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HAWAII STATE RURAL HEALTH ASSOCIATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HAWAII STATE RURAL HEALTH ASSOCIATION (EIN 99-0338158)
Tax period
2023-01-01 to 2023-12-31
Filed
2025-11-26
IRS object ID
202543309349300404
Schema version
2023v6.0
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)
Return2025-11-26T05:04:27-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN465002021PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ALEX J SMITH CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11403 FRANK STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96816ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990338158EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAWAII STATE RURAL HEALTH ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAWABusinessNameControlTxt
Phone8084301807PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 RAINBOW DRAddressLine1Txt
CityHILOCityNm
State AbbreviationHIStateAbbreviationCd
ZIP967202065ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUMMER MOCHIDA-MEEKPersonNm
Person TitleEXCUTIVE DIRECTORPersonTitleTxt
Phone8084301807PhoneNum
Signature2025-11-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALEX J SMITHPreparerPersonNm
PTINP00994702PTIN
Phone8089271725PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUMMER MOCHIDA-MEEKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 RAINBOW DRAddressLine1Txt
CityHILOCityNm
State AbbreviationHIStateAbbreviationCd
ZIP967202065ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,260,625GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HSRHA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO ADVOCATE FOR RURAL HEALTH ISSUES AND PROMOTE COMMINICATION, EDUCATION AND RESEARCH OF ISSUES RELATED TO RURAL HEALTH.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,511,520PYContributionsGrantsAmt
CY Contributions Grants$2,260,400CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$225CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,511,520PYTotalRevenueAmt
CY Total Revenue$2,260,625CYTotalRevenueAmt
PY Grants And Similar Paid$676,522PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$323,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$162,952PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$305,435CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$28,986CYTotalFundraisingExpenseAmt
PY Other Expenses$212,266PYOtherExpensesAmt
CY Other Expenses$1,622,742CYOtherExpensesAmt
PY Total Expenses$1,051,740PYTotalExpensesAmt
CY Total Expenses$2,251,477CYTotalExpensesAmt
PY Revenues Less Expenses$459,780PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,148CYRevenuesLessExpensesAmt
Total Assets BOY$794,066TotalAssetsBOYAmt
Total Assets EOY$820,945TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$727,182TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$794,066NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$93,763NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR VISION FOR HAWAII IS ONE WHERE EVERY PERSON CAN ENJOY A FULL AND HEALTHY LIFE MARKED BY CONNECTION, OPPORTUNITY, AND EQUITY. TO THAT END, WE WORK TOGETHER FEARLESSLY WITH PARTNERS TO CHAMPION THE NETWORKS, POLICIES, AND INNOVATIONS THAT SUPPORT THE HIGHEST QUALITY HEALTH CARE FOR RURAL COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,067,749ExpenseAmt
DescMOLOKAI KUPUNA PROJECT - THROUGH THIS PROJECT WE AIM TO IMPROVE COMMUNITY HEALTH FOR KUPUNA (ELDERLY, 65 AND OVER) ON THE ISLAND OF MOLOKAI, POST COVID-19 PANDEMIC, BY PROVIDING PHYSICAL AND MENTAL HEALTH SERVICES, ECONOMIC SUSTAINABILITY, AND OTHER SOCIO-ECONOMIC AND SOCIAL FACTORS. THE PROGRAM SERVES OVER 350 KUPUNA. THE PROGRAM ENHANCES KUPUNA'S PHYSICAL AND EMOTIONAL HEALTH, IMPROVE THEIR MENTAL HEALTH, AND MITIGATE ISOLATION THROUGH SOCIAL INTERACTION. ADDITIONALLY, THE PROGRAM EMPLOYS CONTRACTORS TO PROVIDE KUPUNA SERVICES AND OFFER VIRTUAL EDUCATION. THE PROGRAM'S FOCUS IS ON IMPROVING KUPUNA'S HEALTH STATUS POST-PANDEMIC AND ADDRESSING LONG-TERM CARE OPTIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$640,650ExpenseAmt
Grant$323,300GrantAmt
