UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (EIN 99-0307152)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2021-11-23
- IRS object ID
- 202123279349300247
- Schema version
- 2020v4.1
- 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 | 2021-11-23T17:46:23-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 261659234 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CW ASSOCIATES CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 BISHOP STREET SUITE 1040 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990307152 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY CLINICAL EDUCATION & | BusinessNameLine1Txt |
| Business Name Line2 | RESEARCH ASSOCIATES (UCERA) | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 8084694961 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 ALA MOANA BOULEVARD NO 1001 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY SHAPIRO | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8084694961 | PhoneNum |
| Signature | 2021-11-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LARRY | PersonFirstNm |
| Person Last | SHAPIRO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE A KING | PreparerPersonNm |
| PTIN | P00220997 | PTIN |
| Phone | 8085311040 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY HEALTH PARTNERS OF HAWAII | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LARRY SHAPIRO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 ALA MOANA BOULEVARD NO 1001 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,858,455 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UHPHAWAII.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 533 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $12,978 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,122,672 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,486,473 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,897,738 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,182,534 | CYProgramServiceRevenueAmt |
| PY Investment Income | $735,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $323,659 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,813,813 | PYOtherRevenueAmt |
| CY Other Revenue | $53,670 | CYOtherRevenueAmt |
| PY Total Revenue | $56,570,165 | PYTotalRevenueAmt |
| CY Total Revenue | $53,046,336 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,755,093 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,973,519 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,760,396 | PYOtherExpensesAmt |
| CY Other Expenses | $12,398,620 | CYOtherExpensesAmt |
| PY Total Expenses | $51,515,489 | PYTotalExpensesAmt |
| CY Total Expenses | $51,372,139 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,054,676 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,674,197 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,525,528 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,376,733 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,342,973 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,895,387 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,182,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,481,346 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 THIER 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. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $38,548,496 | ExpenseAmt |
| Revenue | $51,223,226 | RevenueAmt |
| Desc | 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; PHYSICIANS CENTER AT MILILANI; 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,800,276 | ExpenseAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,254,199 | ExpenseAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,103,400 | ExpenseAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,103,400 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $43,706,371 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 533 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY ELLIS JR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8084694959 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 ALA MOANA BOULEVARD NO 1001 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JERRIS HEDGES | ||||||||
| CHAIR | 10.00 | 40.00 | Yes (X) | Yes (X) | $0 | $546,991 | $0 | |
| DIRK YOSHIZAWA | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ERNE | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JORDON KIMURA | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALLEN HIXON | ||||||||
| ASSISTANT SECRETARY/EMPLOYEE | 20.00 | 32.00 | Yes (X) | Yes (X) | $110,581 | $241,540 | $3,571 | |
| IVICA ZALUD | ||||||||
| ASSISTANT TREASURER/EMPLOYEE | 30.00 | 40.00 | Yes (X) | Yes (X) | $267,239 | $238,341 | $8,419 | |
| SIMEON ACOBA JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY BOLAND | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE BUENCONSEJO-LUM | ||||||||
| DIRECTOR/EMPLOYEE | 4.00 | 36.00 | Yes (X) | $86,315 | $219,393 | $59 | ||
| THOMAS DRISKILL JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY GUERRERO | ||||||||
| DIRECTOR/EMPLOYEE | 20.00 | 40.00 | Yes (X) | $149,887 | $213,006 | $4,903 | ||
| RANDALL HOLCOMBE | ||||||||
| DIRECTOR/EMPLOYEE | 15.00 | 40.00 | Yes (X) | $207,083 | $417,846 | $6,213 | ||
| JOSEPH KAHOLOKULA | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $194,565 | $0 | ||
| HENRY LEW | ||||||||
| DIRECTOR/EMPLOYEE | 1.00 | 40.00 | Yes (X) | $3,047 | $206,837 | $0 | ||
| KAMAL MASAKI | ||||||||
| DIRECTOR/EMPLOYEE | 15.00 | 40.00 | Yes (X) | $76,874 | $241,817 | $2,306 | ||
| KENRICK MURAYAMA | ||||||||
| DIRECTOR/EMPLOYEE | 20.00 | 40.00 | Yes (X) | $351,800 | $275,614 | $8,550 | ||
| KENNETH NAKAMURA | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $247,103 | $0 | ||
| ELIZABETH TAM | ||||||||
| DIRECTOR | 15.00 | 40.00 | Yes (X) | $0 | $310,381 | $0 | ||
| EDWARD ZIJAC | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY SHAPIRO | ||||||||
| CEO / INTERIM CMO | 40.00 | Yes (X) | $333,413 | $0 | $22,779 | |||
| HENRY ELLIS | ||||||||
| CFO | 40.00 | Yes (X) | $176,513 | $0 | $19,628 | |||
| RORY KANESHIRO | ||||||||
| CHIEF COMPLIANCE OFFICER | 7.00 | 7.00 | Yes (X) | $65,120 | $53,678 | $2,129 | ||
| LAUREN BENDINER | ||||||||
| IN HOUSE COUNSEL | 40.00 | Yes (X) | $145,438 | $0 | $28,631 | |||
| PATRICIA BLANCHETTE | ||||||||
| CMO UNTIL SEPTEMBER 2020 | 26.00 | 14.00 | Yes (X) | $197,680 | $0 | $6,329 | ||
| BARRY CARLTON | ||||||||
| EMPLOYEE | 30.00 | 40.00 | $505,728 | $0 | $8,949 | Yes (X) | ||
| MICHAEL CARNEY | ||||||||
| EMPLOYEE | 30.00 | 20.00 | $474,061 | $106,445 | $18,839 | Yes (X) | ||
| SUSAN STEINEMANN | ||||||||
| EMPLOYEE | 30.00 | 1.00 | $370,453 | $90,786 | $8,960 | Yes (X) | ||
| ROBERT KIM | ||||||||
| EMPLOYEE | 30.00 | 1.00 | $432,118 | $53,202 | $36,430 | Yes (X) | ||
| SCOTT HARVEY | ||||||||
| EMPLOYEE | 30.00 | 1.00 | $355,645 | $38,910 | $32,680 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,308,995 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,696,455 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $219,375 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSITY OF HAWAII-OFFICE OF RESEARCH | |||||
| 2440 CAMPUS RD BOX 368 | HONOLULU | HI | 96822 | PHYSICIAN/ADMIN COMPENSATION | $5,205,609 |
| CONSTRUCTORS HAWAII INC | |||||
| 1728 KAHAI STREET | HONOLULU | HI | 96819 | PALI MOMI CLINIC OFFICE RENOVATION | $863,433 |
| KAPIOLANI MEDICAL CENTER FOR WOMEN AND C | |||||
| 1319 PUNAHOU STREET | HONOLULU | HI | 96826 | TECHNICAL SERVICES | $253,893 |
| KAEO RAD LLC | |||||
| 4348 WAIALAE AVENUE 417 | HONOLULU | HI | 96816 | IT MANAGEMENT SERVICES | $157,161 |
| HAWAII EMERGENCY PHYSICIANS ASSOCIATED I | |||||
| PO BOX 1266 | KAILUA | HI | 96734 | HYPERBARIC CALL COVERAGE | $138,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $785,857 | GovernmentGrantsAmt |
| All Other Contributions | $700,616 | AllOtherContributionsAmt |
| Total Contributions | $1,486,473 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SPECIALTY CLINICS | 621400 | $33,126,472 | $33,126,472 |
| QUEENS MEDICAL CENTER | 621110 | $8,904,740 | $8,904,740 |
| HAWAII PACIFIC HEALTH | 621110 | $7,700,492 | $7,700,492 |
| OTHER CONTRACTS | 900099 | $1,120,482 | $1,120,482 |
| FEES AND CONTRACT FROM GOVERNMENT | 900099 | $330,348 | $330,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,182,534 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,531 | TotalRevenueColumnAmt |
| Exclusion | $146,531 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,989,247 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,790,514 | SecuritiesAmt |
| Other | $21,605 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $198,733 | SecuritiesAmt |
| Other | -$21,605 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $177,128 | TotalRevenueColumnAmt |
| Exclusion | $177,128 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-OPERATING INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $53,670 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,692 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,978 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $53,670 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,046,336 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,223,226 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,978 | UnrelatedBusinessRevenueAmt |
| Exclusion | $323,659 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,285,030 | TotalAmt |
| Program Services | $1,287,082 | ProgramServicesAmt |
| Management And General | $997,948 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,361,654 | TotalAmt |
| Program Services | $27,928,935 | ProgramServicesAmt |
| Management And General | $3,432,719 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,518 | TotalAmt |
| Program Services | $692,014 | ProgramServicesAmt |
| Management And General | $93,504 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,413,437 | TotalAmt |
| Program Services | $1,862,016 | ProgramServicesAmt |
| Management And General | $551,421 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,127,880 | TotalAmt |
