HAWAII PRIMARY CARE ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HAWAII PRIMARY CARE ASSOCIATION (EIN 99-0268275)
- Tax period
- 2012-04-01 to 2013-03-31
- Filed
- 2014-02-11
- IRS object ID
- 201420429349301777
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-02-11T18:10:52-06:00 | Timestamp |
| Tax Period End Date | 2013-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261659234 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CW ASSOCIATES CPAS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 BISHOP STREET SUITE 1040 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990268275 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAII PRIMARY CARE ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAWA | NameControl |
| Phone | 8085368442 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 735 BISHOP STREET NO 230 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT HIROKAWA | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 8085368442 | Phone |
| Date Signed | 2014-02-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK A HAYES | Name |
| PTIN | P00085205 | PTIN |
| Phone | 8085311040 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT HIROKAWA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 735 BISHOP STREET NO 230 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4004898 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HAWAIIPCA.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH OF COMMUNITIES IN NEED BY ADVOCATING FOR, EXPANDING ACCESS TO, AND SUSTAINING HIGH QUALITY CARE THROUGH THE STATEWIDE NETWORK OF COMMUNITY HEALTH CENTERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 16 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4652879 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3848449 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 77381 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 130823 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1839 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3463 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 19266 | OtherRevenuePriorYear |
| Other Revenue Current Year | 22163 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4751365 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4004898 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 950 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1347621 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1124963 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 16186 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3176085 | OtherExpensePriorYear |
| Other Expenses Current Year | 2713859 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4524656 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3838822 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 226709 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 166076 | RevenuesLessExpensesCY |
| Total Assets BOY | 3406282 | TotalAssetsBOY |
| Total Assets EOY | 2825587 | TotalAssetsEOY |
| Total Liabilities BOY | 1537799 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 791028 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1868483 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2034559 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | DEDICATED TO FOSTERING PRIMARY HEALTH CARE FOR ALL HAWAII RESIDENTS, PARTICULARLY THE MEDICALLY UNDERSERVED. THE MISSION OF THE HAWAII PRIMARY CARE ASSOCIATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN NEED BY ADVOCATING FOR, EXPANDING ACCESS TO, AND SUSTAINING HIGH QUALITY CARE THROUGH THE STATEWIDE NETWORK OF COMMUNITY HEALTH CENTERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1824639 | Expense |
| Revenue | 23563 | Revenue |
| Description | SPECIAL PROJECTS - THE SPECIAL PROJECTS PROGRAM CONSISTS OF VARIOUS SHORT-TERM OR MISCELLANEOUS PROJECTS. IT INCLUDES THE HAWAII IMMIGRANT HEALTH INITIATIVE WHICH FUNDS LOW-COST OR FREE HEALTH CARE TO RECENTLY ARRIVED IMMIGRANTS WHO MEET CERTAIN QUALIFICATIONS. IT ALSO INCLUDES THE OUTREACH & EDUCATION PROJECT WHICH AIMS TO ASSIST COMMUNITY HEALTH CENTERS TO CONDUCT OUTREACH AND PROVIDE ENROLLMENT ASSISTANCE AND FOLLOW-UP FOR VARIOUS DHS PROGRAMS. THE ADULT DENTAL APPROPRIATIONS PROJECT PROVIDES NON-EMERGENCY ADULT DENTAL SERVICES, AT FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, NOT COVERED BY THE HAWAII MEDICAID PROGRAM. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 816100 | Expense |
| Revenue | 129423 | Revenue |
| Description | TRAINING & TECHNICAL ASSISTANCE - ONE OF THE PRINCIPAL RESPONSIBILITIES OF THE HAWAII PRIMARY CARE ASSOCIATION IS ONGOING ADMINISTRATION OF TRAINING AND TECHNICAL ASSISTANCE PROGRAMS TO SUPPORT THE COMMUNITY HEALTH CENTERS. THE ORGANIZATION PROVIDES TRAINING AND TECHNICAL ASSISTANCE ON THE UNIFORM DATA SYSTEM (UDS), CLINICAL QUALITY IMPROVEMENT, WORKFORCE DEVELOPMENT, AND EMERGENCY PREPAREDNESS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 547968 | Expense |
| Description | THE COMMUNICATIONS AND ADVOCACY PROGRAM AIMS TO INFORM AND EDUCATE LAWMAKERS AND THEIR KEY STAFF ON ISSUES OF URGENCY TO COMMUNITY HEALTH CENTERS AND THE POPULATIONS THEY SERVE. IT ALSO PARTICIPATES IN HEALTH CARE COALITIONS AND PARTNERSHIPS TO REPRESENT THE NEEDS OF MEMBERS AND TO DEVELOP EFFECTIVE SOLUTIONS TO COMMON PROBLEMS FACING THE STATE'S HEALTH CARE SYSTEM. FINALLY, IT BUILDS EFFECTIVE GRASSROOTS ADVOCACY THROUGHOUT COMMUNITIES IN THE STATE THROUGH COMMUNICATIONS AND UPDATES. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 283464 | HEALTH IT - THE HEALTH IT PROGRAM'S WORK INVOLVES PREPARING THE COMMUNITY HEALTH CENTERS FOR THE EFFECTIVE, PRACTICAL, AND SEAMLESS USE OF HEALTH INFORMATION TECHNOLOGY, SUCH AS MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS AND DATA EXCHANGE, IN CLINICAL, ADMINISTRATIVE, AND EDUCATIONAL SETTINGS. |
