UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (EIN 99-0307152)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-20
IRS object ID
201440209349300424
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-01-20T17:09:08-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN261659234EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CW ASSOCIATES CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1700 BISHOP STREET SUITE 1040AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990307152EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY CLINICAL EDUCATION &BusinessNameLine1
Business Name Line2RESEARCH ASSOCIATES (UCERA)BusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone8084694961Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1677 ALA MOANA BOULEVARD NO 1001AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR ARNAR MAGNUSSONName
TitleACTING CHIEF EXECUTIVE OFFICERTitle
Phone8084694961Phone
Date Signed2014-01-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK A HAYESName
PTINP00085205PTIN
Phone8085311040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR ARNAR MAGNUSSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1677 ALA MOANA BOULEVARD NO 1001AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31208856GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UCERA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FUNDING TO BUILD AND SUSTAIN THE INFRASTRUCTURE OF THE JOHN A. BURNS SCHOOL OF MEDICINE AND ITS DEPARTMENTS: FUND RESEARCH, EDUCATION, AND SCHOLARLY DEVELOPMENT; PROVIDE ADDITIONAL RESOURCES TO RECRUIT, RETAIN, AND DEVELOP QUALIFIED FACULTY AT THE UNIVERSITY OF HAWAII; PROVIDE CLINICAL TRAINING AND EDUCATION TO STUDENTS OF THE UNIVERSITY OF HAWAII, AND PROVIDE HEALTH CARE TO THE GENERAL PUBLIC, WITH SPECIAL ATTENTION TO THE POOR AND OTHER UNDERSERVED POPULATIONS OF HAWAII AND THE PACIFIC REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees280TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year796293ContributionsGrantsPriorYear
Contributions Grants Current Year361083ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29948734ProgramServiceRevenuePriorYear
Program Service Revenue CY28682295ProgramServiceRevenueCY
Investment Income Prior Year6040InvestmentIncomePriorYear
Investment Income Current Year22081InvestmentIncomeCurrentYear
Other Revenue Prior Year217522OtherRevenuePriorYear
Other Revenue Current Year70533OtherRevenueCurrentYear
Total Revenue Prior Year30968589TotalRevenuePriorYear
Total Revenue Current Year29135992TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17611390SalariesEtcPriorYear
Salaries Etc Current Year16648987SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year23184TotalFundrsngExpCurrentYear
Other Expense Prior Year10678876OtherExpensePriorYear
Other Expenses Current Year10435522OtherExpensesCurrentYear
Total Expenses Prior Year28290266TotalExpensesPriorYear
Total Expenses Current Year27084509TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2678323RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2051483RevenuesLessExpensesCY
Total Assets BOY15226164TotalAssetsBOY
Total Assets EOY17702496TotalAssetsEOY
Total Liabilities BOY3802874TotalLiabilitiesBOY
Total Liabilities EOY4237241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11423290NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13465255NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUCERA IS A NON-PROFIT ORGANIZATION ESTABLISHED TO FURTHER THE MISSION AND VISION OF THE JOHN A. BURNS SCHOOL OF MEDICINE AT THE UNIVERSITY OF HAWAII (JABSOM). IT CONTRIBUTES TO JABSOM'S 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 SCHOOL. IT SUPPORTS FINANCIAL DIVERSIFICATION OF THE SCHOOL BY DEVELOPING REVENUE GENERATING INITIATIVES IN COLLABORATION WITH HOSPITALS, GOVERNMENT AGENCIES AND OTHER ENTITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19024556Expense
Revenue28229505Revenue
DescriptionCLINICAL 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: GOLD BOND BUILDING (677 ALA MOANA BLVD, HONOLULU, HI 96813); 1319 PUNAHOU STREET, SUITE 800, 801, 900; 94-235 HANAWAI CIRCLE, WAIPAHU, HI 96797; QUEEN'S OUTPATIENT CENTER; PHYSICIAN'S OFFICE BUILDINGS AT QUEEN'S; LEAHI HOSPITAL; MOLOKAI GENERAL HOSPITAL. 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/WAHIAWA GENERAL CONTRACTS - 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2641853Expense
DescriptionMEDICAL SCHOOL AND FACULTY SUPPORT - IN GENERAL, PROVIDES FUNDING TO BUILD AND SUSTAIN THE INFRASTRUCTURE OF THE UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE AND ITS DEPARTMENTS. PROVIDE ADDITIONAL RESOURCES TO RECRUIT, RETAIN, AND DEVELOP QUALIFIED FACULTY AT THE UNIVERSITY OF HAWAII MEDICAL SCHOOL.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense936770Expense
DescriptionEDUCATIONAL SUPPORT - 1) IN GENERAL, PROVIDE EDUCATION AND CLINICAL TRAINING FOR THE UNIVERSITY OF HAWAII MEDICAL SCHOOL STUDENTS. 2) INTERNATIONAL TRAINING PROGRAM (INL-FS) - 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense351788Expense
Revenue462543Revenue
