2023-11-27T12:31:11-06:00 2023-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2022-07-01 990307152 UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (UCERA) UNIV 8084694961 677 ALA MOANA BOULEVARD 1001 HONOLULU HI 96813 DEREK WONG INTERIM CHIEF EXECUTIVE OFFICER 8084694961 2023-11-27 1 DEREK WONG 999009999 0 RODNEY HARANO P00220997 8085311040 2023-11-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z UNIVERSITY HEALTH PARTNERS OF HAWAII DEREK WONG 677 ALA MOANA BOULEVARD 1001 HONOLULU HI 96813 40026563 0 X WWW.UHPHAWAII.ORG X 1993 HI TO PROVIDE FUNDING TO BUILD AND SUSTAIN THE INFRASTRUCTURE OF THE JOHN A. BURNS SCHOOL OF MEDICINE AND OTHER HEALTH SCIENCES SCHOOLS AND ORGANIZATIONS AT THE UNIVERSITY OF HAWAII; FUND THE UNIVERSITY'S HEALTH SCIENCES RESEARCH, EDUCATION, AND SCHOLARLY DEVELOPMENT; PROVIDE ADDITIONAL RESOURCES TO RECRUIT, RETAIN, AND DEVELOP QUALIFIED HEALTH SCIENCES FACULTY AT THE UNIVERSITY; PROVIDE CLINICAL TRAINING AND EDUCATION TO THE UNIVERSITY'S HEALTH SCIENCES STUDENTS; AND PROVIDE HEALTH CARE TO THE GENERAL PUBLIC, WITH SPECIAL ATTENTION TO THE POOR AND OTHER UNDERSERVED POPULATIONS OF HAWAII AND THE PACIFIC REGION. 14 6 482 16 14897 0 11851064 4994884 24063779 21637131 1144461 918302 71055 17617 37130359 27567934 0 0 0 0 21797729 19584932 0 0 0 14034965 10530867 35832694 30115799 1297665 -2547865 41256390 34284712 15953224 10732602 25303166 23552110 X UCERA IS A NON-PROFIT ORGANIZATION ESTABLISHED TO FURTHER THE MISSIONSAND VISIONS OF THE JOHN A. BURNS SCHOOL OF MEDICINE (JABSOM) AND OTHER HEALTH SCIENCES SCHOOLS OF THE UNIVERSITY OF HAWAII (UH). IT CONTRIBUTES TO THEIR GOAL OF IMPROVING THE HEALTH CARE STATUS OF THE CITIZENS OF HAWAII AND THE PACIFIC BY SUPPORTING THE EDUCATION, RESEARCH AND CLINICAL ACTIVITIES OF THE SCHOOLS. IT SUPPORTS FINANCIAL DIVERSIFICATION OF THE SCHOOL BY DEVELOPING REVENUE GENERATING INITIATIVES IN COLLABORATION WITH HOSPITALS, GOVERNMENT AGENCIES AND OTHER ENTITIES. 0 0 17924050 21639851 CLINICAL AND PROFESSIONAL SERVICES - 1) PROVIDE HEALTH CARE TO THE GENERAL PUBLIC, WITH SPECIAL ATTENTION TO THE POOR AND OTHER UNDERSERVED POPULATIONS OF HAWAII AND THE PACIFIC REGION. 2) SPECIALTY CLINICS - MULTI-SPECIALTY FACULTY PRACTICE AT CLINICS LOCATED AT VARIOUS SITES INCLUDING: 677 ALA MOANA BLVD, HONOLULU, HI 96813; 1319 PUNAHOU STREET, SUITE 640, 801, 904, 990; QUEEN'S OUTPATIENT CENTER; PHYSICIAN'S OFFICE BUILDINGS AT QUEEN'S; PALI MOMI MEDICAL CENTER. PROVIDE PHYSICIANS ON THE UNIVERSITY OF HAWAII FACULTY WITH A BASE OF OB/GYN, ENDOCRINE, INTERNAL MEDICINE, GERIATRIC, SURGICAL, AND PSYCHIATRIC PATIENTS FROM WHICH THEY CAN EDUCATE MEDICAL STUDENTS AND RESIDENTS. 3) QUEEN'S HOSPITAL AND HAWAII PACIFIC HEALTH/KAPIOLANI HOSPITAL - PROVIDE FACULTY MEMBERS TO TREAT PATIENTS AND TO PROVIDE SPECIALTY CLINICAL SERVICES TO HOSPITALS. 4) VETERAN'S ADMINISTRATION SPECIALTY CLINICS - PROVIDE SPECIALIST PHYSICIANS TO TREAT PATIENTS AT THE VA MEDICAL & REGIONAL OUTPATIENT CLINIC. THIS POPULATION TENDS TO BE INDIGENT AND UNDERSERVED. THE VA CLINIC IS ALSO A TEACHING SITE FOR THE UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE AND PROVIDES A BASE OF TEACHING PATIENTS. 