| Program Services | $1,827,924 | ProgramServicesAmt |
| Management And General | $299,956 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,093 | TotalAmt |
| Management And General | $34,093 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,543 | TotalAmt |
| Management And General | $46,543 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,023 | TotalAmt |
| Management And General | $45,023 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,010 | TotalAmt |
| Program Services | $30,348 | ProgramServicesAmt |
| Management And General | $187,662 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,276 | TotalAmt |
| Program Services | $8,269 | ProgramServicesAmt |
| Management And General | $210,007 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,674 | TotalAmt |
| Program Services | $1,354,252 | ProgramServicesAmt |
| Management And General | $309,422 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,459,571 | TotalAmt |
| Program Services | $1,955,806 | ProgramServicesAmt |
| Management And General | $503,765 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,819 | TotalAmt |
| Program Services | $183,393 | ProgramServicesAmt |
| Management And General | $20,426 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157 | TotalAmt |
| Program Services | $157 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $605,917 | TotalAmt |
| Program Services | $477,332 | ProgramServicesAmt |
| Management And General | $128,585 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,014 | TotalAmt |
| Program Services | $27,279 | ProgramServicesAmt |
| Management And General | $143,735 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $6,387,636 | $5,836,864 | $550,772 |
| MISCELLANEOUS EXPENSE | $226,258 | $160,037 | $66,221 |
| DUES AND MEMBERSHIP | $118,629 | $74,663 | $43,966 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,372,139 | TotalAmt |
| Program Services | $43,706,371 | ProgramServicesAmt |
| Management And General | $7,665,768 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,218 | BOYAmt |
| EOY | $40,846 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,388,751 | BOYAmt |
| EOY | $10,358,574 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,965,113 | BOYAmt |
| EOY | $7,255,051 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,039,200 | BOYAmt |
| EOY | $1,067,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,148,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,928,566 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,617,081 | BOYAmt |
| EOY | $3,219,958 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,441,201 | BOYAmt |
| EOY | $12,360,259 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,964 | BOYAmt |
| EOY | $74,509 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,525,528 | BOYAmt |
| EOY | $34,376,733 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,606,323 | BOYAmt |
| EOY | $5,526,042 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,711,344 | BOYAmt |
| EOY | $2,895,158 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,306 | BOYAmt |
| EOY | $474,187 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,342,973 | BOYAmt |
| EOY | $8,895,387 | 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 | $20,817,423 | BOYAmt |
| EOY | $25,176,355 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,132 | BOYAmt |
| EOY | $304,991 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,182,555 | BOYAmt |
| EOY | $25,481,346 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,525,528 | BOYAmt |
| EOY | $34,376,733 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,674,197 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,624,594 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,439,231 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $915,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $888,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,122,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,486,473 | CurrentTaxYearAmt |
| Total | $5,852,324 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,643,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,381,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,607,272 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,897,738 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,182,534 | CurrentTaxYearAmt |
| Total | $228,713,080 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,083,062 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,297,074 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,495,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,020,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,669,007 | CurrentTaxYearAmt |
| Total | $234,565,404 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $60,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,300 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,850 | CurrentTaxYearAmt |