DescriptionRESEARCH SUPPORT - UCERA HAS A QUEEN'S MEDICAL CENTER CONTRACT TO CONDUCT CARDIOVASCULAR RESEARCH AND EDUCATION CONSULTING FOR ABOUT 6 HOURS PER WEEK. THERE WAS NO OTHER RESEARCH ACTIVITY THROUGH UCERA IN FISCAL YEAR 2013. UCERA IS IN POSITION TO ACCOMODATE RESEARCH ACTIVITIES THAT REQUIRE HIPAA COMPLIANT HANDLING OF PROTECTED HEALTH INFORMATION (PHI).Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp351788TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev462543TotalOfOtherProgramServiceRev
Total Program Service Expense22954967TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees280NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSEPH ADRIANOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8084694959TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1677 ALA MOANA BOULEVARD NO 1001AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HEDGES JERRIS
CHAIR10.00XX000
TAM ELIZABETH
VICE CHAIR1.00XX000
BURNS JAMES
SECRETARY1.00XX000
ERNE MICHAEL
TREASURER1.00XX000
IZUTSU SATORU
DIRECTOR/EMPLOYEE20.00X8786000
HARRIGAN ROSANNE
DIRECTOR1.00X000
HIXON ALLEN L
DIRECTOR/EMPLOYEE20.00X7005202099
MASAKI KAMAL
DIRECTOR/EMPLOYEE2.00X000
KAHOLOKULA JOSEPH
DIRECTOR1.00X000
ZALUD IVICA
DIRECTOR/EMPLOYEE48.00X24372206573
SCHILLER ALAN
DIRECTOR1.00X000
NAKAMURA KENNETH
DIRECTOR1.00X000
GUERRERO ANTHONY PS
DIRECTOR/EMPLOYEE20.00X6902302070
STEINEMANN SUSAN
DIRECTOR/EMPLOYEE21.00X24700908540
BOLAND MARY
DIRECTOR1.00X000
HOLZMAN JOHN
DIRECTOR1.00X000
KATEKARU ANNE
DIRECTOR1.00X000
ANG KHENG SEE
DIRECTOR1.00X000
YOSHIZAWA DIRK
DIRECTOR1.00X000
HIGA JILL
FORMER TREASURER1.00XX000
KILLEEN JEFFREY
FORMER DIRECTOR1.00X000
SAUVAGE LYNNAE
FORMER DIRECTOR/EMPLOYEE40.00X35413105787
TAKANISHI DANNY
FORMER DIRECTOR/EMPLOYEE15.00X10049800
MAGNUSSON ARNAR
CMO/EMPLOYEE16.00X10025800
BLANCHETTE PATRICIA AL
CEO/EMPLOYEE40.00X24897809986
ADRIANO JOSEPH
CFO/EMPLOYEE40.00X13003305157
KWAK LAUREN IN HOUSE COUNSEL
CHIEF COMPLIANCE OFFICER40.00X120000360
CASSADY SHARMINI K FORMER IN HOUSE
COUNSEL/CHIEF COMPLIANCE OFFICER40.00X162884018107
CARNEY MICHAEL
EMPLOYEE40.00357936019270X
LORENZO CEDRIC SF
EMPLOYEE40.0033586807505X
BURLINGAME JANET
EMPLOYEE40.0031985907918X
KIM ROBERT J
EMPLOYEE40.00306315016890X
TERADA KEITH
EMPLOYEE40.0027576309092X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3422189TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation119354TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UH OFFICE OF RESEARCH SVC
2530 DOLE ST SAKAMAKI D-200HONHI96822PHYSICIAN/ADMIN COMP3497782
KAEO RAD LLC
4348 WAIALAE AVENUEHONOLULUHI96816IT MANAGEMENT SERVICES275235
HAWAII RESIDENCY PROGRAM INC
1356 LUSITANA STREET 5TH FLOOR51HONOLULUHI96813ADMIN COMPENSATION108467
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions361083AllOtherContributions
Noncash Contributions100262NoncashContributions
Total Contributions361083TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SPECIALTY CLINICS6214001559567915595679
HAWAII PACIFIC HEALTH62111056543505654350
QUEENS MEDICAL CENTER62111056125015612501
OTHER CONTRACTS90009913572221357222
FEES AND CONTRACT FROM GOVERNMENT900099462543462543
FieldValueIRS element (for citing)
Total Program Service Revenue28682295TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21629TotalRevenueColumn
Exclusion$21,629ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real60780Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real60780Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column60780TotalRevenueColumn
Exclusion$60,780ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2073316Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2072864Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities452Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column452TotalRevenueColumn
Exclusion$452ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionNON-OPERATING INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column9753TotalRevenueColumn
Related Or Exempt Function Income9753RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9753TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29135992TotalRevenueColumn
Related Or Exempt Function Income28692048RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$82,861ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1863136Total
Program Services1562312ProgramServices
Management And General298899ManagementAndGeneral
Fundraising1925Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12820361Total
Program Services10792560ProgramServices
Management And General2014036ManagementAndGeneral
Fundraising13765Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total249151Total
Program Services204925ProgramServices
Management And General44226ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total817604Total
Program Services543152ProgramServices
Management And General274452ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total898735Total
Program Services745031ProgramServices
Management And General153704ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33781Total
Management And General33781ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total57485Total
Management And General57485ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1619Total
Management And General1619ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total156962Total
Program Services146023ProgramServices
Management And General10366ManagementAndGeneral
