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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS LOOKING TO RECEIVE CARE AND/OR PREVENTION SERVICES FROM HHHRC ARE REQUIRED TO GO THROUGH THE AGENCY'S INTAKE PROCESS. THE INTAKE PROCESS DETERMINES THE APPROPRIATE SERVICES FOR REFERRAL AND THE CLIENT'S ELIGIBILITY FOR FUNDING TO COVER THESE SERVICES. IF STATE OR FEDERAL FUNDING IS USED TO COVER SERVICES, ALL RELEVANT DOCUMENTATION IS RETAINED FOR AUDITING PURPOSES. FUNDS ARE DISPERSED PER FUNDING GUIDELINES AND AGENCY POLICIES. REPORTS ARE GENERATED AND PROVIDED TO FUNDING AGENCIES UPON REQUEST OR AS OUTLINED WITHIN THE GRANT. FUNDING IS NOT PROVIDED TO CLIENTS BUT PAID DIRECTLY TO VENDORS ON THEIR BEHALF.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HAWAI'I HEALTH &amp; HARM REDUCTION CENTER (HHHRC) SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. HHHRC FOCUSES OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. HHHRC FOSTERS HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>HHHRC SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. HHHRC FOCUSES OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. HHHRC FOSTERS HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINICAL SERVICES: HHHRC'S CLINICAL SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF CLINICAL SERVICES (1 FTE) AND ITS MEDICAL DIRECTOR (1 FTE). THESE SERVICES INCLUDE A NUMBER OF MEDICAL PERSONNEL, CASE MANAGERS, AND EMPLOYEES TO OPERATE. THE CARE TEAM PROVIDES SERVICES TO 641 PERSONS LIVING WITH HIV (PLWH) ON OAHU. PLWH ARE ASSISTED WITH LINKAGE TO MEDICAL PROVIDERS, ACCESS TO ANTIRETROVIRAL MEDICATION, APPLICATIONS FOR GENERAL ASSISTANCE, HOUSING REFERRALS, AND ACCESS TO FOOD. ADDITIONALLY, HHHRC'S IN-HOUSE CLINIC, MEDICAL MOBILE UNIT, AND STREET-BASED WOUND CARE PROGRAM SERVES OVER 1200 PATIENTS. HHHRC'S PREP PROGRAM SERVES OVER 300 PATIENTS. THESE SERVICES ARE AVAILABLE TO ALL CLIENTS OF THE AGENCY. HHHRC MEDICAL MOBILE UNIT (MMU) PROVIDED STI TESTING IN WOMEN OF CHILD BEARING AGE TO OUR HOUSELESS COMMUNITY IN REGION 1 (PUNAWAI REST STOP, KALIHI TRANSIT CENTER, SAND ISLAND, WOMEN'S IHS, THOMAS SQUARE, WAIANAE BOAT HARBOR). THE PURPOSE OF THIS TARGETED OUTREACH IS TO DECREASE THE RISK OF CONGENITAL SYPHILIS. THE MMU TEAM WHICH CONSISTS OF A NURSE PRACTITIONER, MEDICAL ASSISTANT AND A SEXUAL HEALTH NAVIGATOR PROVIDES FREE WOUND CARE SERVICE TO OUR HOUSELESS COMMUNITY AS A POINT OF ENGAGEMENT INTO TESTING AND TREATING FOR SEXUALLY TRANSMITTED DISEASES. A TOTAL OF 158 PEOPLE WERE SCREENED FOR STIS, 53% WERE TREATED FOR SYPHILIS, 44% WAS TREATED FOR CHLAMYDIA AND 23% WAS TREATED FOR GONORRHEA. HO'OKAHI LEO KAUHALE PROJECT IS A PROGRAM FOCUSED ON COMMUNAL HOUSING AND SUPPORT FOR INDIVIDUALS OVER THE AGE OF 18 AND COUPLES EXPERIENCING HOMELESSNESS. WE ARE CURRENTLY OPERATING PHASE OF 1 OF THE DEVELOPMENT WHICH HAS 19 SLEEPING UNITS THAT ARE OCCUPIED WITH 24 RESIDENTS INCLUDING 4 COUPLES. 1 UNIT IS AN ADA COMPLIANT UNIT. PHASE 2 WILL ADD IN 30 ADDITIONAL SLEEPING PODS WITH ELECTRICAL AND SEWAGE HOOK UPS. WE ARE PROJECTING PHASE 2 TO OPEN IN LATE SUMMER 2026.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE:</FormAndLineReferenceDesc>
        <ExplanationTxt>PREVENTION SERVICES: HHHRC'S PREVENTION SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF PROGRAMS. THESE SERVICES INCLUDE A NUMBER OF MANAGERS AND EMPLOYEES SPANNING 9 PROGRAMS. PREVENTION SERVICES INCLUDE BUT NOT LIMITED TO 1) THE STATEWIDE SYRINGE EXCHANGE PROGRAM THAT EXCHANGED OVER 484,112SYRINGES STATEWIDE, 2) HIV AND HEPATITIS C TESTING AND LINKAGE THAT ADMINISTERED 881 HIV AND HCV TESTS, AND 915 INDIVIDUALS SCREENED FOR STIS 3) THE OVERDOSE PREVENTION PROGRAM (OD2A PROJECT) WHICH TRAINED 1,530 INDIVIDUALS ON NALOXONE AND DISTRIBUTED OVER 4,565 DOSES OF NASAL NALOXONE, 4) THE SMOKING CESSATION PROGRAM WHICH SERVICED 672 CLIENTS, 5) GUIDE ON THE SIDE (GOTS) PROVIDED NAVIGATION AND