6069914 MEDICAL SCHOOL AND FACULTY SUPPORT - IN GENERAL, PROVIDES FUNDING TO BUILD AND SUSTAIN THE INFRASTRUCTURE OF THE JOHN A. BURNS SCHOOL OF MEDICINE AND ITS DEPARTMENTS AND THOSE OF THE OTHER HEALTH SCIENCES SCHOOLS OF THE UNIVERSITY OF HAWAII. PROVIDE ADDITIONAL RESOURCES TO RECRUIT, RETAIN, AND DEVELOP QUALIFIED FACULTY AT JABSOM AND THE OTHER UH HEALTH SCIENCES SCHOOLS. PROVIDE HEALTHCARE TO THE DEPARTMENT OF EDUCATION STUDENTS ACROSS THE HAWAIIAN ISLANDS THROUGH THE HAWAII KEIKI PROGRAM. 534974 EDUCATIONAL SUPPORT - 1) IN GENERAL, PROVIDE EDUCATION AND CLINICAL TRAINING FOR THE UNIVERSITY OF HAWAII HEALTH SCIENCES SCHOOLS' STUDENTS. 2) INTERNATIONAL TRAINING PROGRAM (INL) - PROVIDE INTERNATIONAL MEDICAL STUDENTS AND RESIDENTS WITH U.S. TRAINING EXPERIENCES AT THE UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE. 3) OFFICE OF MEDICAL EDUCATION (OME-ME) - PROVIDE SIMULATED PATIENTS FOR CLINICAL SKILLS TRAINING AND EXAMINATIONS FOR SCHOOL OF MEDICINE STUDENTS AND RESIDENTS. 218457 RESEARCH SUPPORT: 1) COMMUNITY HEALTH OUTREACH WORK TO PREVENT AIDS (CHOW PROJECT) WITH US FEDERAL GOVERNMENT TO IMPROVE THE QUALITY, AVAILABILITY, AND ORGANIZATION OF HIV HEALTH CARE AND SUPPORT SERVICES. 2) NATIONAL INSTITUTE FOR REPRODUCTIVE HEALTH (NIRH) CONTRACT TO ADDRESSING SYSTEMS AND ADMINISTRATIVE BARRIERS TO LARC IN HAWAII. 3) VARIOUS SOCIETY OF FAMILY PLANNING RESEARCH FUNDS TO STUDY A RANDOMIZED CONTROLLED TRIAL COMPARING DILATION AND EVACUATION OUTCOMES WITH AND WITHOUT OXYTOCIN USE, LARC AND DUAL-USE IN ADOLESCENTS AND YOUNG WOMEN, INTRANASAL FENTANYL FOR PAIN CONTROL DURING FIRST-TRIMESTER UTERINE ASPIRATION: A RANDOMIZED CONTROLLED TRIAL. UCERA IS IN A POSITION TO ACCOMMODATE RESEARCH ACTIVITIES THAT REQUIRE HIPAA COMPLIANT HANDLING OF PROTECTED HEALTH INFORMATION (PHI). EDUCATION SUPPORT - UCERA SUPPORTS THE HAWAI'I JOURNAL OF MEDICINE & PUBLIC HEALTH, WHICH IS A PEER-REVIEWED MEDICAL JOURNAL WHICH PROVIDES NEW SCIENTIFIC INFORMATION IN A SCHOLARLY FORMAT WITH A FOCUS ON THE UNIQUE, MULTI-CULTURE AND ENVIROMENTAL ASPECTS OF THE HAWAIIAN ISLANDS AND PACIFIC RIM REGIONS. 218457 24747395 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 40 0 482 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 6 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X HENRY ELLIS JR 8084694959 677 ALA MOANA BOULEVARD 1001 HONOLULU HI 96813 X DIRK YOSHIZAWA TREASURER 1.00 X X 0 0 0 JORDON KIMURA SECRETARY 1.00 X X 0 0 0 CLEMENTINA CERIA-ULEP DIRECTOR 1.00 X 0 0 0 THOMAS DRISKILL JR DIRECTOR 1.00 X 0 0 0 GABE LEE DIRECTOR 1.00 X 0 0 0 KYLE YONESHIGE DIRECTOR 1.00 X 0 0 0 EDWARD ZAJAC DIRECTOR 1.00 X 0 0 0 SIMEON ACOBA JR DIRECTOR UNTIL SEP '22 1.00 X 0 0 0 JOE RAMOS DIRECTOR/EMPLOYEE UNTIL JUL '22 40.00 X 46875 0 0 KENRIC MURAYAMA DIRECTOR UNTIL SEP '22 1.00 40.00 X 8876 287620 0 IVICA ZALUD ASSISTANT TREASURER 2.00 40.00 X X 0 248041 0 JERRIS HEDGES CHAIR UNTIL FEB '23 8.00 40.00 X X 0 559033 0 ALLEN HIXON