| Total | $135,750 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $60,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,300 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,850 | CurrentTaxYearAmt |
| Total | $135,750 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $234,429,654 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $149,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $193,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $146,531 | CurrentTaxYearAmt |
| Total | $847,198 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $149,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $193,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $146,531 | CurrentTaxYearAmt |
| Total | $847,198 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $263,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,284 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,800,256 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,692 | CurrentTaxYearAmt |
| Total | $5,164,859 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,495,463 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,533,993 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,692,794 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,998,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,856,230 | CurrentTaxYearAmt |
| Total | $240,577,461 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97440 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97290 | PublicSupportPY509Pct |
| Investment Income CY | 0.00350 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00370 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | NON-OPERATING INCOME - 2016 AMOUNT: $ 38,690. 2017 AMOUNT: $ 57,284. 2018 AMOUNT: $ 3,279. 2019 AMOUNT: $ 58,094. 2020 AMOUNT: $ 40,692. GRANT REIMBURSEMENTS - 2016 AMOUNT: $ 224,658. COVID-19 RELIEF AND TAX CREDITS - 2019 AMOUNT: $ 4,742,162. 2020 AMOUNT: $ 0. | ExplanationTxt |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $48,696 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,460 | AdministrativeExpensesAmt |
| End Year Balance | $163,285 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $132,804 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,638 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $13,117 | AdministrativeExpensesAmt |
| End Year Balance | $116,049 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $138,445 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,309 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $10,950 | AdministrativeExpensesAmt |
| End Year Balance | $132,804 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $127,015 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,430 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $138,445 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,720 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,295 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $127,015 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,009,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $639,017 | DepreciationAmt |
| Book Value | $2,370,892 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,138,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,289,549 | DepreciationAmt |
| Book Value | $849,066 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,219,958 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO JABSOM | Desc |
| Amt | $474,187 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $474,187 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $52,948,374 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$183,381 | OtherRevenueAmt |
| Revenue Not Reported | -$183,381 | RevenueNotReportedAmt |
| Revenue Subtotal | $53,131,755 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $45,023 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$130,442 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$85,419 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $53,046,336 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $51,165,340 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $21,605 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $21,605 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,143,735 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $45,023 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $183,381 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $228,404 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $51,372,139 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| 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, 2021 AND 2020 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 2D - OTHER ADJUSTMENTS: | RECLASSIFIED PURCHASED SERVICES EXPENSES -183,381. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | UNREALIZED GAINS(LOSSES) ON ENDOWMENT -48,696. INCREASE/(DECREASE) IN NET ASSETS WITH DONOR RESTRICTIONS -60,141. RECLASSIFIED GAIN/(LOSS) ON DISPOSAL OF PROPERTY -21,605. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASSIFIED GAIN/(LOSS) ON DISPOSAL OF PROPERTY 21,605. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFIED PURCHASED SERVICES EXPENSES 183,381. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENRICK MURAYAMA | ||||||||||||||
