UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES (EIN 99-0307152)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-01-12
IRS object ID
201100129349300845
Schema version
2009v1.4
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)
Timestamp2011-01-12T14:11:37-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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
Phone8085355975Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1677 Ala Moana Boulevard No 1003AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA BLANCHETTEName
TitleChief Operating OfficerTitle
Phone8085355975Phone
Date Signed2011-01-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMark A HayesName
Phone8085311040Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia BlanchetteNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1677 Ala Moana Boulevard No 1003AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26925753GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees215TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year648029ContributionsGrantsPriorYear
Contributions Grants Current Year460366ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24790162ProgramServiceRevenuePriorYear
Program Service Revenue CY26391283ProgramServiceRevenueCY
Investment Income Prior Year64595InvestmentIncomePriorYear
Investment Income Current Year8867InvestmentIncomeCurrentYear
Other Revenue Prior Year143205OtherRevenuePriorYear
Other Revenue Current Year65237OtherRevenueCurrentYear
Total Revenue Prior Year25645991TotalRevenuePriorYear
Total Revenue Current Year26925753TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13253499SalariesEtcPriorYear
Salaries Etc Current Year14225833SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year23692TotalFundrsngExpCurrentYear
Other Expense Prior Year14969944OtherExpensePriorYear
Other Expenses Current Year11341857OtherExpensesCurrentYear
Total Expenses Prior Year28223443TotalExpensesPriorYear
Total Expenses Current Year25567690TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2577452RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1358063RevenuesLessExpensesCY
Total Assets BOY8897220TotalAssetsBOY
Total Assets EOY9305721TotalAssetsEOY
Total Liabilities BOY3511908TotalLiabilitiesBOY
Total Liabilities EOY2562346TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5385312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6743375NetAssetsOrFundBalancesEOY
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
Expense19533831Expense
Revenue26134874Revenue
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. 3) Queen's Hospital and Hawaii Pacific Health/Kapiolani Hospital 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)
Expense704960Expense
DescriptionMedical School and Faculty Support - Provide 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)
Expense449719Expense
Revenue256409Revenue
DescriptionResearch Support - Project Title-Transformative Learning: Patterns of Psychophysiologic Reponse in Technology Enabled Learning and Intervention Systems. This research hypothesizes that biometric data can identify and predict the arousal patterns associated with tobacco use behavior, and that patterns of cue reactivity will allow is to differentiate between psychological and physiological arousal in smokers.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense556109Expense
DescriptionEducational Support - 1) provide education and clinical training for the University of Hawaii Medical School students. 2) International Training Program - provide international medical students and residents with U.S. training experiences at the University of Hawaii John A. Burns School of Medicine. 3) Dean-Standardized Patients - provide simulated patients for clinical skills training and examinations for School of Medicine students and residents.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp556109TotalOfOtherProgramServiceExp
Total Program Service Expense21244619TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees215NumberOfEmployees
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
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
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 BLVD 1003AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96813ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Lynnae Sauvage
DIRECTOR/EMPLOYEE48.00X25899106938
NEAL PALAFOX
DIRECTOR1.00X000
Roseanne Harrigan
DIRECTOR1.00X000
Stephen Kalani Brady
DIRECTOR/EMPLOYEE30.00X250990753
Kheng See Ang
DIRECTOR1.00X000
Kathryn Inkinen
DIRECTOR1.00X000
Jerris Hedges
PRESIDENT10.00X000X
DANNY TAKANISHI
Treasurer/EMPLOYEE17.00X7000000X
ELIZABETH TAM
VICE PRESIDENT1.00X000X
james burns
secretary1.00X000X
arnar Magnusson
CMO/EMPLOYEE16.00X7168300X
kamal masaki
DIRECTOR1.00X000
RAUL RUDOY
DIRECTOR1.00X000
ANTHONY PS GUERRERO
DIRECTOR1.00X000
JEFFREY KILLEEN
DIRECTOR1.00X000
JOHN HOLZMAN
DIRECTOR1.00X000
Patricia Blanchette
COO/EMPLOYEE40.0023070506936X
Barry Carlton
ASST PROF/EMPLOYEE58.0028962603881X
Janet Burlingame
ASST PROF/EMPLOYEE42.0028842407560X
George Graham III
ASST PROF/EMPLOYEE48.0029643207327X
Keith Terada
ASSOC PROF/EMPLOYEE48.0033646707941X
Hao Chih Ho
ASST PROF/EMPLOYEE60.0029070008697X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2158127TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation50033TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
University OF HAWAII
2555 Dole StreetHONOLULUHI96822PHYSICIAN/ADMIN COMP6420007
Research Corp of Univ of Hawaii
2800 Woodlawn Dr Ste 200HonoluluHI96822PhysiciAN/ADMIN COMP439890
King and Spalding LLP
PO Box 116133AtlantaGA303686133Legal Services406380
Kaeo Rad LLC
4348 Waialae AvenueHonoluluHI96816IT Management Services203008
SH CONSULTING LLC
1003 BISHOP ST STE 1180HONOLULUHI96813REVENUE CYCLE CONSULTING173869
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants46100GovernmentGrants
All Other Contributions414266AllOtherContributions
Total Contributions460366TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Specialty Clinics6214001209873412098734
Queens Medical Center62111072254787225478
Hawaii Pacific Health62111037604443760444
Other Contracts90009929330822933082
Fees and contract from900099256409256409