Fundraising573Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total634577Total
Program Services508756ProgramServices
Management And General125116ManagementAndGeneral
Fundraising705Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1456709Total
Program Services1050798ProgramServices
Management And General403637ManagementAndGeneral
Fundraising2274Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total289527Total
Program Services271269ProgramServices
Management And General18156ManagementAndGeneral
Fundraising102Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total268817Total
Program Services200815ProgramServices
Management And General67621ManagementAndGeneral
Fundraising381Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total133436Total
Program Services44352ProgramServices
Management And General88585ManagementAndGeneral
Fundraising499Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES717416467111344604362594
MISCELLANEOUS EXPENSE17226213902032996246
DUES AND MEMBERSHIP561833482021243120

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27084509Total
Program Services22954967ProgramServices
Management And General4106358ManagementAndGeneral
Fundraising23184Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27000BOY
EOY27175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9039060BOY
EOY10126752EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3786760BOY
EOY3513761EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY539323BOY
EOY562621EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2746768LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1667827LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1282202BOY
EOY1078941EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1981033EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY551819BOY
EOY412213EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15226164BOY
EOY17702496EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3132810BOY
EOY2688836EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY393388BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY276676BOY
EOY1548405EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3802874BOY
EOY4237241EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11061760BOY
EOY13085410EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY361530BOY
EOY279583EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY100262EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11423290BOY
EOY13465255EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15226164BOY
EOY17702496EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2051483ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-9518ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years648029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years460366CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149287CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year796293CurrentTaxYearMinus1Year
Current Tax Year361083CurrentTaxYear
Total2415058Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24790162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26274147CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29883097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29948734CurrentTaxYearMinus1Year
Current Tax Year28682295CurrentTaxYear
Total139578435Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25438191CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26734513CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30032384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30745027CurrentTaxYearMinus1Year
Current Tax Year29043378CurrentTaxYear
Total141993493Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years10000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year200CurrentTaxYear
Total30200Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years10000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year200CurrentTaxYear
Total30200Total
FieldValueIRS element (for citing)
Public Support Total509141963293PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57726CurrentTaxYearMinus1Year
Current Tax Year82409CurrentTaxYear
Total474394Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57726CurrentTaxYearMinus1Year
Current Tax Year82409CurrentTaxYear
Total474394Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years117136CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years127709CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year165631CurrentTaxYearMinus1Year
Current Tax Year9753CurrentTaxYear
Total420229Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25645991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26925753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30212448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30968384CurrentTaxYearMinus1Year
Current Tax Year29135540CurrentTaxYear
Total142888116Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99350PublicSupportPercentage509
Prior Year Support Percentage0.99120PriorYearSupportPercentage
Investment Income Percentage0.00330InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00470PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: NON-OPERATING INCOME - 2009 AMOUNT: $ 117,136. 2011 AMOUNT: $ 9,750. 2012 AMOUNT: $ 9,753. OTHER REVENUE - 2010 AMOUNT: $ 127,709. 2011 AMOUNT: $ 155,881.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions100262Contributions