| 169931 | HAWAII COVERING KIDS - THE HAWAII COVERING KIDS PROGRAM ADVOCATES FOR HEALTH INSURANCE COVERAGE FOR HAWAII'S KIDS BY HELPING TO IDENTIFY, ENROLL, AND RETAIN ELIGIBLE CHILDREN AND YOUTHS IN HEALTH INSURANCE PROGRAMS. ITS PROJECT DIRECTOR ALSO SERVES AS A KEY FACILITATOR AND EDUCATION RESOURCE FOR OUTREACH WORKERS, GOVERNMENT AGENCIES, AND STAKEHOLDER GROUPS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 453395 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 3642102 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 16 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | HI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA SIAROT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8085368442 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 735 BISHOP STREET NO 230 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| SHEILA BECKHAM WAIKIKI HEALTH | ||||||
| CHAIR / DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| DANA ALONZO-HOWETH MALAMA I KE OLA | ||||||
| VICE-CHAIR / DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| DAVID DERAUF KOKUA KALIHI | ||||||
| SECRETARY / DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| BEN PETTUS KOOLAULOA COMM CTR | ||||||
| TREASURER / DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| CHERYL VASCONCELLOS HANA HLTH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVID PETERS HOOLA LAHUI HI | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DESIREE PUHI MOLOKAI COMM HLTH CTR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DIANA SHAW LANAI COMM HLTH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| EMMANUEL KINTU KALIHI-PALAMA | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HAROLD WALLACE BAY CLINIC | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| IRENE CARPENTER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARY ONEHA WAIMANALO HLTH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RICHARD BETTINI WAIANAE COAST COMP | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RICHARD TAAFFE WEST HI COMMUNITY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| VIJAH SEHGAL WAIANAE COAST COMP | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| WARD FANLSER HAMAKUA HEALTH CENTER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KAMAHANAHOKULANI FARRAR WAIANAE | ||||||
| FORMER TREASURER / DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| PATRICK LINTON HAMAKUA HEALTH CTR | ||||||
| FORMER DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MONICA ADAMS BAY CLINIC | ||||||
| FORMER DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KEALOHA LAEMOA | ||||||
| FORMER DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PATRICIA SIAROT | ||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 75000 | 0 | 9588 | |
| ROBERT HIROKAWA | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 140000 | 0 | 13046 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 215000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 22634 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KALIHI-PALAMA HEALTH CENTER | |||||
| 938E AUSTIN LANE | HONOLULU | HI | 96817 | OUTREACH & EDUCATION, DENTAL APPROPRIATI | 450203 |
| KOKUA KALIHI VALLEY | |||||
| 2239 NORTH SCHOOL STREET | HONOLULU | HI | 96819 | OUTREACH & EDUCATION, DENTAL APPROPRIATI | 420738 |
| WAIMANALO HEALTH CENTER | |||||
| 41-1347 KALANIANAOLE HWY | WAIMANALO | HI | 96795 | OUTREACH & EDUCATION, DENTAL APPROPRIATI | 281394 |
| HOOLA LAHUI HAWAII | |||||
| 4491 RICE STREET | LIHUE | HI | 96766 | COMMUNITY CENTERS OUTREACH, DENTAL APPRO | 260917 |
| MALAMA I KE OLA HEALTH CENTER | |||||
| 1881 NANI STREET | WAILUKU | HI | 96793 | DENTAL APPROPRIATIONS | 253087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Membership Dues | 108550 | MembershipDues |
| Government Grants | 3453126 | GovernmentGrants |
| All Other Contributions | 286773 | AllOtherContributions |
| Noncash Contributions | 860 | NoncashContributions |
| Total Contributions | 3848449 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EXHIBITOR FEES | 624100 | 68413 | 68413 |
| CONFERENCE FEES | 624100 | 62410 | 62410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 130823 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3463 | TotalRevenueColumn |
| Exclusion | $3,463 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CHC FISCAL SERVICES | 900099 | 14120 | 14120 |
| CHC OTHER SERVICES | 900099 | 8043 | 8043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 22163 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4004898 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152986 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,463 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245781 | Total |
| Program Services | 50621 | ProgramServices |
| Management And General | 182703 | ManagementAndGeneral |
| Fundraising | 12457 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 710998 | Total |
| Program Services | 617206 | ProgramServices |
| Management And General | 93792 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35432 | Total |
| Program Services | 30896 | ProgramServices |
| Management And General | 4536 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63535 | Total |
| Program Services | 53092 | ProgramServices |
| Management And General | 10392 | ManagementAndGeneral |
| Fundraising | 51 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69217 | Total |
| Program Services | 50471 | ProgramServices |
| Management And General | 18083 | ManagementAndGeneral |
| Fundraising | 663 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3631 | Total |
| Management And General | 3631 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17591 | Total |
| Management And General | 17591 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373140 | Total |
| Program Services | 340425 | ProgramServices |
| Management And General | 32715 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270 | Total |
| Management And General | 270 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73428 | Total |
| Program Services | 30771 | ProgramServices |
| Management And General | 42657 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 500 | Total |
| Program Services | 500 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115459 | Total |
| Management And General | 115459 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124217 | Total |
| Program Services | 97735 | ProgramServices |
| Management And General | 26482 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133935 | Total |
| Program Services | 127060 | ProgramServices |
| Management And General | 6875 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1830602 | Total |
| Program Services | 1830602 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33804 | Total |
| Program Services | 29367 | ProgramServices |
| Management And General | 4437 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7236 | Total |
| Management And General | 7236 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| OTHER EXPENSE | 46 | 46 | ||
| INDIRECT COST ALLOC. | 0 | -386371 | 383356 | 3015 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3838822 | Total |
| Program Services | 3642102 | ProgramServices |
| Management And General | 180534 | ManagementAndGeneral |
| Fundraising | 16186 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28048 | BOY |
| EOY | 24648 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1307464 | BOY |
| EOY | 1755722 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1875310 | BOY |
| EOY | 912292 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105771 | BOY |
| EOY | 38303 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 255084 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 195130 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55021 | BOY |
| EOY | 59954 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34668 | BOY |
| EOY | 34668 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3406282 | BOY |
| EOY | 2825587 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500934 | BOY |
| EOY | 777128 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36865 | BOY |
| EOY | 13900 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1537799 | BOY |
| EOY | 791028 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518951 | BOY |
| EOY | 1773785 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349532 | BOY |
| EOY | 260774 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1868483 | BOY |
| EOY | 2034559 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3406282 | BOY |
| EOY | 2825587 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 166076 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3506459 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3575517 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3918716 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4652879 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3848449 | CurrentTaxYear |
| Total | 19502020 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3506459 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3575517 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3918716 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4652879 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3848449 | CurrentTaxYear |
| Total | 19502020 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 19502020 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5263 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4292 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1644 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3463 | CurrentTaxYear |
| Total | 16501 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 90476 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 58350 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27912 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19266 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22163 | CurrentTaxYear |
| Total | 218167 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 19736688 | TotalSupport |
