HOSPICE HAWAII INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE HAWAII INC (EIN 99-0203930)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-04
- IRS object ID
- 202133089349304473
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-04T18:56:29-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990203930 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE HAWAII INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 8089249255 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 IWILEI ROAD | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 968175018 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TORI ABE CARAPELHO | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8089249255 | PhoneNum |
| Signature | 2021-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TORI | PersonFirstNm |
| Person Last | ABE CARAPELHO | 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 | NAVIAN HAWAII | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TORI ABE CARAPELHO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 IWILEI ROAD | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 968175018 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,075,697 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NAVIANHAWAII.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE QUALITY OF LIFE FOR PERSONS FACING LIFE-LIMITING ILLNESSES AND FOR THEIR FAMILIES THROUGH DIRECT HOSPICE SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK WHEREVER THE PATIENT RESIDES AND THROUGH COMMUNITY EDUCATION ON THE ISLANDS OF OAHU, MOLOKAI AND LANAI. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 147 | TotalEmployeeCnt |
| Total Volunteers | 46 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,056,733 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,279,688 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,607,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,631,087 | CYProgramServiceRevenueAmt |
| PY Investment Income | $134,237 | PYInvestmentIncomeAmt |
| CY Investment Income | $231,981 | CYInvestmentIncomeAmt |
| PY Other Revenue | $38,820 | PYOtherRevenueAmt |
| CY Other Revenue | -$31,082 | CYOtherRevenueAmt |
| PY Total Revenue | $12,836,975 | PYTotalRevenueAmt |
| CY Total Revenue | $14,111,674 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $52,256 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,706,703 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,096,241 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $511,563 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,575,700 | PYOtherExpensesAmt |
| CY Other Expenses | $5,036,601 | CYOtherExpensesAmt |
| PY Total Expenses | $13,282,403 | PYTotalExpensesAmt |
| CY Total Expenses | $13,185,098 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$445,428 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $926,576 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,077,457 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,642,847 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,316,670 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,706,794 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,760,787 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,936,053 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE THE QUALITY OF LIFE FOR PERSONS FACING LIFE-LIMITING ILLNESSES AND FOR THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,809,399 | ExpenseAmt |
| Grant | $24,616 | GrantAmt |
| Revenue | $11,790,558 | RevenueAmt |
| Desc | DIRECT HOSPICE SERVICES: HOSPICE HAWAII DBA NAVIAN HAWAII PROVIDES EXPERT MEDICAL, EMOTIONAL, PRACTICAL, PSYCHO-SOCIAL, AND SPIRITUAL CARE TO PERSONS FACING LIFE-LIMITING ILLNESSES AND TO THEIR FAMILIES 24 HOURS A DAY, SEVEN DAYS A WEEK BY QUALIFIED PHYSICIANS, NURSES, HOSPICE AIDES, SOCIAL WORKERS, NON-DENOMINATIONAL CHAPLAINS, AND OTHER PROFESSIONALS ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI. PATIENTS MAY RECEIVE OUR CARE IN THEIR OWN HOMES AND IN NURSING FACILITIES AND CARE HOMES WHERE THEY RESIDE. IN 2020, HOSPICE HAWAII SERVED 863 PATIENTS ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI AND HAD 51,989 PATIENT DAYS OF CARE. OF THOSE PATIENT DAYS OF CARE, 4,682 DAYS WERE FOR PEDIATRIC CARE IN OUR PEDIATRIC CONCURRENT CARE PROGRAM, THE FIRST IN HAWAII. HOSPICE HAWAII DBA NAVIAN HAWAII ALSO PROVIDED UNCOMPENSATED AND CHARITY CARE IN 2020 AT AN ESTIMATED COST OF $51,000. HOSPICE HAWAII DBA NAVIAN HAWAII VOLUNTEER SERVICES TO PATIENTS AND THEIR FAMILIES IN 2020 WERE ENRICHED BY OUR VOLUNTEER TRAININGS THAT EDUCATED 15 HOSPICE HAWAII VOLUNTEERS IN 4 TRAININGS. COMMUNITY BEREAVEMENT SUPPORT MET MONTHLY (EXCEPT IN MARCH WHEN THE COVID-19 PANDEMIC STARTED) ON OAHU AND MOLOKAI VIA ZOOM MEETINGS AND PHONE CALLS. A TOTAL OF 28 GROUPS MET LAST YEAR AND APPROXIMATELY 161 INDIVIDUALS WERE SERVED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $839,094 | ExpenseAmt |
| Grant | $27,640 | GrantAmt |
| Revenue | $841,944 | RevenueAmt |
