ASSOCIATION. THERE WAS ALSO AN INFORMATION SESSION HELD ON JULY 24TH, 2019 FOR KEY COMMUNITY STAKEHOLDERS AND HEALTH PLANS (HMSA, ALOHACARE, OHANA, AND UNITED HEALTCARE). THE PURPOSE WAS TO EXPLORE THE CONCEPT OF A MULTI-PAYOR, GLOBAL BUDGET FOR HILO MEDICAL CENTER AND ALIGNING PERFORMANCE INCENTIVES OF EAST HAWAII PRIMARY CARE PROVIDERS. IN SUMMARY, THE FOLLOWING WAS ACCOMPLISHED: A. ANALYTICS FOR ON AND OFF ISLAND CARE FOR DISCUSSIONS WITH HMSA, HMC, BAY CLINIC AND EHI. ANALYTICS FOR ON AND OFF ISLAND CARE PROVIDED A VIEW OF THE RIGHT MIX OF SERVICES TO IMPROVE ACCESS IN EAST HAWAII. B. GOALS FOR 2020 INCLUDE DESIGNING A MODEL AND DEVELOPING AN IMPLEMENTATION PLAN TO MEET AGREED UPON TIMELINE WITH KEY STAKEHOLDERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,621,248 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DUSTIN SHINDO | PersonNm |
| Phone | 8086752750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4348 WAIALAE AVE 632 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96816 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Institutional TrusteeInstitutionalTrusteeInd |
|---|---|---|---|---|---|---|
| DAN BRINKMAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLENE IBOSHI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KIMO ALAMEDA PHD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN MOCHIZUKI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN TESHIMA | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DARRYL OLIVERA | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TOBY TANIGUCHI | ||||||
| CHAIRMAN/PRESIDENT | 2.00 | $0 | $0 | $0 | Yes (X) | |
| KEVIN KUROHARA MD | ||||||
| VICE PRESIDENT | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ROBERTA CHU | ||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LESLIE KA'IU KIMURA | ||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NAVVIS COMPANY LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 MARYVILLE UNIVERSITY DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63141 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | STAFF, SUPPORT, PROJECT MGMT | ServicesDesc |
| Compensation | $216,667 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,124 | GovernmentGrantsAmt |
| All Other Contributions | $1,394,795 | AllOtherContributionsAmt |
| Total Contributions | $1,397,919 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,968 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,968 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,403,887 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,968 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,500 | TotalAmt |
| Program Services | $75,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,333 | TotalAmt |
| Program Services | $33,333 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,793 | TotalAmt |
| Program Services | $258,793 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,472 | TotalAmt |
| Program Services | $1,472 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,500 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $37,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,402 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,402 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011 | TotalAmt |
| Program Services | $1,011 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478 | TotalAmt |
| Program Services | $478 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,041 | TotalAmt |
| Program Services | $11,675 | ProgramServicesAmt |
| Management And General | $366 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259 | TotalAmt |
| Program Services | $1,259 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,964 | TotalAmt |
| Program Services | $21,964 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,249 | TotalAmt |
| Program Services | $36,249 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,875 | TotalAmt |
| Program Services | $1,875 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,002 | TotalAmt |
| Program Services | $44,643 | ProgramServicesAmt |
| Management And General | $2,359 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROJECT SERVICES | $1,125,707 | $1,125,707 | $0 | $0 |
| PROJECT SUPPLIES | $4,762 | $4,762 | $0 | $0 |
| DUES & SUBSCRIPTIONS | $2,123 | $2,123 | $0 | $0 |
| AUTOMOBILE EXPENSES | $404 | $404 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $292 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,664,167 | TotalAmt |
| Program Services | $1,621,248 | ProgramServicesAmt |
| Management And General | $42,919 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $738,555 | BOYAmt |
| EOY | $478,719 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,622 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,885 | BOYAmt |
| EOY | $1,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,405 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,320 | BOYAmt |
| EOY | $4,445 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $1,194 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,760 | BOYAmt |
| EOY | $488,480 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $513,760 | BOYAmt |
| EOY | $488,480 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,000 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,760 | BOYAmt |
| EOY | $488,480 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,760 | BOYAmt |
| EOY | $488,480 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$260,280 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157,900 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $227,100 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $497,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,448,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,397,919 | CurrentTaxYearAmt |
| Total | $4,728,514 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157,900 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $227,100 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $497,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,448,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,397,919 | CurrentTaxYearAmt |
| Total | $4,728,514 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,728,514 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $5,968 | CurrentTaxYearAmt |
| Total | $5,968 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,734,482 | TotalSupportAmt |
| Public Support CY170 | 0.99870 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,405 | DepreciationAmt |
| Book Value | $4,445 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,445 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Purpose Of Grant | GRANT FOR RETAIN AND RECRUIT PHYSICIAN PROGRAM | PurposeOfGrantTxt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | GRANT FOR RETAIN AND RECRUIT PHYSICIAN PROGRAM | GrantTypeTxt |
| Recipient | 1 | RecipientCnt |
| Cash Grant | $100,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | NONE | NonCashAssistanceDesc |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | 990 WAS REVIEWED BY BOARD AT A REGULARLY SCHEDULED MEETNG PRIOR TO FILING THE FORM WIYH THE IRS. |
| Pt VI, Line 19 | SECTION C, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |