2021-05-14T21:48:57-05:00 2020-06-30 990292355 KKDLY LLC 745 FORT ST STE 2100 HONOLULU HI 96813 990 2019-07-01 990284222 HAWAII HEALTH AND HARM REDUCTION CENTER HAWA 8085212437 677 ALA MOANA BLVD NO 226 HONOLULU HI 96813 CLIFFORD CHANG TREASURER 8085212437 2021-05-13 0 QIANYING NICHOLS P01236169 8085213962 2021-05-13 2019 2022-09-23 18:48:47Z HEATHER LUSK 677 ALA MOANA BLVD NO 226 HONOLULU HI 96813 9954053 0 X WWW.HHHRC.ORG X 1990 HI SEE SCHEDULE O 14 14 70 33 0 0 8149055 7276373 1904452 2650600 8041 14266 0 0 10061548 9941239 214917 373684 0 0 3128213 3305117 0 0 193774 6205414 6369864 9548544 10048665 513004 -107426 2987154 3289356 1289484 1699112 1697670 1590244 X SEE SCHEDULE O 0 0 3426897 373684 SEE SCHEDULE O 1802513 SEE SCHEDULE O 2043265 2650600 SEE SCHEDULE O 1720714 RYAN WHITE PART B SERVICESTHE HAWAI'I STATE DEPARTMENT OF HEALTH'S HARM REDUCTION SERVICES BRANCH (HRSB) PARTNERS WITH HHHRC TO ADMINISTER THE RYAN WHITE PART B GRANT AND SUB-CONTRACT TO AGENCIES THAT ARE CURRENTLY PROVIDING CARE AND SERVICES TO PEOPLE LIVING WITH HIV (PLWH). RYAN WHITE PART B SERVICES, WHICH INCLUDES A COMPREHENSIVE CASE MANAGEMENT SYSTEM, AS WELL AS OTHER SUPPORT SERVICES, ARE PROVIDED BY AIDS SERVICE ORGANIZATIONS, HOUSING PROGRAMS, COMMUNITY HEALTH CENTERS AND OTHER MEDICAL FACILITIES. HAWAI'I HEALTH & HARM REDUCTION CENTER CURRENTLY CONTRACTS WITH 6 AGENCIES TO PROVIDE RYAN WHITE PART B SERVICES. HHHRC'S OTHER RESPONSIBILITIES INCLUDE:-PROMOTING COORDINATION AND INTEGRATION OF COMMUNITY RESOURCES-FISCAL COORDINATION OF BILLINGS TO THE STATE-ASSURING PROVISION OF COMPREHENSIVE CORE MEDICAL AND SUPPORT SERVICES-EVALUATING THE SPECIFIC OUTCOMES OF SUB-RECIPIENTS THROUGH SITE VISITS AND CONTRACT MONITORING-OVERSEEING THE CLINICAL QUALITY MANAGEMENT PROGRAM-AND PROVIDING CORE MEDICAL AND SUPPORTIVE SERVICES TO PLWH 163701 HHHRC IS SUBCONTRACTED TO PROVIDE CAPACITY BUILDING ASSISTANCE (CBA) TO COMMUNITY-BASED ORGANIZATIONS (CBOS) IN HAWAII AND AFFILIATED TERRITORIES, WHICH ARE EITHER FUNDED DIRECTLY OR INDIRECTLY THROUGH THE CDC TO PROVIDE HIV PREVENTION SERVICES. 1884415 9157090 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 70 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X X X PLEONPIT WUTTAYAGON 8085212437 677 ALA MOANA BLVD STE 226 HONOLULU HI 96813 CLIFFORD CHANG TREASURER 1.00 X X 0 0 0 NICHOLAS AIELLO PRESIDENT 1.00 X X 0 0 0 MINDY MCDERMOTT VICE PRESIDENT 1.00 X X 0 0 0 JOHN CASKEN RN MPH PHD SECRETARY 1.00 X X 0 0 0 ALAN KATZ MD MPH DIRECTOR 1.00 X 0 0 0 BRANDON KAMIGAKI DIRECTOR 1.00 X 0 0 0 CHRISTINE YASUMA DIRECTOR 1.00 X 0 0 0 JENNIFER KATRES LMHC DIRECTOR 1.00 X 0 0 0 DR JILL OMORI DIRECTOR 1.00 X 0 0 0 LAURIE MIZUNO DIRECTOR 1.00 X 0 0 0 MICHAELA RINKEL PHD DIRECTOR 1.00 X 0 0 0 MOANIKE'ALA CROWELL ESQ EDD DIRECTOR 1.00 X 0 0 0 SUSIE FUJIKAWA DIRECTOR 1.00 X 0 0 0 SARA YAMAMOTO DIRECTOR 1.00 X 0 0 0 HEATHER LUSK EXECUTIVE DIRECTOR 40.00 X 105000 0 9732 CHRISTINA WANG APRN RX 40.00 X 126115 0 8976 231115 0 18708 2 0 0 0 GREGORY HOUSE PROGRAM 200 N VINEYARD BLVD STE A310 HONOLULU HI 96817 SUBRECIPIENT 606871 UNIVERSITY CLINICAL EDUCATION & RESEARC PO BOX 31000 HONOLULU HI 968495647 SUBRECIPIENT 419358 WAIKIKI HEALTH CENTER 277 OHUA AVENUE HONOLULU HI 96815 SUBRECIPIENT 382654 HAWAII ISLAND HIVAIDS FOUNDATION 74-5620 PALANI RD STE 101 KAILUAKONA HI 96740 SUBRECIPIENT 357183 MAUI AIDS FOUNDATION 1935 MAIN ST STE 101 WAILUKU HI 967931784 SUBRECIPIENT 291634 5 13833 43492 6115569 1103479 7786 7276373 340B DRUG PURCHASE PRO 900099 2650600 2650600 2650600 10398 10398 3868 0 3868 3868 3868 12814 43492 12814 0 9941239 2650600 0 14266 X 373684 373684 114868 47096 67772 2518287 2208796 178429 131062 52156 44683 4876 2597 387750 332195 36255 19300 232056 198808 21698 11550 2857833 2842056 11727 4050 682442 613648 60648 8146 322953 162993 156730 3230 50326 50326 10477 10477 95856 95856 39572 16444 23128 340B DRUG PURCHASE PROG 2043265 2043265 PARKING 151326 135740 9441 6145 STAFF TRAINING 70409 56362 12398 1649 MISCELLANEOUS 17099 7985 4594 4520 28306 23009 3772 1525 10048665 9157090 697801 193774 136506 968490 411500 566763 1836297 1218511 50303 65900 832624 397613 517867 435011 34681 34681 2987154 3289356 1033426 999492 256058 699620 1289484 1699112 X 1527315 1059215 170355 531029 1697670 1590244 2987154 3289356 -107426 0 X 0 1 X 1 1 1 X 3138753 3560166 4424012 8149055 7276373 26548359 3138753 3560166 4424012 8149055 7276373 26548359 26548359 24 356 1 8041 10398 18820 26567179 4853096 0.99930 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288005 91576 196429 345025 163077 181948 199594 142960 56634 435011 CAPITAL LEASE 21996 DEFERRED LIABILITY 23624 SBA PPP LOAN 654000 699620 X 9941239 0 9941239 0 9941239 10048665 0 10048665 0 10048665 PART X, LINE 2: AS REQUIRED BY THE UNCERTAIN TAX POSITION GUIDANCE IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, HHHRC RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION AFTER AN AUDIT. HHHRC HAS EVALUATED ITS TAX POSITIONS AND BELIEVES THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HHHRC IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS ENDED JUNE 30, 2016 AND PRIOR. ALOHA PRIDE STREET FESTIVAL 20201 13066 7135 7135 PRIDE FESTIVAL 13116 11828 1288 1288 3 22989 18598 4391 4391 56306 43492 12814 12814 12814 0 1 MEDICAL AND LIVING EXPENSE ASSISTANCE 429 314371 7786 FMV CLOTHING MEDICAL TRANSPORTATION ASSISTANCE 134 51527 PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ASSISTANCE IS PROVIDED TO CLIENTS BY AN APPLICATION TO THE ORGANIZATION'S CARE DEPARTMENT WHERE IT IS REVIEWED FOR ELIGIBILITY USING CRITERIA THAT INCLUDES MEDICAL REPORTS, PERSONAL FINANCIAL STATEMENT