DescHOPE/VACCINE ACCESS - WE ARE PROUD TO SPEARHEAD THE HAWAII COVID-19 VACCINE ACCESS PROJECT, WHICH IS COMMITTED TO PROMOTING HEALTH EQUITY AND DIMINISHING COVID-19 RELATED HEALTH DISPARITIES. WE TAKE OWNERSHIP IN UTILIZING COMMUNITY OUTREACH WORKERS TO EDUCATE AND ASSIST PEOPLE IN GETTING VACCINATED. WE HAVE ESTABLISHED A PUBLIC HEALTH WORKFORCE, WHICH INCLUDES COMMUNITY HEALTH WORKERS, PATIENT NAVIGATORS, AND SOCIAL SUPPORT SPECIALISTS, TO PROACTIVELY PREVENT AND RESPOND TO COVID-19. OUR OUTREACH STRATEGY ENCOMPASSES DIRECT FACE-TO-FACE COMMUNICATION WITH COMMUNITY MEMBERS, HELPING THEM MAKE VACCINE APPOINTMENTS, FIND CONVENIENT LOCATIONS, AND ADDRESSING THEIR TRANSPORTATION NEEDS. WE PRIORITIZE THE WELL-BEING OF VULNERABLE AND UNDERSERVED COMMUNITIES, INCLUDING ETHNIC AND RACIAL MINORITIES AND THOSE LIVING IN SOCIALLY VULNERABLE AREAS, TO PROACTIVELY ADDRESS PERSISTENT HEALTH DISPARITIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$266,937ExpenseAmt
DescTOUCH - EXPANDS ACCESS TO QUALITY BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER CARE SERVICES IN RURAL HAWAII COMMUNITIES THROUGH TELEHEALTH SERVICES, CARE COORDINATION, COMMUNITY EDUCATION, AND RECOVERY SUPPORT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$160,162ExpenseAmt
Revenue$79,110RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$160,162TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$79,110TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,135,498TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8084301807PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 RAINBOW DRAddressLine1Txt
CityHILOCityNm
State AbbreviationHIStateAbbreviationCd
ZIP967202065ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LISA RANTZ
PRESIDENT10.00Yes (X)Yes (X)$0$0$0
JUDY MIKAMI
VICE PRESIDENT7.00Yes (X)Yes (X)$0$0$0
VALERIE JANIKOWSKI
SECRETARY7.00Yes (X)Yes (X)$0$0$0
LAURA REICHARDT
DIRECTOR5.00Yes (X)$0$0$0
KIMBERLY LEE
DIRECTOR5.00Yes (X)$0$0$0
JESIE MARQUES
DIRECTOR5.00Yes (X)$0$0$0
PUNANI HEE
DIRECTOR5.00Yes (X)$0$0$0
WAYNE ISHIZAKI
DIRECTOR5.00Yes (X)$0$0$0
RAYMOND HO
DIRECTOR5.00Yes (X)$0$0$0
AUTUMN DOWLING
DIRECTOR5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,091,396GovernmentGrantsAmt
All Other Contributions$169,004AllOtherContributionsAmt
Total Contributions$2,260,400TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$225TotalRevenueColumnAmt
Related Or Exempt Func Income$225RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$225TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,260,625TotalRevenueColumnAmt
Related Or Exempt Func Income$225RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$322,300TotalAmt
Program Services$322,300ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$225,694TotalAmt
Program Services$180,555ProgramServicesAmt
Management And General$33,854ManagementAndGeneralAmt
Fundraising$11,285FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,553TotalAmt
Program Services$46,842ProgramServicesAmt
Management And General$8,783ManagementAndGeneralAmt
Fundraising$2,928FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,188TotalAmt
Program Services$16,951ProgramServicesAmt
Management And General$3,178ManagementAndGeneralAmt
Fundraising$1,059FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,325TotalAmt
Program Services$14,660ProgramServicesAmt
Management And General$2,749ManagementAndGeneralAmt
Fundraising$916FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,037,060TotalAmt
Program Services$1,037,060ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25TotalAmt
Program Services$20ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,748TotalAmt
Program Services$29,369ProgramServicesAmt
Management And General$5,543ManagementAndGeneralAmt
Fundraising$1,836FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,992TotalAmt
Program Services$18,393ProgramServicesAmt
Management And General$3,449ManagementAndGeneralAmt
Fundraising$1,150FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$43,814TotalAmt
Program Services$35,551ProgramServicesAmt
Management And General$6,197ManagementAndGeneralAmt
Fundraising$2,066FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,286TotalAmt
Program Services$41,829ProgramServicesAmt
