2024-05-15T04:48:12-05:00 2023-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2022-07-01 823190718 HAWAII HOMELESS HEALTHCARE HUI HAWA 8086915309 PO BOX 17460 HONOLULU HI 96817 EMMANUEL KINTU DIRECTOR/EXECUTIVE DIRECTOR 8086915309 2024-05-14 1 EMMANUEL KINTU 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2024-05-09 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z EMMANUEL KINTU PO BOX 17460 HONOLULU HI 96817 880936 0 X WWW.H4HAWAII.ORG X 2017 HI TO IMPROVE ACCESS TO HEALTHCARE, HYGIENE CARE, SOCIAL SERVICES, AND TO PROVIDE MEDICAL RESPITE HOUSING TO HAWAII'S HOMELESS AND UNDERSERVED POPULATIONS. TO PROVIDE WALK-IN MEDICAL CLINIC SERVICES IN HONOLULU. 5 3 42 12 0 0 1872382 873504 -78558 4470 0 0 0 2962 1793824 880936 0 179163 0 0 1676269 1408485 0 0 0 776515 718823 2452784 2306471 -658960 -1425535 2387247 1504379 318130 860797 2069117 643582 TO IMPROVE ACCESS TO HEALTHCARE, HYGIENE CARE, SOCIAL SERVICES, AND TO PROVIDE TRANSITIONAL AND PERMANENT HOUSING TO HAWAII'S HOMELESS AND UNDERSERVED POPULATIONS. PROVIDE WALK-IN MEDICAL CLINIC SERVICES IN HONOLULU REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. 0 0 1929043 179163 7432 MEDICAL RESPITE SERVICE PROVIDES A 24-HOUR RESIDENCE WITH MEAL SERIVCE FOR HOMELESS INDIVIDUALS WHO ARE TOO ILL OR FRAIL TO RECOVER FROM AN ACUTE ILLNESS OR INJURY ON THE STREETS BUT ARE NOT SICK ENOUGH TO MEET INPATIENT LEVEL OF CARE CRITERIA FOR A HOSPITAL OR NURSING FACILITY. MEDICAL REPSITE PROVIDES A CLEAN AND SAFE ENVIRONMENT FOR A FEW DAYS TO A FEW WEEKS, WITH MEDICAL AND SOCIAL SERVICE SUPPORT, FOR PATIENTS IN RECOVERY OR RECEIVING NEAR-DEATH HOSPICE CARE. 1929043 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 42 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X DIANA CARRIS 8088437238 PO BOX 17460 HONOLULU HI 96817 ANDY MOUNTHONGDY OUTGOING DIRECTOR/PRESIDENT 40.00 X X 183579 0 31684 DARLENA CHADWICK OUTGOING DIRECTOR 1.00 X 0 0 0 DARRIN SATO DIRECTOR 1.00 40.00 X 0 178837 18132 DAVID UNDERRINER OUGOING TREASURER 1.00 X X 0 0 0 EMMANUEL KINTU DIRECTOR/EXECUTIVE DIRECTOR 1.00 40.00 X 0 313239 28653 JILL HOGGARD-GREEN OUTGOING VICE-CHAIRPERSON 1.00 X X 0 0 0 KATHY MORIMOTO OUTGOING TREASURER 1.00 X X 0 0 0 KATY AKIMOTO OUTGOING SECRETARY 1.00 X X 0 0 0 KEVIN WEBB OUTGOING CHAIRPERSON 1.00 X X 0 0 0 LIANE SUGIMOTO TREASURER/SECRETARY 1.00 1.00 X X 0 0 0 RUSSELL KAUPU VICE CHAIR 1.00 1.00 X X 0 0 0 VERNON NAKAMURA CHAIR 1.00 1.00 X X 0 0 0 KATRINA LU NURSE PRACTITIONER 32.00 X 134089 0 6082 LANDIS LUM PHYSICIAN 24.00 X 193254 0 0 510922 492076 84551 3 0 1 1 0 873504 873504 PATIENT REVENUE 621000 4470 4470 4470 2962 2962 2962 880936 7432 0 0 179163 179163 119156 119156 1109532 1109532 64780 64780 115017 115017 84465 29345 55120 82740 78021 4719 9478 948 8530 46758 40131 6627 13775 6535 7240 231582 8194 223388 30368 21843 8525 REPAIRS AND MAINTENACE 213986 155869 58117 5671 509 5162 2306471 1929043 377428 0 743528 83812 3176 8621 1654579 245618 1640543 1408961 2985 2387247 1504379 138967 285150 179163 572662 0 2985 318130 860797 X 2069117 643582 2069117 643582 2387247 1504379 -1425535 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1607094 223207 1383887 47485 22411 25074 1408961 OPERATING LEASE LIABILITIES 2985 2985 X PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. 0 WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 990273205 0 179163 STREET MEDICINE PROGRAM 1 X X 0 0 0 0 0 0 0 0 0 EMMANUEL KINTU DIRECTOR/EXECUTIVE DIRECTOR 0 264052 0 30000 0 19187 0 9150 0 19503 0 341892 0 0 ANDY MOUNTHONGDY OUTGOING DIRECTOR/PRESIDENT 168069 0 15510 0 0 0 16568 0 15116 0 215263 0 0 0 DARRIN SATO DIRECTOR 0 176138 0 2699 0 0 0 5495 0 12637 0 196969 0 0 LANDIS LUM PHYSICIAN 193254 0 0 0 0 0 0 0 0 0 193254 0 0 0 PART I, LINE 3 COMPENSATION OF OUTGOING EXECUTIVE DIRECTOR DETERMINED BY AN UNRELATED ORGANIZATION (THE QUEEN'S HEALTH SYSTEMS) WHICH IS INDEPENDENT OF HAWAII HOMELESS HEALTHCARE HUI. FORM 990, PART VI, SECTION A, LINE 4 AS OF 01/16/2023, HAWAII HOMELESS HEALTHCARE HUI AMENDED ITS BYLAWS TO MAKE KALIHI-PALAMA HEALTH CENTER THE SOLE-MEMBER OF HAWAII HOMELESS HEATLHCARE HUI. FORM 990, PART VI, SECTION A, LINE 6 KALIHI-PALAMA HEALTH CENTER IS THE SOLE-MEMBER OF HAWAII HOMELESS HEATLHCARE HUI. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF THE ORGANIZATION, KALIHI-PALAMA HEALTH CENTER HAS THE RIGHT TO ELECT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS ARE BROUGHT TO THE BOARDS ATTENTION AND AN INTERESTED PERSON MUST LEAVE ANY MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF OUTGOING EXECUTIVE DIRECTOR DETERMINED BY AN UNRELATED ORGANIZATION (THE QUEEN'S HEALTH SYSTEMS) WHICH IS INDEPENDENT OF HAWAII HOMELESS HEALTHCARE HUI. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. KALIHI-PALAMA HEALTH CENTER 915 NORTH KING STREET HONOLULU HI 96817 990161221 FQHC HI 501(C)(3) LINE 3 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0