AND INCOME LEVELS AND IS EVALUATED ON A CASE BY CASE BASIS. ALL SUBSTANTIATING DOCUMENTS, INVOICES AND RECEIPTS ARE RETAINED FOR FUTURE REFERENCE. FUNDS ARE DISTRIBUTED ACCORDING TO THE FUNDING AGENCY GUIDELINES AND RESTRICTIONS; FINAL REPORTS ARE ENTERED INTO THE REGGIE SYSTEM AND ARE FORWARDED TO FUNDING AGENCIES ALONG WITH REQUESTS TO PAY. THE MAJORITY OF DIRECT ASSISTANCE IS PAID TO VENDORS (SUCH AS UTILITY COMPANIES, MEDICAL AND DENTAL CLINICS AND FOR BUS VOUCHERS) ON BEHALF OF CLIENTS. FORM 990, PART I, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: REDUCING HARM, PROMOTING HEALTH, CREATING WELLNESS, AND FIGHTING STIGMA IN HAWAI'I AND THE PACIFIC. HAWAI'I HEALTH AND HARM REDUCTION CENTER (HHHRC) SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. WE FOCUS OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. WE FOSTER HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING. FORM 990, PART III, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: REDUCING HARM, PROMOTING HEALTH, CREATING WELLNESS, AND FIGHTING STIGMA IN HAWAI'I AND THE PACIFIC. HAWAI'I HEALTH AND HARM REDUCTION CENTER (HHHRC) SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. WE FOCUS OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. WE FOSTER HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: HIV CARE SERVICES HHHRC PROVIDES HIV CARE SERVICES TO MORE THAN 700 HIV POSITIVE PEOPLE LIVING ON THE ISLAND OF OAHU. THE HIV CARE SERVICES CONSIST OF A CLINICAL DIRECTOR, 2.5 FTE APRN-RX (SPECIALIZED IN WOUND CARE AND ADDICTION MEDICINE), 0.5 FTE PSYCHIATRIST (SPECIALIZED IN ADDICTIONS MEDICINE), 2.0 FTE TEAM LEADS , COMMUNITY HEALTH NURSE, 2.0 FTE SUPPORTIVE CASE MANAGER, RYAN WHITE PROGRAM QUALITY COORDINATOR, 8.0 FTE MEDICAL CASE MANAGERS, AND 2.5 FTE PATIENT NAVIGATORS. HHHRC CARE CONTINUUM PROVIDES HIV PATIENTS WITH ACCESS TO HEALTHCARE (ACCESS TO RAPID ART FOR NEWLY DIAGNOSED PATIENTS, WOUND CARE, BEHAVIORAL HEALTH CARE, AND ADDICTION MEDICINE) INSURANCE, HOUSING, FOOD, AND FINANCIAL ASSISTANCE AS APPROPRIATE. EACH ENROLLED CLIENT WILL RECEIVE MEDICAL CASE MANAGEMENT SUPPORT WHICH INCLUDES BUT ARE NOT LIMITED TO: LINKAGE TO MEDICAL PROVIDERS INCLUDING HIV SPECIALIST, BEHAVIORAL HEALTH, PRIMARY CARE; ACCESS TO HIV/AIDS MEDICATION AND ANY OTHER MEDICATIONS AS PRESCRIBED (HDAP ASSISTANCE); FINANCIAL STABILITY (APPLYING FOR GENERAL ASSISTANCE, SSI, SSDI); HOUSING (REFERRAL TO HOUSING PROGRAMS); EMOTIONAL HEALTH (REFERRAL TO BEHAVIORAL HEALTH SERVICES). THE 8 MEDICAL CASE MANAGERS ARE RESPONSIBLE FOR A CASELOAD OF 65-100 CLIENTS. THE ACUITY OF EACH CLIENT RANGE FROM BASIC MINIMAL NEEDS TO A HIGH ACUITY CLIENT THAT NEEDS EXTRA SUPPORT AND SERVICES TO MEET THEIR INDIVIDUAL GOALS. TO ADDRESS THESE CHALLENGES, HHHRC'S PATIENT NAVIGATORS (2.5 FTE) WILL PROVIDE INDIVIDUALIZED CARE TO