Management And General$7,843ManagementAndGeneralAmt
Fundraising$2,614FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,805TotalAmt
Program Services$29,444ProgramServicesAmt
Management And General$5,521ManagementAndGeneralAmt
Fundraising$1,840FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,615TotalAmt
Program Services$14,892ProgramServicesAmt
Management And General$2,792ManagementAndGeneralAmt
Fundraising$931FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER PROGRAM EXPENSES$307,969$307,969
SUPPLIES$43,828$35,243$6,439$2,146
DUES & SUBSCRIPTIONS$775$620$116$39

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Program Services$2,800ProgramServicesAmt
Management And General$525ManagementAndGeneralAmt
Fundraising$175FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,251,477TotalAmt
Program Services$2,135,498ProgramServicesAmt
Management And General$86,993ManagementAndGeneralAmt
Fundraising$28,986FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$303,674BOYAmt
EOY$448,216EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$490,392BOYAmt
EOY$372,729EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$794,066BOYAmt
EOY$820,945EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$54,432EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$672,750EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$727,182EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$794,066BOYAmt
EOY$93,763EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,066BOYAmt
EOY$93,763EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,066BOYAmt
EOY$820,945EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$9,148ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$709,451PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$108,323CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$507,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,147,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,151,520CurrentTaxYearMinus1YearAmt
Current Tax Year$2,260,400CurrentTaxYearAmt
Total$5,175,968TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$108,323CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$507,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,147,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,151,520CurrentTaxYearMinus1YearAmt
Current Tax Year$2,260,400CurrentTaxYearAmt
Total$5,175,968TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,175,968PublicSupportTotal170Amt
Total Support$5,175,968TotalSupportAmt
Gross Receipts Rltd Activities$225GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtRecipient EINRecipientEINIRC SectionIRCSectionDesc
KOHALA COAST URGERT CARE LLC
62-100 KAUNAOA DRIVEKAMUELAHI96743$75,000$0PROFESSION SUBSIDY AWARD
ISLAND ALLEVIATION
27-2470 KAHALA PLACEHILOHI96720$50,000$0PROFESSION SUBSIDY AWARD
BIG ISLAND HEALTHCARE
670 PONAHAWAI STREET SUITE 117HILOHI96720$50,000$0PROFESSION SUBSIDY AWARD
MOLOKAI ISLAND FOUNDATION
PO BOX 917KAUNAKAKAIHI96748$25,000$0TOUCH MINI GRANT AWARD760768338501(C)(3)
KA HALE POMAIKAI
PO BOX 1895KAUNAKAKAIHI96748$25,000$0TOUCH MINI GRANT AWARD912147045501(C)(3)
BIG ISLAND SUBSTANCE ABUSE COUNCIL
16-179 MELEKAHIWA STKEAAUHI96749$25,000$0TOUCH MINI GRANT AWARD990118043501(C)(3)
BRIDGE HOUSE INC
PO BOX 2489KAILUAKONAHI96745$25,000$0TOUCH MINI GRANT AWARD990293418501(C)(3)
GOING HOME HAWAII
80 PAUAHI ST STE 207HILOHI96720$20,000$0TOUCH MINI GRANT AWARD463483417501(C)(3)
NAMI HAWAII
770 KAPIOLANI BLVD STE 613HONOLULUHI96813$7,300$0TOUCH MINI GRANT AWARD990272540501(C)(3)
FRIENDLY MARKET CENTER LIMITED
P O BOX 1919KAUNAKAKAIHI96748$5,040$0RURAL HEALTH AWARD
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BDUE TO TIME CONTRAINTS, THE EXECUTIVE DIRECTOR REVIEWED AN ELECTRONIC COPY OF THE 990 PRIOR TO BEING SIGNED AND AUTHORIZED FOR SUBMITTAL. THE BOARD WILL THEN REVIEW THE 990 AT THE NEXT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY AT THE BEGINNING OF EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE ON A CASE BY CASE BASIS UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED PROGRAM SERVICES : PROGRAM SERVICE EXPENSES 1,037,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,037,060.

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