End Of Year Balance100262EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis708060OtherCostOrOtherBasis
Depreciation59311Depreciation
Book Value648749BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2038708OtherCostOrOtherBasis
Depreciation1608516Depreciation
Book Value430192BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1078941TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO JABSOMDescription
Amount$1,548,405Amount
FieldValueIRS element (for citing)
Total Of Amounts1548405TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt29106540TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-9518NetUnrealizedGainsInvestments
Revenue Not Rptd F990-9518RevenueNotRptdF990
Revenue Subtotal29116058RevenueSubtotal
Investment Expenses Not Included1619InvestmentExpensesNotIncluded
Other Revenues Not Included18315OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt19934RevenueNotRptdOnFinStmt
Total Revenue Per Form99029135992TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27082890TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal27082890ExpensesSubtotal
Investment Expenses Not Included21619InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt1619ExpensesNotRptdOnFinStmt
Total Expenses Per Form99027084509TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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 SUBSEQUENT TO YEAR-END.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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 UCERA'S TAX POSTIONS AS OF JUNE 30, 2013 AND 2012 AND FOR THE YEARS THEN ENDED BY REVIEWING ITS INCOME TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT UCERA HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE INCOME TAX RETURNS ARE OPEN FOR EXAMINATION BY THE TAXING AUTHORITIES UNTIL THE STATUTES OF LIMITATIONS EXPIRE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -81,947. INCREASE IN PERMANENTLY RESTRICTED NET ASSETS 100,262.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ZALUD IVICA
DIRECTOR/EMPLOYEE1905100532120006573000250295000
STEINEMANN SUSAN
DIRECTOR/EMPLOYEE2312450157640007340012000255549000
SAUVAGE LYNNAE
FORMER DIRECTOR/EMPLOYEE16217701919540005787000359918000
BLANCHETTE PATRICIA AL
CEO/EMPLOYEE248978000007536024500258964000
CASSADY SHARMINI K FORMER IN HOUSE
COUNSEL/CHIEF COMPLIANCE OFFICER1628840000050470130600180991000
CARNEY MICHAEL
EMPLOYEE32072203721400091860100840377206000
LORENZO CEDRIC SF
EMPLOYEE2985160373520000075050343373000
BURLINGAME JANET
EMPLOYEE2395440803150007918000327777000
KIM ROBERT J
EMPLOYEE306315000009252076380323205000
TERADA KEITH
EMPLOYEE2314960442670007892012000284855000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonELMER TAM JR MEMBER OF KAEO RADNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILY MEMBER OF ELIZABETH TAM, M.D., CURRENT OFFICER/DIRECTORRelationship
Amount Of Transaction267470AmountOfTransaction
Description Of TransactionSERVICES AS CHIEF INFORMATION OFFICER (CONSULTANT). THE PAYMENT TO ELMER TAM, JR. IS TO HIS COMPANY, KAEO RAD, LLC, SOME OF WHICH HE USES TO PAY FOR PERSONNEL COST AND OTHER OPERATING COST OF THE COMPANY.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990100262NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART I, LINE 6, DESCRIPTION OF VOLUNTEERS:THE ONLY VOLUNTEERS UTILIZED BY UCERA ARE THE VOLUNTEER BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15ATHE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD AND COMPENSATION COMMITTEE. NATIONAL COMPARATORS ARE USED, INCLUDING THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), ASSOCIATION OF THE AMERICAN MEDICAL COLLEGES (AAMC), AND SULLIVAN & COTTER COMPENSATION BENCHMARKS. THIS PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND WAS LAST UNDERTAKEN IN 2011.
FORM 990, PART VI, SECTION C, LINE 19THE 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 (GUERRERO, HIXON, IZUTSU, MASAKI, ZALUD, STEINEMANN, SAUVAGE (TERM ENDED 12/14/12), AND TAKANISHI (TERM ENDED 6/22/13)) ARE ALSO UCERA EMPLOYEES AND ARE COMPENSATED BY UCERA FOR THEIR WORK AS EMPLOYEES. UCERA BOARD MEMBERS (DRS. BOLAND, HARRIGAN, HEDGES, IZUTSU, KAHOLOKULA, SCHILLER, MASAKI, NAKAMURA, HIXON, ZALUD, STEINEMANN, AND TAM) ARE EMPLOYEES OF RELATED ORGANIZATIONS, THE UNIVERSITY OF HAWAII (UH) JOHN A. BURNS SCHOOL OF MEDICINE AND THE UH SCHOOL OF NURSING, AND ARE COMPENSATED DIRECTLY BY UH FOR THEIR PROFESSIONAL SERVICES AS UH EMPLOYEES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1651 ILALO STREET MEB 223AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN996000354EIN
Primary ActivitiesMEDICAL SCHOOLPrimaryActivities
Legal Domicile StateHILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE
P4473501CASH
UNIVERSITY OF HAWAII JOHN A BURNS SCHOOL OF MEDICINE
Q356743ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE R, PART V, LINE 2(1):REIMBURSEMENT PAID TO JABSOM FOR SALARIES, FRINGE BENEFITS, AND MALPRACTICE INSURANCE.
FORM 990, SCHEDULE R, PART V, LINE 2(2):REIMBURSEMENT TO BE PAID BY JABSOM FOR RENT.

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