2022-12-20T13:52:33-06:00 2022-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2021-07-01 990307152 UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (UCERA) UNIV 8084694961 677 ALA MOANA BOULEVARD 1001 HONOLULU HI 96813 DEREK WONG INTERIM CHIEF EXECUTIVE OFFICER 8084694961 2022-12-20 1 DEREK WONG 999009999 MELANIE A KING P00220997 8085311040 2022-12-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z UNIVERSITY HEALTH PARTNERS OF HAWAII DEREK WONG 677 ALA MOANA BOULEVARD 1001 HONOLULU HI 96813 43398068 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. 17 6 487 12 14098 0 1486473 11851064 51182534 24063779 323659 1144461 53670 71055 53046336 37130359 0 0 0 0 38973519 21797729 0 0 0 12398620 14034965 51372139 35832694 1674197 1297665 34376733 41256390 8895387 15953224 25481346 25303166 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. 1 1 21808758 24120736 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; LEAHI HOSPITAL; MOLOKAI GENERAL HOSPITAL; PALI MOMI MEDICAL CENTER; AND SURGICAL CONSULTANTS OF HAWAII LOCATED AT KUAKINI HOSPITAL AND HILO CLINIC AT 82 PUUHONU PLACE, SUITE 205, HILO. 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. 6242565 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. 835812 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. 434120 RESEARCH SUPPORT: 1) UH FOUNDATION GRANT TO CONDUCT CARDIOVASCULAR RESEARCH AND EDUCATION CONSULTING. 2) 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. 3) NATIONAL INSTITUTE FOR REPRODUCTIVE HEALTH (NIRH) CONTRACT TO ADDRESSING SYSTEMS AND ADMINISTRATIVE BARRIERS TO LARC IN HAWAII. 4) 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. 434120 29321255 1 1 0 0 0 0 0 0 0 1 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 53 0 487 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 6 0 0 0 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 VICE CHAIR/INTERIM TREASURER 1.00 X X 0 0 0 JORDON KIMURA SECRETARY 1.00 X X 0 0 0 SIMEON ACOBA JR DIRECTOR 1.00 X 0 0 0 CLEMENTINA CERIA-ULEP DIRECTOR 1.00 X 0 0 0 THOMAS DRISKILL JR DIRECTOR 1.00 X 0 0 0 EDWARD ZAJAC DIRECTOR 1.00 X 0 0 0 MICHAEL ERNE TREASURER UNTIL APRIL 2022 1.00 X X 0 0 0 IVICA ZALUD ASSISTANT TREASURER/EMPLOYEE 30.00 40.00 X X 325855 242674 9048 KENRIC MURAYAMA DIRECTOR/EMPLOYEE 20.00 40.00 X 275758 279865 8273 JERRIS HEDGES CHAIR 10.00 40.00 X X 0 546810 0 ALLEN HIXON ASSISTANT SECRETARY/EMPLOYEE 20.00 32.00 X X 79445 281057 2630 ANTHONY GUERRERO DIRECTOR/EMPLOYEE 20.00 40.00 X 115980 217860 3894 KAMAL MASAKI DIRECTOR/EMPLOYEE 15.00 40.00 X 66623 246454 1999 LEE BUENCONSEJO-LUM DIRECTOR/EMPLOYEE 4.00 36.00 X 87212 221221 236 KENNETH NAKAMURA DIRECTOR 1.00 40.00 X 0 252082 0 HENRY LEW DIRECTOR/EMPLOYEE UNTIL DEC 2021 1.00 40.00 X 0 211166 0 JOSEPH KAHOLOKULA DIRECTOR 1.00 40.00 X 0 198296 0 RANDALL HOLCOMBE DIRECTOR/EMPLOYEE UNTIL JULY 2021 15.00 40.00 X 132708 0 3981 SCOTT KUWADA DIRECTOR 40.00 X 0 88034 0 JOE RAMOS DIRECTOR/EMPLOYEE 40.00 X 28125 0 0 SUSAN STEINEMANN CMO 30.00 1.00 X 341554 93272 9120 LARRY SHAPIRO CEO / INTERIM CMO UNTIL NOV 2021 40.00 X 335530 0 24965 HENRY ELLIS CFO 40.00 X 177512 0 21710 LAUREN BENDINER IN HOUSE COUNSEL UNTIL OCT 2021 40.00 X 143194 0 