Totals
- Total revenue
- $18,111,380
- Total expenses
- $21,185,494
- Contributions and grants received
- $342,562
- Grants paid
- $0
- Program service revenue
- $17,707,100
- Investment income
- $61,406
- Other revenue
- $312
- Total assets, end of year
- $30,648,968
- Total liabilities, end of year
- $7,450,419
- Net assets or fund balances, end of year
- $23,198,549
- Program services expenses (Part IX)
- $18,257,125
- Management and general expenses
- $2,825,799
- Fundraising expenses
- $102,570
- Program service expenses (Part III)
- $18,257,125
Program services were 86.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$21,098
-
1c · Fundraising events
$18,925
-
1f · All other contributions, gifts and grants
$302,539
-
2a · Program service revenue: ICF/SNF UNIT AND NURSING HOME
total $14,643,000 · related or exempt $14,643,000
-
2b · Program service revenue: OTHER - COMM. OUTREACH, ETC.
total $1,313,462 · related or exempt $1,313,462
-
2c · Program service revenue: ADULT RESIDENTIAL CARE HOME
total $1,110,058 · related or exempt $1,110,058
-
2d · Program service revenue: ADULT DAY CARE CENTER
total $640,580 · related or exempt $640,580
-
3 · Investment income
total $56,730 · excluded $56,730
-
6a · Gross rents
real property $89,160
-
6b · Less rental expenses
real property $29,905
-
6c · Rental income or loss
real property $59,255
-
6d · Net rental income or loss
total $59,255 · excluded $59,255
-
7a · Gross sales of assets other than inventory
securities $5,090
-
7b · Less cost or other basis and sales expenses
securities $0 · other assets $414
-
7c · Gain or loss
securities $5,090 · other assets -$414
-
7d · Net gain or loss
total $4,676 · excluded $4,676
-
8a · Fundraising events: gross income
$16,340
-
8a · Fundraising events: contributions included on line 1c
$18,925
-
8b · Fundraising events: direct expenses
$27,534
-
8c · Net income from fundraising events
total -$11,194 · excluded -$11,194
-
11a · Other revenue: MISCELLANEOUS REVENUE
total $18,476 · excluded $18,476
-
11b · Other revenue: CHANGE IN VALUE OF PERM TRUST
total -$66,225 · excluded -$66,225
-
11e · Other revenue, total
-$47,749
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $285,300 · program services $36,000 · management and general $199,440 · fundraising $49,860
-
7 · Other salaries and wages
total $8,625,817 · program services $7,772,437 · management and general $836,210 · fundraising $17,170
-
8 · Pension plan contributions
total $198,171 · program services $173,826 · management and general $20,461 · fundraising $3,884
-
9 · Other employee benefits
total $1,130,569 · program services $984,146 · management and general $140,151 · fundraising $6,272
-
10 · Payroll taxes
total $675,952 · program services $599,190 · management and general $73,177 · fundraising $3,585
-
11b · Fees: legal
total $89,637 · management and general $89,637
-
11c · Fees: accounting
total $238,090 · management and general $238,090
-
11f · Fees: investment management
total $21,845 · management and general $17,233 · fundraising $4,612
-
11g · Fees: other
total $4,675,994 · program services $4,034,724 · management and general $641,270
-
12 · Advertising and promotion
total $137,225 · management and general $137,225
-
13 · Office expenses
total $40,711 · program services $23,516 · management and general $13,541 · fundraising $3,654
-
14 · Information technology
total $183,561 · program services $145,411 · management and general $37,161 · fundraising $989
-
16 · Occupancy
total $499,744 · program services $483,495 · management and general $15,216 · fundraising $1,033
-
17 · Travel
total $25,208 · program services $21,729 · management and general $3,479
-
19 · Conferences, conventions and meetings
total $11,095 · program services $1,080 · management and general $10,015
-
20 · Interest
total $181,160 · management and general $181,160
-
22 · Depreciation, depletion and amortization
total $1,072,391 · program services $938,419 · management and general $128,355 · fundraising $5,617
-
23 · Insurance
total $233,337 · program services $214,787 · management and general $15,117 · fundraising $3,433
-
24a · Other expenses: NURSING AND DIETARY SUP
total $1,676,172 · program services $1,676,172
-
24b · Other expenses: MISCELLANEOUS EXPENSE
total $571,559 · program services $542,352 · management and general $26,746 · fundraising $2,461
-
24c · Other expenses: REPAIRS AND MAINTENANCE
total $390,689 · program services $388,574 · management and general $2,115
-
24d · Other expenses: BAD DEBTS
total $221,267 · program services $221,267
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,853,933 · end of year $411,910
-
2 · Savings and temporary cash investments
beginning of year $3,241,951 · end of year $1,614,119
-
3 · Pledges and grants receivable
beginning of year $43,198 · end of year $14,695
-
4 · Accounts receivable
beginning of year $2,137,829 · end of year $3,206,700
-
8 · Inventories for sale or use
beginning of year $167,483 · end of year $143,619
-
9 · Prepaid expenses and deferred charges
beginning of year $217,866 · end of year $203,022
-
10a · Land, buildings and equipment: cost or other basis
$36,750,953
-
10b · Land, buildings and equipment: accumulated depreciation
$13,883,848
-
10c · Land, buildings and equipment, net
beginning of year $23,831,668 · end of year $22,867,105
-
11 · Investments: publicly traded securities
beginning of year $2,251,551 · end of year $1,900,702
-
12 · Investments: other securities
beginning of year $349,321 · end of year $283,096
-
15 · Other assets
beginning of year $4,000 · end of year $4,000
-
17 · Accounts payable and accrued expenses
beginning of year $1,170,774 · end of year $1,565,673
-
19 · Deferred revenue
beginning of year $69,044 · end of year $64,372
-
21 · Escrow or custodial account liability
beginning of year $500 · end of year $500
-
23 · Secured mortgages and notes payable
beginning of year $6,170,492 · end of year $5,819,874
-
27 · Net assets without donor restrictions
beginning of year $25,822,385 · end of year $22,437,448
-
28 · Net assets with donor restrictions
beginning of year $865,605 · end of year $761,101
Mission and programs · 2022
Mission
TO EDUCATE, SUPPORT, AND CARE FOR SENIORS AND THEIR FAMILIES BY PROVIDING A CONTINUUM OF QUALITY CARE IN A CULTURALLY SENSITIVE FAMILY SETTING.
Activities or mission (Part I)
TO EDUCATE, SUPPORT AND CARE FOR SENIORS AND THEIR FAMILIES BY PROVIDING A CONTINUUM OF QUALITY CARE.
-
ICF/SNF - PALOLO CHINESE HOME IS LICENSED AS AN ICF/SNF UNIT AND PROVIDES 113 NURSING HOME BEDS TO ELDERLY RESIDENTS, REGARDLESS OF RACE.
Expenses $12,167,472 · Revenue $14,643,000
-
ADULT RESIDENTIAL HOME - PALOLO CHINESE HOME IS LICENSED AS AN ADULT RESIDENTIAL CARE HOME TYPE II FACILITY (EARCH II) THAT HOUSES 18 ELDERLY RESIDENTS, REGARDLESS OF RACE.
Expenses $938,891 · Revenue $1,110,058
-
ADULT DAY CARE - PALOLO CHINESE HOME IS LICENSED AS AN ADULT DAY CARE CENTER FOR 40 ELDERLY PARTICIPANTS, REGARDLESS OF RACE.
Expenses $442,952 · Revenue $640,580
-
OTHER PROGRAM SERVICES INCLUDE COMMUNITY OUTREACH PROGRAMS SUCH AS MEALS HOME DELIVERY, HOME CLEANING, COMPANIONSHIP, PERSONAL CARE AND CATERING.
Expenses $4,707,810 · Revenue $1,313,462
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Darlene NakayamaDARLENE NAKAYAMA
CEO
- Total calculated
- $264,922
- From this org
- $249,300
- From related orgs
- $0
- Other
- $15,622
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $249,300
- Bonus
- $0
- Other
- $0
- Deferred
- $10,049
- Nontaxable benefits
- $5,573
- Filer's total
- $264,922
-
Pauline Nnawuba ChiefPAULINE NNAWUBA CHIEF
OPERATING OFFICER (THROUGH SEP 2022)
- Total calculated
- $182,508
- From this org
- $177,627
- From related orgs
- $0
- Other
- $4,881
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $177,627
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $4,881
- Filer's total
- $182,508
-
Agnes De Los ReyesAGNES DE LOS REYES
REGISTERED NURSE
- Total calculated
- $125,043
- From this org
- $114,988
- From related orgs
- $0
- Other
- $10,055
- Hours/week
- 40
-
Jasmine XuJASMINE XU
REGISTERED NURSE
- Total calculated
- $115,672
- From this org
- $104,828
- From related orgs
- $0
- Other
- $10,844
- Hours/week
- 40
-
Jamie SuzukiJAMIE SUZUKI
REGISTERED NURSE
- Total calculated
- $115,626
- From this org
- $111,179
- From related orgs
- $0
- Other
- $4,447
- Hours/week
- 40
-
Juan GonzalezJUAN GONZALEZ
DIRECTOR OF NURSING
- Total calculated
- $111,402
- From this org
- $100,638
- From related orgs
- $0
- Other
- $10,764
- Hours/week
- 40
-
Patricia Blanchette MD MPHPATRICIA BLANCHETTE MD MPH
SECRETARY & MEDICAL DIRECTOR
- Total calculated
- $36,000
- From this org
- $36,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 4
-
Peter Fong EsqPETER FONG ESQ
CHAIR/PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Rena HwangRENA HWANG
1ST VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Elvira LoELVIRA LO
2ND VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Isoo Oshima CPAISOO OSHIMA CPA
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Gordon AuGORDON AU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Peter Backus CPAPETER BACKUS CPA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Anthony ChingANTHONY CHING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Andrew Fong MDANDREW FONG MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Frances GooFRANCES GOO
BOARD REPRESENTATIVE
- Total calculated
- $0
- Hours/week
- 2
-
Russell LauRUSSELL LAU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Gladys LeeGLADYS LEE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Roger Liu CPAROGER LIU CPA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Andrew MoatsANDREW MOATS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Jeffrey Schmidt EsqJEFFREY SCHMIDT ESQ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Gary SimonGARY SIMON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Douglas Smith EsqDOUGLAS SMITH ESQ
IMMEDIATE PAST CHAIR/PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Sandra SouzaSANDRA SOUZA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Tyler TokiokaTYLER TOKIOKA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Lawrence Tseu DDSLAWRENCE TSEU DDS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Eric WatanabeERIC WATANABE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Stacey WongSTACEY WONG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Benjamin WooBENJAMIN WOO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Reginald Yee EsqREGINALD YEE ESQ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Tax indemnification and gross-up payments
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 1A
- THE ORGANIZATION PROVIDES GROSS-UP PAYMENTS FOR THE ANNIVERSARY AWARDS AND EMPLOYEE OF THE YEAR AWARDS GIVEN TO EMPLOYEES, WHICH MAY INCLUDE EMPLOYEES LISTED IN FORM 990, PART VII, SECTION A. THESE GROSS-UP PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
PCH MANAGEMENT LLC
MANAGEMENT & CONSULTING · HI · income $0 · assets $0
Directly controlled by PALOLO CHINESE HOME
-
PCH LANDHOLDING LLC
REAL ESTATE HOLDING · HI · income $0 · assets $0
Directly controlled by PALOLO CHINESE HOME
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303199349321150
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.