ASSISTANT SECRETARY 2.00 40.00 X X 18820 267903 0 ANTHONY GUERRERO DIRECTOR/ON-CALL EMPLOYEE 2.00 40.00 X 138 222494 429 KAMAL MASAKI DIRECTOR/EMPLOYEE 4.00 40.00 X 12209 251847 0 LEE BUENCONSEJO-LUM CHAIR/ON-CALL EMPLOYEE EFF. JAN '23 10.00 40.00 X X 84138 226223 0 KENNETH NAKAMURA DIRECTOR 1.00 40.00 X 0 258205 0 JOSEPH KAHOLOKULA DIRECTOR 2.00 40.00 X 0 202951 0 SCOTT KUWADA DIRECTOR UNTIL SEP '22 1.00 X 0 131996 0 SUSAN STEINEMANN CMO UNTIL JAN '23 8.00 32.00 X 179324 148751 5588 HENRY ELLIS CFO 40.00 X 180958 0 22621 DEREK WONG INTERIM CEO 40.00 X 220125 0 15203 RORY KANESHIRO CCO 20.00 20.00 X 66169 56319 2178 ROBERT HONG CMO 5.00 X 0 43920 0 JAMI FUKUI PHYSICIAN 8.00 32.00 X 225685 0 6771 CHRISTINA MARZO PHYSICIAN UNTIL MAR '23 36.00 X 210054 0 14963 ELMER TAM CHIEF INFORMATION OFFICER 40.00 X 175729 0 15490 MARY BOLAND DIRECTOR OF STRATEGIC PARTNERSHIPS 18.00 X 137407 0 3978 KAILENE OLIVEROS DIRECTOR OF CLINICAL OPERATIONS 40.00 X 137271 0 29864 1703778 2905303 117085 25 0 1 0 UNIVERSITY OF HAWAII-OFFICE OF RESEARCH 2440 CAMPUS RD BOX 368 HONOLULU HI 96822 PHYSICIAN/ADMIN COMPENSATION 6373296 KAEO RAD LLC 4348 WAIALAE AVENUE 417 HONOLULU HI 96816 CONTRACTED CIO TEAM SVCS 162462 HAWAII EMERGENCY PHYSICIANS ASSOCIATED I PO BOX 1266 KAILUA HI 96734 HYPERBARIC CALL COVERAGE 140207 THE HANOVER RESEARCH COUNCIL LLC 4401 WILSON BLVD 4TH ARLINGTON VA 22203 RESARCH SVCS AND CONSULTING FOR GRAD PRO 120175 KAPIOLANI MEDICAL CENTER FOR WOMEN AND C 55 MERCHANT ST 24TH FLOOR HONOLULU HI 96813 EPIC ELECTRONIC HEALTH SERVICES 105542 5 3560 4991324 4994884 SPECIALTY CLINICS 621400 20531368 20531368 OTHER CONTRACTS 900099 390500 390500 QUEENS MEDICAL CENTER 621110 354242 354242 FEES AND CONTRACT FROM GOVERNMENT 900099 305088 305088 HAWAII PACIFIC HEALTH 621110 55933 55933 21637131 398039 398039 12978892 12458629 520263 520263 520263 NON-OPERATING INCOME 900099 17617 2720 14897 17617 27567934 21639851 14897 918302 703612 186742 516870 15508418 13366806 2141612 337020 279719 57301 1842675 1497903 344772 1193207 1006460 186747 18691 18691 68532 68532 63759 63759 219246 43493 175753 65899 34207 31692 479551 391182 88369 661478 91954 569524 493195 475955 17240 116830 72472 44358 1048977 918522 130455 PURCHASED SERVICES 6952496 6263880 688616 MISCELLANEOUS EXPENSE 175203 99136 76067 DUES AND MEMBERSHIP 167010 18964 148046 30115799 24747395 5368404 0 3511710 1310 8749699 3632705 7670627 4337721 739062 737641 1341534 1227232 218475 114302 20171524 22963945 195293 2497088 41256390 34284712 2884317 1694181 10712555 4348172 2356352 4690249 15953224 10732602 X 19601495 20316308 5701671 3235802 25303166 23552110 41256390 34284712 -2547865 796809 0 X 0 1 X 1 0 X 888579 1122672 1486473 11851064 4994884 20343672 46607272 49897738 51182534 24063779 21637131 193388454 47495851 51020410 52669007 35914843 26632015 213732126 52300 19600 3850 877 76627 0 52300 19600 3850 877 76627 213655499 193664 178315 146531 87919 398039 1004468 193664 178315 146531 87919 398039 1004468 3279 4800256 40692 56957 2720 4903904 47692794 55998981 52856230 36059719 27032774 219640498 0.97280 0.97500 0.00460 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: NON-OPERATING INCOME - 2018 AMOUNT: $ 3,279. 