29779 DEREK WONG INTERIM CEO 40.00 X 117828 0 11704 RORY KANESHIRO CHIEF COMPLIANCE OFFICER 7.00 7.00 X 64747 54973 2131 MICHAEL CARNEY EMPLOYEE 30.00 20.00 X 595217 108882 15583 ROBERT KIM EMPLOYEE 30.00 1.00 X 321036 55012 31097 BARRY CARLTON EMPLOYEE 30.00 40.00 X 379694 0 8969 MEN-JEAN LEE EMPLOYEE 40.00 X 299996 52187 29388 CHRISTINA WAI EMPLOYEE 40.00 X 303810 0 14878 4191824 3149845 229385 13 0 1 0 UNIVERSITY OF HAWAII-OFFICE OF RESEARCH 2440 CAMPUS RD BOX 368 HONOLULU HI 96822 PHYSICIAN/ADMIN COMPENSATION 2978166 KAPIOLANI MEDICAL CENTER FOR WOMEN AND C 55 MERCHANT ST 24TH FLOOR HONOLULU HI 96813 EPIC CHARGES 259606 KAEO RAD LLC 4348 WAIALAE AVENUE 417 HONOLULU HI 96816 CONTRACTED CIO TEAM SVCS 138445 TYTO CARE INC 215 WEST 40TH ST 9TH FLOOR NEW YORK NY 10018 TELEHEALTH EQUIP SUBSCRIPTION 122911 HAWAII EMERGENCY PHYSICIANS ASSOCIATED I PO BOX 1266 KAILUA HI 96734 HYPERBARIC CALL COVERAGE 107785 5 30548 11820516 11851064 SPECIALTY CLINICS 621400 18435430 18435430 HAWAII PACIFIC HEALTH 621110 2608478 2608478 QUEENS MEDICAL CENTER 621110 2224234 2224234 OTHER CONTRACTS 900099 537376 537376 FEES AND CONTRACT FROM GOVERNMENT 900099 258261 258261 24063779 87919 87919 4214751 3109500 3520785 2746924 693966 362576 1056542 1056542 NON-OPERATING INCOME 900099 71055 56957 14098 71055 37130359 24120736 14098 1144461 1596954 1061583 535371 16804062 13884415 2919647 456713 375314 81399 1779538 1303366 476172 1160462 913969 246493 3868 3868 78375 78375 52847 52847 242984 68504 174480 152082 22908 129174 1028480 934090 94390 1201557 683703 517854 249432 230806 18626 323318 209656 113662 2716204 2566823 149381 PURCHASED SERVICES 7558147 6861353 696794 MISCELLANEOUS EXPENSE 346587 156781 189806 DUES AND MEMBERSHIP 81084 47984 33100 35832694 29321255 6511439 0 40846 3511710 10358574 8749699 7255051 7670627 1067536 739062 1337973 1119498 3219958 218475 12360259 20171524 74509 195293 34376733 41256390 5526042 2884317 2895158 10712555 474187 2356352 8895387 15953224 X 25176355 19601495 304991 5701671 25481346 25303166 34376733 41256390 1297665 -1475845 0 X 0 1 X 1 0 X 915369 888579 1122672 1486473 11851064 16264157 41381705 46607272 49897738 51182534 24063779 213133028 42297074 47495851 51020410 52669007 35914843 229397185 60000 52300 19600 3850 877 136627 0 60000 52300 19600 3850 877 136627 229260558 179635 193664 178315 146531 87919 786064 179635 193664 178315 146531 87919 786064 57284 3279 4800256 40692 56957 4958468 42533993 47692794 55998981 52856230 36059719 235141717 0.97500 0.97440 0.00330 0.00350 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: NON-OPERATING INCOME - 2017 AMOUNT: $ 57,284. 2018 AMOUNT: $ 3,279. 2019 AMOUNT: $ 58,094. 2020 AMOUNT: $ 40,692. 2021 AMOUNT: $ 56,957. GRANT REIMBURSEMENTS - COVID-19 RELIEF AND TAX CREDITS - 2019 AMOUNT: $ 4,742,162. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 163285 -32461 130824 116049 48696 1460 163285 132804 -3638 13117 116049 138445 5309 10950 132804 127015 11430 138445 0.00000 0.00000 0.00000 0 0 69218 39796 29422 1268755 1079702 189053 218475 DUE TO JABSOM 2338729 LIABILITIES HELD FOR DISCONTINUING OPERATIONS 17623 2356352 X 20547856 0 20547856 52847 16529656 16582503 37130359 25645150 0 25645150 52847 10134697 10187544 35832694 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, 2022 AND 2021 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 5,396,680. REVENUE FROM DISCONTINUED OPERATIONS 10,754,195. GAIN ON TRANSITION OF PHYSICIAN PRACTICES 378,781. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM DISCONTINUED OPERATIONS 10,134,697. X X X 0 0 0 0 0 0 0 0 0 MICHAEL CARNEY EMPLOYEE 595217 108882 0 0 0 0 8700 0 6883 0 610800 108882 0 0 IVICA ZALUD ASSISTANT TREASURER/EMPLOYEE 325855 242674 0 0 0 0 8700 0 348 0 334903 242674 0 0 KENRIC MURAYAMA DIRECTOR/EMPLOYEE 275758 279865 0 0 0 0 8273 0 0 0 284031 279865 0 0 JERRIS HEDGES CHAIR 0 546810 0 0 0 0 0 0 0 0 0 546810 0 0 SUSAN STEINEMANN CMO 341554 93272 0 0 0 0 8700 0 420 0 350674 93272 0 0 ROBERT KIM EMPLOYEE 321036 55012 0 0 0 0 8700 0 22397 0 352133 55012 0 0 BARRY CARLTON EMPLOYEE 379694 0 0 0 0 0 8700 0 269 0 388663 0 0 0 MEN-JEAN LEE EMPLOYEE 299996 52187 0 0 0 0 8700 0 20688 0 329384 52187 0 0 ALLEN HIXON ASSISTANT SECRETARY/EMPLOYEE 79445 281057 0 0 0 0 2373 0 257 0 82075 281057 0 0 LARRY SHAPIRO CEO / INTERIM CMO UNTIL NOV 2021 335530 0 0 0 0 0 8700 0 16265 0 360495 0 0 0 ANTHONY GUERRERO DIRECTOR/EMPLOYEE 115980 217860 0 0 0 0 3475 0 419 0 119874 217860 0 0 CHRISTINA WAI EMPLOYEE 303810 0 0 0 0 0 8700 0 6178 0 318688 0 0 0 KAMAL MASAKI DIRECTOR/EMPLOYEE 66623 246454 0 0 0 0 1999 0 0 0 68622 246454 0 0 LEE BUENCONSEJO-LUM DIRECTOR/EMPLOYEE 87212 221221 0 0 0 0 0 0 236 0 87448 221221 0 0 KENNETH NAKAMURA DIRECTOR 0 252082 0 0 0 0 0 0 0 0 0 252082 0 0 HENRY LEW DIRECTOR/EMPLOYEE UNTIL DEC 2021 0 211166 0 0 0 0 0 0 0 0 0 211166 0 0 HENRY ELLIS CFO 177512 0 0 0 0 0 5445 0 16265 0 199222 0 0 0 JOSEPH KAHOLOKULA DIRECTOR 0 198296 0 0 0 0 0 0 0 0 0 198296 0 0 LAUREN BENDINER IN HOUSE COUNSEL UNTIL OCT 2021 143194 0 0 0 0 0 4593 0 25186 0 172973 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 III, LINE 2 THE ORGANIZATION EXPANDED HAWAII KEIKI APRN AND RN SERVICES TO ADDRESS SCHOOL HEALTH SUPPORT FOR SELECTED DEPARTMENT OF EDUCATION (DOE) COMPLEX AREAS. FORM 990, PART III, LINE 3 THE ORGANIZATION COMPLETED TRANSITIONING FIVE CLINICAL DEPARTMENTS (PSYCHIATRY, GERIATRIC, INTERNAL MEDICINE, SURGERY, PARTIAL OBSTETRICS AND GYNECOLOGY) LOCATED AT QUEEN'S MEDICAL CENTER TO THE QUEEN'S MEDICAL CENTER AND FAMILY MEDICINE AND THE REST OF THE OBSTETRICS AND GYNECOLOGY LOCATED AT HAWAII PACIFIC HEALTH PALI MOMI COMPLEX TO THE HAWAII PACIFIC HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS IN DETAIL THE INFORMATION, FIGURES, AND OTHER DETAILS OF THE FORM 990, AND PRESENTS THE FORM 990 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, HIXON, HOLCOMBE, LEW, MASAKI, MURAYAMA, ZALUD, KUWADA AND RAMOS) ARE ALSO UCERA EMPLOYEES AND ARE COMPENSATED BY UCERA FOR THEIR WORK AS EMPLOYEES. UCERA BOARD MEMBERS (BUENCONSEJO-LUM, GUERRERO, HEDGES, HIXON, HOLCOMBE, KAHOLOKULA, LEW, MASAKI, MURAYAMA, NAKAMURA, AND ZALUD) 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 889838 CASH UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE K 6397 CASH UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE P 5310555 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.