LONG-TERM CASE MANAGEMENT SERVICES TO 124UNSHELTERED YOUTH EXPERIENCING HOUSELESSNESS AND 100 YOUTH WERE ENROLLED INTO SERVICES, 6) STATEWIDE HOUSING OUTREACH PROGRAM (SHOP) SERVED 950INDIVIDUALS AND ENROLLED 260 INDIVIDUALS INTO SERVICES, AND FOUND TRANSITIONAL/EMERGENCY/PERMANENT HOUSING TO 53 INDIVIDUALS, 8) THE KUA'ANA PROJECT'S TRANSGENDER SERVICES THAT ASSISTED WITH 53 NAME CHANGES, 258 LINKAGE TO HEALTHCARE, AND 9) BEHAVIORAL HEALTH ) PROGRAM SERVED 18 CLIENTS THAT ARE ON PAROLE OR PROBATION AND DIAGNOSED WITH A SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH DIAGNOSIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE:</FormAndLineReferenceDesc>
        <ExplanationTxt>340B DRUG PURCHASE PROGRAM: HHHRC PARTICIPATES IN HRSA'S 340B DRUG PRICING PROGRAM AS A COVERED ENTITY UNDER STD DESIGNATION. COVERED ENTITIES ARE ABLE TO GENERATE PROGRAM INCOME BY PURCHASING DRUGS AT THE DISCOUNTED 340B RATE AND BEING REIMBURSED BY INSURANCE COMPANIES FOR THE FULL COSTS. HHHRC USES THIS PROGRAM INCOME TO PROVIDE ADDITIONAL CARE AND PREVENTION SERVICES AS PERMITTED BY THE FEDERAL AWARDS IT IS ASSOCIATED WITH.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE COMPLETED FORM 990 (BY ENTIRETY) AND AUDITED FINANCIAL STATEMENTS WILL BE PROVIDED, BY THE AUDITING FIRM, TO THE BOARD TREASURER AND THE BOARD'S FINANCE COMMITTEE FOR REVIEW. ANY QUESTIONS OR CONCERNS WILL BE NOTED AND ADDRESSED, AND THE FINANCE MANAGER SHALL ENSURE THAT ANY APPROPRIATE CHANGES ARE INCORPORATED WITHIN A WEEK, WHICH THEN SHALL BE SIGNED BY THE EXECUTIVE DIRECTOR OR OTHER AUTHORIZED OFFICER OF HHHRC. THE FORM 990 SHALL THEN BE FILED WITH THE IRS ON A TIMELY BASIS; PROVIDED, IF MANAGEMENT CONSIDERS IT FEASIBLE AND APPROPRIATE UNDER THE CIRCUMSTANCES, IT MAY DISTRIBUTE THE FINAL VERSION OF THE FORM 990 (BY ENTIRETY) TO EVERY VOTING MEMBER OF HHHRC'S BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. THE FINAL FORM MAY BE DISTRIBUTED EITHER IN PAPER OR ELECTRONIC FORM IN ANY MANNER DEEMED APPROPRIATE BY THE BOARD TREASURER. A COPY OF THE FILED FORM 990, IF THE FINAL VERSION WAS NOT CIRCULATED PRIOR TO FILING, SHALL BE CIRCULATED TO THE BOARD OF DIRECTORS AS PROMPTLY AS REASONABLY PRACTICAL AFTER THE FILING, AND IN NO CASE LATER THAN ITS NEXT REGULAR MEETING FOLLOWING SUCH FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PRESENTED TO EACH BOARD MEMBER ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH MUST BE COMPLETED BY EACH MEMBER INDICATING EITHER THAT THE MEMBER PERCEIVES NO CONFLICT OF INTEREST OR LISTING POTENTIAL CONFLICTS IN ORDER TO PUT THE ORGANIZATION AND OTHER BOARD MEMBERS ON NOTICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CONDUCTS AN ANNUAL EVALUATION OF THE EXECUTIVE DIRECTOR AND DETERMINES IF A SALARY INCREASE IS WARRANTED. IF INCREASE IS APPROVED, THE BOARD REVIEWS STATE AND NATIONAL COMPENSATION REPORTS TO DETERMINE APPROPRIATE INCREASE AMOUNT. THE BOARD VOTES ON THE AMOUNT AND WHEN APPROVED PASSES THEIR DETERMINATION ON TO THE ACCOUNTING DEPARTMENT FOR PROCESSING AND IMPLEMENTATION. FOR TOP MANAGEMENT OFFICIALS, THE EXECUTIVE DIRECTOR MAKES THE DETERMINATION BASED ON PERFORMANCE, DUTIES, AVAILABLITY OF FUNDS, AND STATE COMPENSATION REPORTS. THE EXECUTIVE DIRECTOR MAY ALSO CONSULT HR, FINANCE MANAGER, AND DEPUTY DIRECTORS BEFORE FINALIZING THE DECISION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PUBLISHED TO THE ORGANIZATION WEBSITE. OTHER AVAILABLE GOVERNANCE DOCUMENTS INCLUDING PRINTED COPIES OF FORM 990 AND CONFLICTS OF INTEREST POLICIES CAN BE FOUND AT THE BUSINESS OFFICE OF THE HHHRC.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANT FEES: PROGRAM SERVICE EXPENSES 5,283,277. MANAGEMENT AND GENERAL EXPENSES 269,072. FUNDRAISING EXPENSES 769. TOTAL EXPENSES 5,553,118.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE TO THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
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