| Desc | INPATIENT HOSPICE SERVICES: THE KAILUA HOME ON THE ISLAND OF OAHU PROVIDES RESIDENTIAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK TO OUR HOSPICE PATIENTS THAT CANNOT BE ADEQUATELY PROVIDED CARE IN THEIR OWN HOMES. PATIENTS RECEIVE EXPERT, COMPASSIONATE CARE AND AROUND THE CLOCK MONITORING TO BE KEPT AS SYMPTOM FREE AND COMFORTABLE AS POSSIBLE IN OUR FIVE-BED HOMELIKE RESIDENTIAL FACILITY. IN 2020, THE KAILUA HOME SERVED 77 PATIENTS AND PROVIDED 1,520 PATIENT DAYS OF CARE. IN 2020, THE HOPE HOUSE ON LANAI (FUNDED BY THE MANELE KOELE GRANT) SERVED 1 PATIENT AND PROVIDED 4 PATIENT DAYS OF CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $842,642 | ExpenseAmt |
| Desc | COMMUNITY EDUCATION: HOSPICE HAWAII DBA NAVIAN HAWAII GIVES PRESENTATIONS TO HEALTHCARE AGENCIES AND TO THE COMMUNITY ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI WITH REGARDS TO LIFE-LIMITING ILLNESSES TO INFORM AND EDUCATE THE PUBLIC. IN 2020, HOSPICE HAWAII EMPLOYEES EDUCATED THE PUBLIC ON HOSPICE SERVICES, HOSPICE MYTHS, PALLIATIVE CARE, HISTORY & PHILOSOPHY OF HOSPICE AND PALLIATIVE CARE, END OF LIFE CARE ISSUES, ADVANCE CARE PLANNING, SPIRITUALITY, AND DEALING WITH GRIEF DURING HOLIDAY. ADDITIONALLY, HOSPICE HAWAII PARTNERS WITH OTHER HOSPICE AND PALLIATIVE CARE ORGANIZATIONS TO INFORM THE COMMUNITY ON END OF LIFE MATTERS. IN 2020, HOSPICE HAWAII EMPLOYEES MADE 27 PRESENTATIONS TO VARIOUS GROUPS ON THE PREVIOUSLY MENTIONED TOPICS. DUE TO THE COVID-19 PANDEMIC, THERE WERE FEWER PRESENTATIONS HELD IN 2020. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $11,491,135 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | 0 | 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 | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 147 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WENNIE TOMITA | PersonNm |
| Phone | 8087918002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 IWILEI ROAD | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 968175018 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CREIGHTON KK LIU | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN T SAKAMOTO | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN NITAO | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICK KEENE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEN ANCHETA JR | |||||||
| IMMEDIATE PAST CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VICKI BORGES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN CHING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BOKI CHUNG | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE EUGENIO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KARLEE PALMS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANY VAIOLETI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER ANN WALKER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BENNETT WO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL JAMES YANI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TORI ABE CARAPELHO | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $168,321 | $0 | $18,932 | ||
| WENNIE TOMITA | |||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $117,284 | $0 | $17,016 | ||
| JOAN EMMA GROTE | |||||||
| MEDICAL DIRECTOR | 26.00 | $167,600 | $0 | $34,062 | Yes (X) | ||
| CRAIG FURUYA | |||||||
| DIRECTOR OF CLINICAL ADMINISTRATION | 40.00 | $116,197 | $0 | $22,799 | Yes (X) | ||
| MARJORIE ESSENBERG | |||||||
| APRN | 40.00 | $112,927 | $0 | $14,603 | Yes (X) | ||
| MERYL WEISS | |||||||
| PATIENT CARE MANAGER | 40.00 | $108,014 | $0 | $10,032 | Yes (X) | ||
| KIMBERLY WUN | |||||||
| APRN | 40.00 | $103,596 | $0 | $20,182 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $893,939 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $137,626 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 |
|---|---|---|---|---|---|
| PALOLO CHINESE HOME | |||||
| 2459 10TH AVENUE | HONOLULU | HI | 96816 | NURSING HOME SERVICES | $521,255 |
| KAHALA SENIOR LIVING COMMUNITY | |||||
| 4389 MALIA STREET | HONOLULU | HI | 96821 | NURSING HOME SERVICES | $287,486 |
| MEDICAL SOLUTIONS | |||||
| 1010 NORTH 102ND ST SUITE 300 | OMAHA | NE | 68114 | STAFFING SERVICES | $180,276 |
| KA PUNAWAI OLA | |||||
| 91-575 FARRINGTON HIGHWAY | KAPOLEI | HI | 96707 | NURSING HOME SERVICES | $156,515 |
| PEARL CITY NURSING HOME | |||||
| 919 LEHUA AVENUE | PEARL CITY | HI | 96782 | NURSING HOME SERVICES | $101,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $37,513 | FederatedCampaignsAmt |
| Fundraising | $99,149 | FundraisingAmt |
| Government Grants | $242,486 | GovernmentGrantsAmt |
| All Other Contributions | $900,540 | AllOtherContributionsAmt |
| Total Contributions | $1,279,688 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $12,631,087 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,631,087 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,631,087 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125,697 | TotalRevenueColumnAmt |
| Exclusion | $125,697 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,037,435 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $928,351 | SecuritiesAmt |
| Other | $2,800 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $109,084 | SecuritiesAmt |
| Other | -$2,800 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,284 | TotalRevenueColumnAmt |
| Exclusion | $106,284 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $375 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $99,149 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $32,872 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$32,497 | TotalRevenueColumnAmt |