| Gross Receipts From Admissions Etc | 345090 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98810 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98590 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2008 AMOUNT: $ 90,476. 2009 AMOUNT: $ 58,350. 2010 AMOUNT: $ 27,912. 2011 AMOUNT: $ 1,443. ADMINISTRATIVE FEE - 2011 AMOUNT: $ 17,823. CHC FISCAL SERVICES - 2012 AMOUNT: $ 14,120. CHC OTHER SERVICES - 2012 AMOUNT: $ 8,043. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 7731 | FilingOrganizationsTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 27897 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 35628 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 3606474 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 3642102 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 332105 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 83026 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 334542 | CurrentYearMinus3 |
| Current Year Minus2 | 340503 | CurrentYearMinus2 |
| Current Year Minus1 | 371452 | CurrentYearMinus1 |
| Current Year | 332105 | CurrentYear |
| Total | 1378602 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $2,067,903 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 38905 | CurrentYearMinus3 |
| Current Year Minus2 | 57251 | CurrentYearMinus2 |
| Current Year Minus1 | 51539 | CurrentYearMinus1 |
| Current Year | 35628 | CurrentYear |
| Total | 183323 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 83636 | CurrentYearMinus3 |
| Current Year Minus2 | 85126 | CurrentYearMinus2 |
| Current Year Minus1 | 92863 | CurrentYearMinus1 |
| Current Year | 83026 | CurrentYear |
| Total | 344651 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $516,977 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 11053 | CurrentYearMinus3 |
| Current Year Minus2 | 11389 | CurrentYearMinus2 |
| Current Year Minus1 | 10041 | CurrentYearMinus1 |
| Current Year | 7731 | CurrentYear |
| Total | 40214 | Total |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 224649 | OtherCostOrOtherBasis |
| Depreciation | 179887 | Depreciation |
| Book Value | 44762 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30435 | OtherCostOrOtherBasis |
| Depreciation | 15243 | Depreciation |
| Book Value | 15192 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59954 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 4121628 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 27972 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 27972 | RevenueNotRptdF990 |
| Revenue Subtotal | 4093656 | RevenueSubtotal |
| Other Revenues Not Included | -88758 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -88758 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4004898 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3866794 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 27972 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 27972 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3838822 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3838822 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF THE ASSOCIATION AS OF MARCH 31, 2013 AND 2012 AND THE YEARS THEN ENDED BY REVIEWING ITS TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. SUCH RETURNS ARE GENERALLY OPEN FOR EXAMINATION BY TAXING AUTHORITIES UNTIL THE STATUTES OF LIMITATIONS EXPIRE. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -88,758. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT HIROKAWA | NamePerson |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Base Compensation Filing Org | 140000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 7000 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 6046 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 153046 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SECTION 8.1, SUBSECTION D: ONE (1) MEDICAL PROVIDER FROM A COMMUNITY HEALTH CENTER THAT IS A MEMBER IN GOOD STANDING WAS ADDED AS A BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO AND BOARD OF DIRECTORS WERE PROVIDED A DRAFT OF THE TAX RETURN PRIOR TO FINALIZING IT. THEY WERE ASKED TO REVIEW THE RETURN AND ENCOURAGED TO ASK FOR CLARIFICATION OR SUGGEST ANY CHANGES AS APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION EVALUATION PROCESS FOR THE CEO LAST OCCURRED DECEMBER 2012 - FEBRUARY 2013. THE EXECUTIVE COMMITTEE INITIATES AND COORDINATES THE REVIEW, WITH THE FULL BOARD DELIBERATING AND APPROVING COMPENSATION AND FUTURE DELIVERABLES. TYPES OF COMPARABILITY DATA THEY USED INCLUDED NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) SALARY DATA, COMMUNITY HEALTH CENTER DATA, AND HAWAII EMPLOYER'S COUNCIL DATA. THEIR DECISIONS WERE SUBSTANTIATED THROUGH SOLICITATION OF CONCRETE EXAMPLES OF SUCCESSES AND IMPROVEMENTS NEEDED. DISCUSSIONS AND DECISIONS ARE DOCUMENTED IN COMMITTEE NOTES. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CFO INCLUDES A REVIEW AND APPROVAL BY THE CEO. COMPARATIVE DATA SUCH AS COMPARISONS WITH OTHER EMPLOYEES ARE USED. THIS PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND IN A WORKSHEET DOCUMENTING THE PROCESS AND CALCULATION, AND WAS LAST UNDERTAKEN IN MARCH 2013. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES ON REQUEST OR INSPECTION AT THE ORGANIZATION'S OFFICE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDISENSE CONSULTANTS LIMITED LIABILITY COMPANY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 240516 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453700422 | EIN |
| Primary Activity | CONSULTING SERVICES | PrimaryActivity |
| Legal Domicile State | HI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | UNRELATED | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.06250 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |