2024-08-06T15:49:21-05:00 2023-09-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2022-10-01 990250542 HO'OLA LAHUI HAWAII HOOL 8082400100 PO BOX 3990 LIHUE HI 96766 DAVID PETERS CHIEF EXECUTIVE OFFICER 8082400100 2024-08-06 1 0 RODNEY M HARANO P00389596 8085311040 2024-08-02 2022 2024-08-08 14:25:15Z DAVID PETERS PO BOX 3990 LIHUE HI 96766 10565610 0 X WWW.HOOLALAHUI.ORG X 1986 HI TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 8 8 87 9 0 0 6006131 6389139 4164980 4044785 6933 131686 0 0 10178044 10565610 0 0 0 0 5534745 6287972 0 0 106227 3494357 3430426 9029102 9718398 1148942 847212 6158767 7303988 818940 1116949 5339827 6187039 TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 0 0 4512650 2224511 PRIMARY MEDICAL CARE SERVICES SERVED 2,456 PATIENTS, MANY OF WHOM ARE NATIVE HAWAIIAN. CHRONIC AND COMMUNICABLE DISEASES AND MATERNAL CHILD HEALTH ARE ENHANCED WITH EDUCATION ON SMOKING CESSATION, ASTHMA, AND NUTRITION. 2425727 1177823 A FULL RANGE OF DENTAL SERVICES WAS PROVIDED TO 1,120 CLIENTS FOR EMERGENCY, OPERATIVE, PREVENTIVE, AND PROSTHETIC CARE. MANY OF THE PATIENTS SERVED ARE ON MEDICAID OR UNINSURED WHOM MOST OTHER SERVICE PROVIDERS ARE UNABLE TO SERVE. 1217588 642451 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES WERE PROVIDED IN A PRIMARY HEALTH CARE SETTING TO 774 CLIENTS THROUGH THERAPY AND INTERVENTION MODALITIES. 8155965 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 87 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID PETERS CEO 8082400100 4491 RICE STREET 106 LIHUE HI 96766 SAGUM SCOTT BOD - CHAIR 2.00 X X 0 0 0 LIEN-FUA CHERYL BOD - TREASURER 2.00 X X 0 0 0 SAIKI GINGER BOD - SECRETARY 2.00 X X 0 0 0 VAUGHAN KILIPAKI BOD - MEMBER 2.00 X 0 0 0 ISRAELSEN KARL BOD - MEMBER 2.00 X 0 0 0 CHOCK ALBERT CHUCKY BOY BOD - MEMBER 2.00 X 0 0 0 HENTON DEBRA BOD - MEMBER 2.00 X 0 0 0 CASTILLO KAUI BOD - MEMBER 2.00 X 0 0 0 PERREIRA IKAIKA FORMER BOD - VICE CHAIR 2.00 X X 0 0 0 PETERS DAVID CHIEF EXECUTIVE OFFICER 40.00 X 230690 0 39209 CHONG-HANNSEN DAMIEN MEDICAL DIRECTOR 40.00 X 267150 0 32392 BUNDSCHUH LAUREN DENTAL DIRECTOR 40.00 X 187360 0 17513 LAU GARRETT PHARMACY DIRECTOR 40.00 X 163293 0 38892 MUANA OWEN PHYSICIAN 40.00 X 183913 0 62865 GILMORE JOHN PHYSICIAN 24.00 X 121200 0 11892 BRUCE ADRIANN PHYSICIAN 40.00 X 123812 0 6971 LIN JAMES DENTIST 40.00 X 122818 0 14766 1400236 0 224500 12 0 1 0 AMERISOURCEBERGEN DRUG CORP PO BOX 31000 HONOLULU HI 96849 PHARMACY RX 783929 LIFELINE MOBILE 2050 MCGAW ROAD COLUMBUS OH 43207 MOBILE CLINIC DEPOSIT 265811 INTEGRATION TECHNOLOGIES INC 900 FORT STREET MALL SUITE 1722 HONOLULU HI 96813 IT SERVICES 261999 THE HARRY & JEANETTE WEINBERG FOUNDATION MSC 61418 PO BOX 1300 HONOLULU HI 96807 OFFICE LEASE 227549 HAWAIIAN ISLAND TECHNOLOGIES 2530 KIPUKA STREET KOLOA HI 96756 WIRING/CABLING SERVICES 139210 9 6077074 312065 6389139 PATIENT SERVICE FEES 621400 2596281 2596281 PHARMACY 621400 1448504 1448504 4044785 131686 131686 10565610 4044785 0 131686 751131 424772 304541 21818 4431178 3708508 691627 31043 91304 77958 12832 514 599873 487551 106963 5359 414486 331589 78752 4145 918 918 25706 25706 567769 550770 2833 14166 3182 3182 259276 173725 74620 10931 485366 388723 89001 7642 27413 25961 1452 42265 42265 212178 169742 31827 10609 175668 140534 35134 COST OF PHARMACEUTICALS 691717 691717 EQUIPMENT