2019 AMOUNT: $ 58,094. 2020 AMOUNT: $ 40,692. 2021 AMOUNT: $ 56,957. 2022 AMOUNT: $ 2,720. GRANT REIMBURSEMENTS - COVID-19 RELIEF AND TAX CREDITS - 2019 AMOUNT: $ 4,742,162. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 163285 -32461 130824 116049 48696 1460 163285 132804 -3638 13117 116049 138445 5309 10950 132804 0.00000 0.00000 0.00000 69218 45566 23652 1272316 1181666 90650 114302 LEASE DEPOSITS 81957 OPERATING LEASE RIGHT-OF-USE ASSETS - NET 2415131 2497088 DUE TO JABSOM 2250021 OPERATING LEASE LIABILITIES 2440228 4690249 X 29970044 0 29970044 63759 -2465869 -2402110 27567934 30052040 0 30052040 63759 63759 30115799 PART V, LINE 4: DURING THE YEAR ENDED JUNE 30, 2013, UCERA RECEIVED A PERMANENTLY RESTRICTED CONTRIBUTION AMOUNTING TO $100,262 TO CREATE AN ENDOWMENT TO SUPPORT THE CLINICAL WORK OF PATRICIA BLANCHETTE, M.D. AS LONG AS SHE IS AFFILIATED WITH UCERA, OR IF SHE NO LONGER HAS SUCH AFFILIATION, TO SUPPORT THE GENERAL CLINICAL WORK OF UCERA. THE PERMANENTLY RESTRICTED CONTRIBUTION WAS HELD IN AN OPERATING CASH ACCOUNT AT JUNE 30, 2013 AND INVESTED IN MARKETABLE SECURITIES IN JUNE 30, 2014. DURING YEAR ENDED JUNE 30, 2022, THE ENDOWMENT WAS RELEASED FROM RESTRICTION AS PATRICIA BLANCHETTE IS NO LONGER AFFILIATED WITH UHP. PART X, LINE 2: U.S. GAAP REQUIRES 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 UHP'S TAX POSITIONS AS OF JUNE 30, 2023 AND 2022 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT UHP HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. UHP IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCREASE (DECREASE) IN NET ASSETS WITH DONOR RESTRICTIONS -2,465,869. X X X 0 0 0 0 0 0 0 0 0 JERRIS HEDGES CHAIR UNTIL FEB '23 0 559033 0 0 0 0 0 0 0 0 0 559033 0 0 SUSAN STEINEMANN CMO UNTIL JAN '23 179093 148751 0 0 231 0 5373 0 215 0 184912 148751 0 0 LEE BUENCONSEJO-LUM CHAIR/ON-CALL EMPLOYEE EFF. JAN '23 84000 226223 0 0 138 0 0 0 0 0 84138 226223 0 0 KENRIC MURAYAMA DIRECTOR UNTIL SEP '22 0 287620 8876 0 0 0 0 0 0 0 8876 287620 0 0 ALLEN HIXON ASSISTANT SECRETARY 0 267903 18820 0 0 0 0 0 0 0 18820 267903 0 0 KAMAL MASAKI DIRECTOR/EMPLOYEE 9600 251847 2609 0 0 0 0 0 0 0 12209 251847 0 0 KENNETH NAKAMURA DIRECTOR 0 258205 0 0 0 0 0 0 0 0 0 258205 0 0 IVICA ZALUD ASSISTANT TREASURER 0 248041 0 0 0 0 0 0 0 0 0 248041 0 0 DEREK WONG INTERIM CEO 212258 0 0 0 7867 0 6602 0 8601 0 235328 0 0 0 JAMI FUKUI PHYSICIAN 195685 0 30000 0 0 0 6771 0 0 0 232456 0 0 0 CHRISTINA MARZO PHYSICIAN UNTIL MAR '23 210000 0 0 0 54 0 6300 0 8663 0 225017 0 0 0 ANTHONY GUERRERO DIRECTOR/ON-CALL EMPLOYEE 0 222494 0 0 138 0 0 0 429 0 567 222494 0 0 HENRY ELLIS CFO 174162 0 0 0 6796 0 5554 0 17067 0 203579 0 0 0 JOSEPH KAHOLOKULA DIRECTOR 0 202951 0 0 0 0 0 0 0 0 0 202951 0 0 ELMER TAM CHIEF INFORMATION OFFICER 168502 0 0 0 7227 0 5283 0 10207 0 191219 0 0 0 KAILENE OLIVEROS DIRECTOR OF CLINICAL OPERATIONS 132677 0 0 0 4594 0 4118 0 25746 0 167135 0 0 0 FORM 