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        <ExplanationTxt>HAMAKUA HEALTH CENTER, INC. IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3), AND EXEMPT FROM STATE INCOME TAXES UNDER SECTION 416-19 AND 416-20 OF THE HAWAII REVISED STATUTES. THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS REQUIRED. THE ACCOUNTING STANDARD FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE CENTER AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2023 AND 2022. THE CENTER FILES ITS FORMS 990 IN THE U.S. FEDERAL JURISDICTION AND THE OFFICE OF THE ATTORNEY GENERAL FOR THE STATE OF HAWAII. THE CENTER IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2019.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IRENE CARPENTER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>165102</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7322</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172424</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY GIASOLLI</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>186957</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9087</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196044</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE MARQUETTE</PersonNm>
        <TitleTxt>CMO/APRN/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>182773</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9323</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>192096</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC MURRAY</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>199368</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9087</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208455</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA BATOL</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>204410</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18974</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223384</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSELYN CHANG</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>176548</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9087</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185635</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED IN DETAIL BY THE BUSINESS AFFAIRS COMMITTEE, THEN THE ENTIRE BOARD OF DIRECTORS PERFORMS A FINAL REVIEW AND APPROVES THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF AT ANY TIME DURING HIS/HER TENURE A DIRECTOR OF THE BOARD CONCLUDES THAT HIS/HER MEMBERSHIP AND/OR AFFILIATION WITH ANY ORGANIZATION OR COMPANY DOING BUSINESS WITH OR HAVING A CONTRACTUAL OR OTHER RELATIONSHIP WITH THE HAMAKUA HEALTH CENTER RESULTS IN A CONFLICT OF INTEREST, THAT DIRECTOR SHALL DISCLOSE TO THE BOARD SUCH MATERIAL FACTS REGARDING SUCH INTEREST, AND NOTE THEREOF WILL BE RECORDED IN THE MINUTES. APPROPRIATE ACTION WILL THEN BE TAKEN AS DETERMINED BY A MAJORITY VOTE OF THE BOARD (IN WHICH SUCH DIRECTOR SHALL NOT HAVE A VOTE). DEPENDING ON THE CIRCUMSTANCES, SUCH ACTION SHALL INCLUDE: 1. ABSTAINING FROM VOTING, AND/OR 2. WITHDRAWAL FROM A MEETING DURING DISCUSSION, AND/OR 3. RESIGNATION FROM THE BOARD OR TERMINATION OF SUCH DIRECTOR'S MEMBERSHIP IN OR AFFILIATION WITH, SUCH AN ORGANIZATION OR COMPANY. INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR OF A COMMITTEE WHICH AUTHORIZED SUCH CONTRACT OR TRANSACTION WHICH IS THE SOURCE OF THE CONFLICT. APPROVAL OF SUCH CONTRACT OR TRANSITION SHALL REQUIRE THE APPROVAL OF A MAJORITY (OR GREATER NUMBER IF NECESSARY) OF THE DISINTERESTED DIRECTORS. IF THE EXECUTIVE COMMITTEE ASCERTAINS THAT SUCH A CONFLICT OF INTEREST EXISTS, AND THE DIRECTOR INVOLVED HAS NOT VOLUNTEERED TO BRING IT BEFORE THE BOARD, THE EXECUTIVE COMMITTEE MAY REQUIRE SAID DIRECTOR TO TAKE ONE OR MORE OF THE APPROPRIATE ACTIONS OUTLINED ABOVE, OR MAY REQUIRE SUCH TRANSACTION TO BE RATIFIED BY THE BOARD IF SUCH CONFLICT OF INTEREST IS DISCOVERED AFTER THE BOARD HAS APPROVED SUCH TRANSACTION. EACH BOARD MEMBER MUST SIGN A CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT UPON JOINING THE BOARD AND ANNUALLY THEREAFTER EACH JANUARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED AS FOLLOWS: 1. PERFORMANCE EVALUATION CONDUCTED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. 2. WAGE AND SALARY ANALYSIS CONDUCTED WITH THE HELP OF THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, THE HAWAII PRIMARY CARE ASSOCIATION, AND THE HAWAII EMPLOYERS' COUNCIL. 3. THE GOVERNANCE COMMITTEE RECOMMENDS SALARY ADJUSTMENT TO THE BUSINESS AFFAIRS COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROPRIATENESS AND ALIGNMENT WITH THE BUDGET. 4. THE BUSINESS AFFAIRS COMMITTEE MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND THE FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS &amp; CONTRACTORS 177,514 280,285 0 PAYROLL FEES 14,391 22,723 0 PROVIDERS 63,516 100,289 0 BILLING SERVICES 107,658 169,987 0 PRACTICE MANAGEMENT 111,452 175,978 0 TOTAL 474,531 749,262 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 302,242 NET UNREALIZED GAIN ON PENSION 45,619 COST OF GOODS SOLD -302,242 TOTAL 45,619</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AHARO HAWAII</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>86-260 FARRINGTON HIGHWAY</AddressLine1Txt>
          <CityNm>WAIANAE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96792</ZIPCd>
        </USAddress>
        <EIN>472848796</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AHARO HAWAII</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>6902</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>