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column117136TotalRevenueColumn
Related Or Exempt Function Income117136RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26391283TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8867TotalRevenueColumn
Exclusion$8,867ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real65237Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real65237Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column65237TotalRevenueColumn
Exclusion$65,237ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26925753TotalRevenueColumn
Related Or Exempt Function Income26391283RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$74,104ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total671844Total
Program Services556032ProgramServices
Management And General115055ManagementAndGeneral
Fundraising757Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11786237Total
Program Services9754530ProgramServices
Management And General2018426ManagementAndGeneral
Fundraising13281Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total213717Total
Program Services186377ProgramServices
Management And General27340ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total756980Total
Program Services512458ProgramServices
Management And General244522ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total797055Total
Program Services654928ProgramServices
Management And General142127ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total342049Total
Program Services2424ProgramServices
Management And General339625ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19925Total
Management And General19925ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total74319Total
Program Services72317ProgramServices
Management And General21ManagementAndGeneral
Fundraising1981Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total642496Total
Program Services441148ProgramServices
Management And General200244ManagementAndGeneral
Fundraising1104Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1350655Total
Program Services977220ProgramServices
Management And General371388ManagementAndGeneral
Fundraising2047Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total266686Total
Program Services229493ProgramServices
Management And General36989ManagementAndGeneral
Fundraising204Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total212553Total
Program Services162503ProgramServices
Management And General49776ManagementAndGeneral
Fundraising274Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total161479Total
Program Services59845ProgramServices
Management And General101077ManagementAndGeneral
Fundraising557Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased services794595074700604732822608
Miscellaneous Expense248279103564143922793
Bad Debt Expense4400244002
Dues and Membership33464177181566086

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25567690Total
Program Services21244619ProgramServices
Management And General4299379ManagementAndGeneral
Fundraising23692Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY870BOY
EOY25870EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2842449BOY
EOY4319127EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4226937BOY
EOY3459947EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY394173BOY
EOY341830EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1900625LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec917540LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY859060BOY
EOY983085EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY496000BOY
EOY98000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY77731BOY
EOY77862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8897220BOY
EOY9305721EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2910779BOY
EOY1818671EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY601129BOY
EOY743675EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3511908BOY
EOY2562346EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4652129BOY
EOY6186689EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY733183BOY
EOY556686EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5385312BOY
EOY6743375EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8897220BOY
EOY9305721EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
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 Years1059818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years990236CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1021280CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year648029CurrentTaxYearMinus1Year
Current Tax Year460366CurrentTaxYear
Total4179729Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14406709CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20303974CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23755489CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24790162CurrentTaxYearMinus1Year
Current Tax Year26274147CurrentTaxYear
Total109530481Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15466527CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21294210CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24776769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25438191CurrentTaxYearMinus1Year
Current Tax Year26734513CurrentTaxYear
Total113710210Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year10000CurrentTaxYear
Total10000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years161564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years137310CurrentTaxYearMinus2Years
Total298874Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years161564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years137310CurrentTaxYearMinus2Years
Current Tax Year10000CurrentTaxYear
Total308874Total
FieldValueIRS element (for citing)
Public Support Total509113401336PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years98395CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years232850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years255753CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207800CurrentTaxYearMinus1Year
Current Tax Year74104CurrentTaxYear
Total868902Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years98395CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years232850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years255753CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207800CurrentTaxYearMinus1Year
Current Tax Year74104CurrentTaxYear
Total868902Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year117136CurrentTaxYear
Total117136Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15564922CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21527060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25032522CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25645991CurrentTaxYearMinus1Year
Current Tax Year26925753CurrentTaxYear
Total114696248Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98870PublicSupportPercentage509
Prior Year Support Percentage0.97910PriorYearSupportPercentage
Investment Income Percentage0.00760InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00850PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1777565OtherCostOrOtherBasis
Depreciation898415Depreciation
Book Value879150BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis123060OtherCostOrOtherBasis
Depreciation19125Depreciation
Book Value103935BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings983085TotalOfBookValueLandBuildings
Total Revenue26925753TotalRevenue
Total Expenses25567690TotalExpenses
Excess Or Deficit For Year1358063ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1358063ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27102250TotRevenueEtcAuditedFinclStmt
Other Revenues176497OtherRevenues
Revenue Not Rptd F990176497RevenueNotRptdF990
Revenue Subtotal26925753RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026925753TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25567690TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25567690ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025567690TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XII, Line 2d - Other Adjustments:Identifier
ExplanationChanges in temporarily restricted net assets: 176497.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (7 entries)

Base 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
Lynnae Sauvage
258991000006938000265929000
Patricia Blanchette
230705000006936000237641000
Barry Carlton
289626000003881000293507000
Janet Burlingame
288424000007560000295984000
George Graham III
296432000007327000303759000
Keith Terada
336467000007941000344408000
Hao Chih Ho
2682850224150008697000299397000

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 Transaction212829AmountOfTransaction
Description Of Transactionservices as Chief Information Officer (consultant). The payment to Elmer Tam, Jr. is to his company, Kaeo RAD, LLC, of which he pays for personnel cost and other operating cost of the company.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11Finance reviews the information, figures and other details of Form 990. The Chief Financial Officer presents the Form 990 to the Finance Committee Board.
Form 990, Part VI, Section B, line 12cThe Board members sign annually a conflict of interest statement and are provided with the policy.
Form 990, Part VI, Section B, line 15The Board reviews compensation using national comparators including the Medical Group Management Association (MGMA), Association of American Medical Colleges (AAMC), and Sullivan & Cotter compensation benchmarks.
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 1aThe board members received compensation from the organization as employees and not as board members.

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