990, PART I, LINE 6, DESCRIPTION OF VOLUNTEERS: THE ONLY VOLUNTEERS UTILIZED BY UCERA ARE THE VOLUNTEER BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO INCREASE THE MAXIMUM NUMBER OF VOTING DIRECTORS AND INCLUDED MORE COMPREHENSIVE DETAILS IN THE ALLOWABLE NUMBER OF VOTING AND NONVOTING DIRECTORS. ADDITIONALLY, THE BYLAWS REVISED THE MEMBERSHIP CRITERIA FOR THE EXECUTIVE, GOVERNANCE AND BYLAWS, COMPLIANCE, AND RISK MANAGEMENT AND QUALITY ASSURANCE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS IN DETAIL THE INFORMATION, FIGURES, AND OTHER DETAILS OF THE FORM 990, AND THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE. THE BOARD APPROVES THE 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THE BOARD MEMBERS ATTESTATION FOR ANY CONFLICT OF INTEREST ON THE MONTHLY BOARD MEETING. ON AN ANNUAL BASIS THE BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT AND ARE PROVIDED WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD AND COMPENSATION COMMITTEE. NATIONAL COMPARATORS ARE USED, INCLUDING THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND ASSOCIATION OF THE AMERICAN MEDICAL COLLEGES (AAMC) BENCHMARKS. THIS PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND WAS LAST UNDERTAKEN IN 2011. IN ADDITION, IT WAS REVIEWED AND DOCUMENTED BY THE BOARD OF DIRECTORS IN 2016. COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES ARE DETERMINED USING COMPARATORS INCLUDING: THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND ASSOCIATION OF THE AMERICAN MEDICAL COLLEGES (AAMC) BENCHMARKS, AND THE ROBERT HALF SALARY GUIDE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A: REPORTABLE COMPENSATION FROM RELATED ORGANIZATION: MEMBERS OF THE UCERA BOARD ARE NOT COMPENSATED FOR THEIR SERVICE AS BOARD MEMBERS. UCERA BOARD MEMBERS (BUENCONSEJO-LUM, GUERRERO, AND MASAKI) ARE ALSO UCERA EMPLOYEES AND ARE COMPENSATED BY UCERA FOR THEIR WORK AS EMPLOYEES. UCERA BOARD MEMBERS (BUENCONSEJO-LUM, GUERRERO, HEDGES, HIXON, MASAKI, KUWADA, KAHOLOKULA, ZALUD, NAKAMURA, AND MURAYAMA) ARE EMPLOYEES OF RELATED ORGANIZATIONS, THE UNIVERSITY OF HAWAII (UH) JOHN A. BURNS SCHOOL OF MEDICINE, AND ARE COMPENSATED DIRECTLY BY UH FOR THEIR PROFESSIONAL SERVICES AS UH EMPLOYEES. UNIVERSITY HEALTH PARTNERS AKAHAI LLC 677 ALA MOANA BLVD STE 1001 HONOLULU HI 96813 852538506 CONTRACTS WITH MEDICAL PROVIDER HI 0 0 UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (UCERA) UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE 651 ILALO STREET MEB 223 HONOLULU HI 96813 996000354 MEDICAL SCHOOL HI N/A 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE J 854705 CASH UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE K 8505 CASH UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE P 5734343 CASH FORM 990, SCHEDULE R, PART V, LINE 2(1): AMOUNT RECEIVED FROM JABSOM ON LEASE AGREEMENTS. FORM 990, SCHEDULE R, PART V, LINE 2(2): AMOUNT PAID TO JABSOM FOR FACILITY AND STORAGE FEES. FORM 990, SCHEDULE R, PART V, LINE 2(3): REIMBURSEMENT PAID TO JABSOM FOR SALARIES, FRINGE BENEFITS, AND MALPRACTICE INSURANCE.