PATIENTS WITH HIGH ACUITY THAT NEED EXTRA SUPPORT AND ASSISTANCE IN GETTING TO MEDICAL APPOINTMENTS, MEDICATION ADHERENCE, AND SUPPORT WITH DAILY LIVING FUNCTIONS. THE MEDICAL CASE MANAGERS AND PATIENT NAVIGATORS ARE PART OF THE MEDICAL TREATMENT TEAM AND HELP TO PROVIDE COMPREHENSIVE AND WRAP AROUND CARE FOR PEOPLE LIVING WITH HIV. DURING THE FISCAL YEAR, HHHRC ASLO PROVIDED A MEDICAL DIRECTOR AND MEDICAL SUPPORT STAFF FOR A TEMPORARY ISOLATION AND QUARANTINE CENTER FOR UNSHELTERED PERSONS WHO ARE SYMPTOMATIC, HAVE UNDERLYING CONDITIONS AND ARE AWAITING COVID-19 TEST RESULTS, OR WHO HAVE TESTED POSITIVE FOR COVID-19. FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE: HIV PREVENTION SERVICES A CORE FUNCTION OF HHHRC SINCE ITS INCEPTION IN THE EARLY 1980S HAS BEEN TO FIGHT THE SPREAD OF HIV AND AIDS IN THE HAWAIIAN ISLANDS. THIS HAS INVOLVED VARIOUS STRATEGIES OVER THE YEARS BUT HAS ALWAYS REVOLVED AROUND MAKING SURE THAT PEOPLE KNOW THEIR HIV AND HCV STATUS AND REACHING OUT TO PEOPLE WHO ARE OR MAY BECOME INVOLVED IN BEHAVIORS THAT PUT THEM AT HIGH RISK FOR CONTRACTING HIV AND/OR HCV. IN THE PAST YEAR, THESE STRATEGIES HAVE INCLUDED HIV AND HCV RAPID TESTING OF NEARLY 600 PEOPLE IN THE OFFICE AS WELL AS REMOTE LOCATIONS THROUGHOUT OAHU. OF THESE, APPROXIMATELY 1% WERE POSITIVE FOR HIV. IN ADDITION, HHHRC OUTREACH WORKERS HAVE PERFORMED OVER 15,000 HIV PREVENTION INTERACTIONS AMONG INDIVIDUALS AND GROUPS WITH PRIORITY POPULATIONS BEING MEN WHO HAVE SEX WITH MEN, PARTNERS OF HIV-POSITIVE, PEOPLE WHO INJECT DRUGS AND THEIR PARTNERS, AND TRANSGENDERED PEOPLE. OUTREACH SERVICES HAPPEN IN THE COMMUNITY WHERE THESE INDIVIDUALS CONGREGATE AND ON-LINE. THE KUA'ANA PROJECT PROVIDES SUPPORTIVE SOCIAL SERVICES INCLUDING HIV PREVENTION EDUCATION, EMPLOYMENT, DOMESTIC VIOLENCE AND LEGAL REFERRAL SERVICES TO THE TRANSGENDER COMMUNITY. FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE: 340B DRUG PURCHASE PROGRAM HHHRC PROVIDES 340B SERVICES UNDER 2 CATEGORIES WHICH INCLUDE HIV AND STD. THE 340B PROGRAM WAS DEVELOPED TO HELP PATIENTS THAT ARE PRIVATELY INSURED (NON MEDICAID) ACCESS THEIR MEDICATION FROM OUR CONTRACTED PHARMACY AND RECEIVE ASSISTANCE WITH CO-PAY COST. THE PROGRAM WAS DESIGNED TO HELP SUPPORT AIDS SERVICE ORGANIZATION INCREASE REVENUE FOR THEIR AGENCIES BY PURCHASING HIV/AIDS MEDICATIONS AT A SIGNIFICANTLY REDUCED AMOUNT AND INSURANCE COMPANIES REIMBURSE AT THE NORMAL RATE. WE CURRENTLY SERVE 15 PREP (PRE EXPOSURE PROPHYLAXIS/PREVENTION FOR HIV) PATIENTS UNDER 340B STD AND 62 PATIENTS UNDER 340B HIV PROGRAM. ALL OF THESE PATIENTS RECEIVE THEIR MEDICATION THROUGH 5 MINUTE PHARMACY. THE PHARMACY IS RESPONSIBLE FOR REORDERING MEDICATIONS AND FILING CLAIMS WITH THE HEALTH INSURANCE PLANS. ALL OF THE HIV PATIENTS ARE ASSIGNED TO A MEDICAL CASE MANAGER AND ALL OF THE PREP PATIENTS ARE ASSIGNED TO THE PREP & TESTING COORDINATOR. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE COMPLETED FORM 990 (INCLUDING REQUIRED SCHEDULES) AND AUDITED FINANCIAL STATEMENTS WILL BE PROVIDED, BY THE AUDITING FIRM, TO THE BOARD TREASURER AND THE BOARD'S FINANCE COMMITTEE FOR REVIEW. ANY QUESTIONS OR CONCERNS WILL BE NOTED AND ADDRESSED, AND THE FINANCE MANAGER SHALL ENSURE THAT ANY APPROPRIATE CHANGES ARE INCORPORATED WITHIN A WEEK, WHICH THEN SHALL BE SIGNED BY THE EXECUTIVE DIRECTOR OR OTHER AUTHORIZED OFFICER OF HHHRC. THE FORM 990 SHALL THEN BE FILED WITH THE IRS ON A TIMELY BASIS; PROVIDED, IF MANAGEMENT CONSIDERS IT FEASIBLE AND APPROPRIATE UNDER THE CIRCUMSTANCES, IT MAY DISTRIBUTE THE FINAL VERSION OF THE FORM 990 (WITH REQUIRED SCHEDULES) TO EVERY VOTING MEMBER OF HHHRC'S BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. THE FINAL FORM MAY BE DISTRIBUTED EITHER IN PAPER OR ELECTRONIC FORM IN ANY MANNER DEEMED APPROPRIATE BY THE BOARD TREASURER. A COPY OF THE FILED FORM 990, IF THE FINAL VERSION WAS NOT CIRCULATED PRIOR TO FILING, SHALL BE CIRCULATED TO THE BOARD OF DIRECTORS AS PROMPTLY AS REASONABLY PRACTICAL AFTER THE FILING, AND IN NO CASE LATER THAN ITS NEXT REGULAR MEETING FOLLOWING SUCH FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PRESENTED TO EACH BOARD MEMBER ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH MUST BE COMPLETED BY EACH MEMBER INDICATING EITHER THAT THE MEMBER PERCEIVES NO CONFLICT OF INTEREST OR LISTING POTENTIAL CONFLICTS IN ORDER TO PUT THE ORGANIZATION AND OTHER BOARD MEMBERS ON NOTICE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE SITS AS THE ORGANIZATION'S COMPENSATION COMMITTEE FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR THE EXECUTIVE DIRECTOR. IN SO DOING, THE COMMITTEE DETERMINES THE EXECUTIVE DIRECTOR'S LEVEL AND QUALITY OF PERFORMANCE DURING THE PREVIOUS YEAR AND CONDUCTS A BRIEF SURVEY WITHIN THE HONOLULU COMMUNITY TO DETERMINE THE CURRENT RANGE OF COMPENSATION FOR CHIEF EXECUTIVE POSITIONS AT ORGANIZATIONS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO HHHRSC. THE COMMITTEE THEN USES THE RESULT OF BOTH PERFORMANCE REVIEW AND SALARY SURVEYS TO FASHION AN EXECUTIVE DIRECTOR COMPENSATION PACKAGE FOR THE COMING YEAR. THE EXECUTIVE DIRECTOR, IN TURN PERFORMS THE SAME PROCESS RELATIVE TO THE OPERATION AND FINANCIAL DIRECTOR AND PROGRAM DEPARTMENT HEADS. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS PUBLISHED TO THE ORGANIZATION WEBSITE. OTHER AVAILABLE GOVERNANCE DOCUMENTS INCLUDING PRINTED COPIES OF FORM 990 AND CONFLICTS OF INTEREST POLICIES CAN BE FOUND AT THE BUSINESS OFFICE OF THE HHHRC. FORM 990, PART IX, LINE 11G CONSULTANT FEES: PROGRAM SERVICE EXPENSES 2,842,056. MANAGEMENT AND GENERAL EXPENSES 11,727. FUNDRAISING EXPENSES 4,050. TOTAL EXPENSES 2,857,833.