| Exclusion | -$32,497 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $1,415 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,415 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,415 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,111,674 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,632,502 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $199,484 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,256 | TotalAmt |
| Program Services | $52,256 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,553 | TotalAmt |
| Program Services | $93,627 | ProgramServicesAmt |
| Management And General | $181,113 | ManagementAndGeneralAmt |
| Fundraising | $46,813 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,101,874 | TotalAmt |
| Program Services | $5,377,617 | ProgramServicesAmt |
| Management And General | $473,174 | ManagementAndGeneralAmt |
| Fundraising | $251,083 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,549 | TotalAmt |
| Program Services | $73,549 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,056,503 | TotalAmt |
| Program Services | $903,287 | ProgramServicesAmt |
| Management And General | $98,843 | ManagementAndGeneralAmt |
| Fundraising | $54,373 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,762 | TotalAmt |
| Program Services | $461,348 | ProgramServicesAmt |
| Management And General | $54,275 | ManagementAndGeneralAmt |
| Fundraising | $27,139 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,070 | TotalAmt |
| Management And General | $13,070 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,745 | TotalAmt |
| Management And General | $34,745 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,471 | TotalAmt |
| Management And General | $26,471 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,962 | TotalAmt |
| Program Services | $481,597 | ProgramServicesAmt |
| Management And General | $156,450 | ManagementAndGeneralAmt |
| Fundraising | $21,915 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,597 | TotalAmt |
| Program Services | $99,967 | ProgramServicesAmt |
| Management And General | $36,630 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,956 | TotalAmt |
| Program Services | $178,302 | ProgramServicesAmt |
| Management And General | $47,561 | ManagementAndGeneralAmt |
| Fundraising | $71,093 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,318 | TotalAmt |
| Program Services | $162,899 | ProgramServicesAmt |
| Management And General | $419 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,612 | TotalAmt |
| Program Services | $342,171 | ProgramServicesAmt |
| Management And General | $24,290 | ManagementAndGeneralAmt |
| Fundraising | $11,151 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,279 | TotalAmt |
| Program Services | $85,797 | ProgramServicesAmt |
| Management And General | $482 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,438 | TotalAmt |
| Program Services | $43,048 | ProgramServicesAmt |
| Management And General | $11,293 | ManagementAndGeneralAmt |
| Fundraising | $4,097 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77 | TotalAmt |
| Management And General | $77 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,604 | TotalAmt |
| Program Services | $78,238 | ProgramServicesAmt |
| Management And General | $8,244 | ManagementAndGeneralAmt |
| Fundraising | $4,122 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,778 | TotalAmt |
| Program Services | $129,738 | ProgramServicesAmt |
| Management And General | $15,263 | ManagementAndGeneralAmt |
| Fundraising | $19,777 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PATIENT SERVICES & SUPP | $2,834,383 | $2,834,383 |
| BAD DEBT EXPENSE | $93,311 | $93,311 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,185,098 | TotalAmt |
| Program Services | $11,491,135 | ProgramServicesAmt |
| Management And General | $1,182,400 | ManagementAndGeneralAmt |
| Fundraising | $511,563 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $900 | BOYAmt |
| EOY | $900 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,745,970 | BOYAmt |
| EOY | $3,920,958 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,478 | BOYAmt |
| EOY | $190,350 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,181,302 | BOYAmt |
| EOY | $1,031,254 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,483 | BOYAmt |
| EOY | $20,115 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,811 | BOYAmt |
| EOY | $66,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,631,411 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,311,474 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,121 | BOYAmt |
| EOY | $319,937 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,479,820 | BOYAmt |
| EOY | $4,062,298 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,572 | BOYAmt |
| EOY | $30,582 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,077,457 | BOYAmt |
| EOY | $9,642,847 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,273,774 | BOYAmt |
| EOY | $1,187,045 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $236,346 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,249,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,896 | BOYAmt |