| DIRECTOR/EMPLOYEE | $311,800 | $275,614 | $40,000 | $0 | $0 | $0 | $8,550 | $0 | $0 | $0 | $360,350 | $275,614 | $0 | $0 |
| RANDALL HOLCOMBE | ||||||||||||||
| DIRECTOR/EMPLOYEE | $207,083 | $417,846 | $0 | $0 | $0 | $0 | $6,213 | $0 | $0 | $0 | $213,296 | $417,846 | $0 | $0 |
| MICHAEL CARNEY | ||||||||||||||
| EMPLOYEE | $277,288 | $106,445 | $196,515 | $0 | $258 | $0 | $8,550 | $0 | $10,289 | $0 | $492,900 | $106,445 | $0 | $0 |
| JERRIS HEDGES | ||||||||||||||
| CHAIR | $0 | $546,991 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $546,991 | $0 | $0 |
| ROBERT KIM | ||||||||||||||
| EMPLOYEE | $104,621 | $53,202 | $327,359 | $0 | $138 | $0 | $8,550 | $0 | $27,880 | $0 | $468,548 | $53,202 | $0 | $0 |
| BARRY CARLTON | ||||||||||||||
| EMPLOYEE | $252,182 | $0 | $253,546 | $0 | $0 | $0 | $8,550 | $0 | $399 | $0 | $514,677 | $0 | $0 | $0 |
| IVICA ZALUD | ||||||||||||||
| ASSISTANT TREASURER/EMPLOYEE | $171,482 | $238,341 | $95,499 | $0 | $258 | $0 | $8,009 | $0 | $410 | $0 | $275,658 | $238,341 | $0 | $0 |
| SUSAN STEINEMANN | ||||||||||||||
| EMPLOYEE | $355,026 | $90,786 | $15,169 | $0 | $258 | $0 | $8,550 | $0 | $410 | $0 | $379,413 | $90,786 | $0 | $0 |
| SCOTT HARVEY | ||||||||||||||
| EMPLOYEE | $248,122 | $38,910 | $107,469 | $0 | $54 | $0 | $8,550 | $0 | $24,130 | $0 | $388,325 | $38,910 | $0 | $0 |
| ANTHONY GUERRERO | ||||||||||||||
| DIRECTOR/EMPLOYEE | $108,000 | $213,006 | $41,797 | $0 | $90 | $0 | $4,494 | $0 | $409 | $0 | $154,790 | $213,006 | $0 | $0 |
| LARRY SHAPIRO | ||||||||||||||
| CEO / INTERIM CMO | $326,537 | $0 | $0 | $0 | $6,876 | $0 | $8,550 | $0 | $14,229 | $0 | $356,192 | $0 | $0 | $0 |
| ALLEN HIXON | ||||||||||||||
| ASSISTANT SECRETARY/EMPLOYEE | $63,267 | $241,540 | $46,918 | $0 | $396 | $0 | $3,306 | $0 | $265 | $0 | $114,152 | $241,540 | $0 | $0 |
| KAMAL MASAKI | ||||||||||||||
| DIRECTOR/EMPLOYEE | $74,012 | $241,817 | $2,862 | $0 | $0 | $0 | $2,306 | $0 | $0 | $0 | $79,180 | $241,817 | $0 | $0 |
| ELIZABETH TAM | ||||||||||||||
| DIRECTOR | $0 | $310,381 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $310,381 | $0 | $0 |
| LEE BUENCONSEJO-LUM | ||||||||||||||
| DIRECTOR/EMPLOYEE | $86,315 | $219,393 | $0 | $0 | $0 | $0 | $0 | $0 | $59 | $0 | $86,374 | $219,393 | $0 | $0 |
| KENNETH NAKAMURA | ||||||||||||||
| DIRECTOR | $0 | $247,103 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $247,103 | $0 | $0 |
| HENRY LEW | ||||||||||||||
| DIRECTOR/EMPLOYEE | $3,047 | $206,837 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,047 | $206,837 | $0 | $0 |
| PATRICIA BLANCHETTE | ||||||||||||||
| CMO UNTIL SEPTEMBER 2020 | $186,641 | $0 | $0 | $0 | $11,039 | $0 | $5,930 | $0 | $399 | $0 | $204,009 | $0 | $0 | $0 |
| HENRY ELLIS | ||||||||||||||
| CFO | $169,850 | $0 | $0 | $0 | $6,663 | $0 | $5,399 | $0 | $14,229 | $0 | $196,141 | $0 | $0 | $0 |
| JOSEPH KAHOLOKULA | ||||||||||||||
| DIRECTOR | $0 | $194,565 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $194,565 | $0 | $0 |
| LAUREN BENDINER | ||||||||||||||
| IN HOUSE COUNSEL | $139,748 | $0 | $0 | $0 | $5,690 | $0 | $4,647 | $0 | $23,984 | $0 | $174,069 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELMER TAM JR MEMBER OF KAEO RAD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF ELIZABETH TAM, M.D., CURRENT DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $157,161 | TransactionAmt |
| Transaction | SERVICES AS IT SERVICE CONSULTANT. THE PAYMENT TO ELMER TAM, JR. IS TO HIS COMPANY, KAEO RAD, LLC, OF WHICH HE PAYS FOR PERSONNEL COSTS AND OTHER OPERATING COSTS. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 COVID-19 FOR SELECTED DOE COMPLEX AREAS AND A NEW SERVICE CONTRACT WITH RESEARCH CORPORATION OF UNIVERSITY OF HAWAII TO PERFORM COVID-19 TESTING. |
| FORM 990, PART III, LINE 3 | THE ORGANIZATION BEGAN 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. |
| 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, AND ZALUD) 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, TAM, 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY HEALTH PARTNERS AKAHAI LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 ALA MOANA BLVD STE 1001 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 852538506 | EIN |
| Primary Activities | CONTRACTS WITH MEDICAL PROVIDER | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (UCERA) | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 ILALO STREET MEB 223 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 996000354 | EIN |
| Primary Activities | MEDICAL SCHOOL | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE | ||
| J | $1,051,627 | CASH |
| UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE | ||
| K | $2,600 | CASH |
| UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE | ||
| P | $3,990,542 | CASH |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
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