RENTAL AND MA 518677 518677 PROGRAM SUPPLIES 230451 230451 LAB 75221 75221 114619 114619 9718398 8155965 1456206 106227 396819 84003 4132359 4955133 534495 638839 36242 37262 54781 55672 2066794 852446 975087 1214348 28984 318731 6158767 7303988 625522 773376 170677 45492 22741 298081 818940 1116949 X 4917379 5703080 422448 483959 5339827 6187039 6158767 7303988 847212 0 X 0 1 X 1 1 1 X 5257347 5313121 6248836 6006131 6389139 29214574 5257347 5313121 6248836 6006131 6389139 29214574 29214574 15969 14419 8070 6933 131686 177077 29391651 17056926 0.99400 0.99820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2066794 852446 1214348 1214348 CISCO CAPITAL LEASE LIABILITY 5688 OPERATING LEASE LIABILITIES 292393 298081 X 10598537 151062 151062 10447475 118135 118135 10565610 9812836 151062 151062 9661774 56624 56624 9718398 PART X, LINE 2: U.S. GAAP REQUIRES 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 THE ORGANIZATION'S TAX POSITIONS AS OF SEPTEMBER 30, 2023 AND 2022, AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 56,624. INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 61,511. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 56,624. X X X 0 0 0 0 0 0 0 0 0 CHONG-HANNSEN DAMIEN MEDICAL DIRECTOR 234525 0 32625 0 0 0 20500 0 11892 0 299542 0 0 0 PETERS DAVID CHIEF EXECUTIVE OFFICER 210951 0 19739 0 0 0 27000 0 12209 0 269899 0 0 0 MUANA OWEN PHYSICIAN 166788 0 17125 0 0 0 20421 0 42444 0 246778 0 0 0 BUNDSCHUH LAUREN DENTAL DIRECTOR 187235 0 125 0 0 0 5621 0 11892 0 204873 0 0 0 LAU GARRETT PHARMACY DIRECTOR 163168 0 125 0 0 0 27000 0 11892 0 202185 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 IS PROVIDED TO THE CEO AND THE CONTROLLER FOR EVALUATION OF COMPLIANCE AND ACCURACY IN REPORTING. THE BOARD OF DIRECTORS FINANCE COMMITTEE APPROVES THE FORM 990 AND THEN THE COMPLETE BOARD OF DIRECTORS APPROVES THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ALL BOARD MEMBERS AND KEY OFFICERS TO PROVIDE INFORMATION AS TO POTENTIAL CONFLICTS. CONFLICT OF INTEREST PROCEDURES REQUIRE ONLY DISINTERESTED PERSONS TO MAKE DECISIONS. BOARD MEMBERS ARE VOLUNTEERS AND SERVE WITHOUT COMPENSATION. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND KEY EMPLOYEES ARE EVALUATED ON AN ANNUAL BASIS AND THIS PROCESS WAS LAST UNDERTAKEN IN 2022. COMPENSATION IS DETERMINED USING COMPARABLE DATA FROM VARIOUS COMPENSATION SURVEYS. SURVEYS ARE USED IN CONJUNCTION WITH THE FOLLOWING FACTORS: YEARS OF EXPERIENCE, EDUCATION, TRAINING, CERTIFICATIONS, RESPONSIBILITY, AUTHORITY, COST OF LIVING, BUDGET SIZE, NUMBER OF EMPLOYEES MANAGED, AND PERFORMANCE. THE CEO SALARY IS APPROVED BY THE BOARD OF DIRECTORS AFTER THE ANNUAL EVALUATION COMMITTEE CONDUCTS A PERFORMANCE EVALUATION. THIS INFORMATION IS DOCUMENTED IN THE EXECUTIVE SESSION MINUTES AND PLACED IN THE PERSONNEL FILE FOR THE CEO. THE CEO DETERMINES KEY EMPLOYEES' SALARIES IN A SIMILAR MANNER AND SALARY RANGES ARE SET USING COMPENSATION SURVEYS AND COMPARABLES AT SIMILAR HEALTH CARE INSTITUTIONS IN THE LOCAL COMMUNITY. EMPLOYEE BENEFITS ARE REVIEWED ANNUALLY ALONG WITH COMPENSATION TO ASSURE THAT BENEFITS ARE EQUAL TO OTHER COMMUNITY NONPROFITS. THIS INFORMATION IS DOCUMENTED WITH SALARY SURVEYS BY THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 ALL FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST OF THE PUBLIC.