| EOY | $34,403 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,316,670 | BOYAmt |
| EOY | $2,706,794 | 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 | $4,900,507 | BOYAmt |
| EOY | $6,029,160 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,280 | BOYAmt |
| EOY | $906,893 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,760,787 | BOYAmt |
| EOY | $6,936,053 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,077,457 | BOYAmt |
| EOY | $9,642,847 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $926,576 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $248,690 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,150,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,518,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,385,328 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,056,733 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,279,688 | CurrentTaxYearAmt |
| Total | $6,391,050 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,150,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,518,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,385,328 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,056,733 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,279,688 | CurrentTaxYearAmt |
| Total | $6,391,050 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,018,172 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,372,878 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,674 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $129,223 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $132,769 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $125,697 | CurrentTaxYearAmt |
| Total | $595,610 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $105,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $144,930 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,344 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,415 | CurrentTaxYearAmt |
| Total | $404,439 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,391,099 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $24,416,119 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.59160 | PublicSupportCY170Pct |
| Public Support PY170 | 0.59540 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 105,000. 2017 AMOUNT: $ 144,930. 2018 AMOUNT: $ 149,750. 2019 AMOUNT: $ 3,344. 2020 AMOUNT: $ 1,415. | 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 C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $402 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $402 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $11,490,733 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $11,491,135 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $724,557 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $181,139 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $767,523 | CurrentYearMinus3Amt |
| Current Year Minus2 | $791,445 | CurrentYearMinus2Amt |
| Current Year Minus1 | $719,824 | CurrentYearMinus1Amt |
| Current Year | $724,557 | CurrentYearAmt |
| Total | $3,003,349 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,505,024 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $289 | CurrentYearMinus3Amt |
| Current Year Minus2 | $363 | CurrentYearMinus2Amt |
| Current Year Minus1 | $405 | CurrentYearMinus1Amt |
| Current Year | $402 | CurrentYearAmt |
| Total | $1,459 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $191,881 | CurrentYearMinus3Amt |
| Current Year Minus2 | $197,861 | CurrentYearMinus2Amt |
| Current Year Minus1 | $179,956 | CurrentYearMinus1Amt |
| Current Year | $181,139 | CurrentYearAmt |
| Total | $750,837 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,126,256 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,258 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,258 | OtherExpendituresAmt |
| End Year Balance | $750,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $18,674 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,674 | OtherExpendituresAmt |
| End Year Balance | $750,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,692 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,692 | OtherExpendituresAmt |
| End Year Balance | $750,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,024 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,024 | OtherExpendituresAmt |
| End Year Balance | $750,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,803 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,803 | OtherExpendituresAmt |
| End Year Balance | $750,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| 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 | $321,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,406 | DepreciationAmt |
| Book Value | $102,625 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,310,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,093,068 | DepreciationAmt |
| Book Value | $217,312 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $319,937 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHARITABLE GIFT ANNUITY | Desc |
| Amt | $34,403 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $34,403 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,798,026 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,798,026 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $26,471 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $287,177 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $313,648 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,111,674 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,027,147 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,027,147 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $26,471 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $131,480 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $157,951 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,185,098 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUND IS PERMANENTLY RESTRICTED BY THE DONOR OF THE FUNDS TO 1) PROVIDE CARE FOR INDIGENT TERMINALLY ILL PATIENTS AND THEIR FAMILIES AND 2) PROVIDE RESPITE CARE FOR FAMILIES WHO CANNOT AFFORD HOME HEALTHCARE SERVICES AND WHOSE FINANCIAL RESOURCES ARE LESS THAN THE FINANCIAL RESOURCES OF FIFTY PERCENT OF THE INDIVIDUALS IN THIS COMMUNITY. ONLY THE EARNINGS OF THE ENDOWMENT ARE AVAILABLE FOR USE TOWARD THIS CHARITABLE PURPOSE. |
| 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 NAVIAN HAWAII'S TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. NAVIAN HAWAII 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 46,613. BAD DEBT EXPENSE 93,311. REALIZED GAINS 109,084. ASSISTANCE TO INDIVIDUALS 38,169. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 93,311. ASSISTANCE TO INDIVIDUALS 38,169. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | NA HOA MALAMA GALA | Event1Nm |
| Gross Receipts Event1 | $44,800 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $44,800 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $19,175 | OtherDirectExpensesEvent1Amt |
| Event2 | HOT PURSUIT RUN | Event2Nm |
| Gross Receipts Event2 | $54,349 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $54,349 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $13,697 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $375 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $375 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $0 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $99,524 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $99,149 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $375 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $32,872 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $32,872 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$32,497 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| NON-BILLABLE ROUTINE CARE, ROOM & BOARD | 12 | $31,231 | COMPUTED COST | NON-BILLABLE ROUTINE CARE, ROOM & BOARD |
| SUPPLIES AND SERVICES | 24 | $20,000 | ACTUAL COST | SUPPLIES & SERVICES |
| NON-COVERED CREMATION SERVICES | 1 | $1,025 | ACTUAL COST | NON-COVERED CREMATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT TRACKING REPORTS PREPARED AND UPDATED MONTHLY. MONITOR USE OF FUNDS VIA THESE REPORTS. PAYMENT FOR SERVICES AND SUPPLIES ARE PAID DIRECTLY TO THE SERVICE PROVIDER OR VENDOR. CROSSCHECKED WITH RECORDS TO ENSURE SERVICES ARE APPLIED TO CORRECT RECIPIENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOAN EMMA GROTE | ||||||||||||||
| MEDICAL DIRECTOR | $167,600 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $14,562 | $0 | $201,662 | $0 | $0 | $0 |
| TORI ABE CARAPELHO | ||||||||||||||
| PRESIDENT & CEO | $148,321 | $0 | $20,000 | $0 | $0 | $0 | $4,450 | $0 | $14,482 | $0 | $187,253 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND IS REVIEWED BY ITS PRESIDENT/CHIEF EXECUTIVE OFFICER WHO SIGNS THE RETURN. THE RETURN IS DISTRIBUTED IN DRAFT FORM TO ALL MEMBERS OF THE FINANCE AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS AND RECOMMENDATIONS FOR MODIFICATION OR CORRECTION OF THE RETURN, IF ANY, ARE MADE PRIOR TO FILING. THE FINAL FORM 990 IS OFFERED FOR DISTRIBUTION TO ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS AND STAFF ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT AFFIRMING THAT THEY UNDERSTAND AND AGREE TO COMPLY WITH THE POLICY BY REPORTING ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. DISCLOSURE STATEMENTS, IF ANY, ARE RECEIVED AND REVIEWED BY THE BOARD OF DIRECTORS OR A COMMITTEE OF THE BOARD BY DISCLOSURE OF THE EXISTENCE OF THE INTEREST AND ALL MATERIAL FACTS AND TO THE BOARD OF COMMITTEE. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS AND BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER EVERY TWO YEARS. COMPENSATION IS CONSISTENT WITH COMMUNITY STANDARDS AS STUDIED AND EVALUATED BY EXECUTIVES ON THE BOARD OF DIRECTORS OF HOSPICE HAWAII ON A VOLUNTEER BASIS AT NO COST. THE COMPENSATION OF ALL STAFF IS EVALUATED AND MEASURED AGAINST COMMUNITY STANDARDS ANNUALLY BY HUMAN RESOURCE MANAGEMENT AND REVIEWED BY THE PRESIDENT. DOCUMENTATION OF THE PROCESS AND FINDINGS IS RETAINED IN COMPANY RECORDS. THE PROCESS WAS LAST UNDERTAKEN IN 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. BECAUSE HOSPICE HAWAII FILED ITS FORM 1023 PRIOR TO JULY 15, 1987, THE ORGANIZATION IS EXEMPT FROM THE REQUIREMENT OF SUPPLYING A COPY OF THE FORM 1023 FOR PUBLIC INSPECTION. |
Comments