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Nonprofiteer
← FIVE MOUNTAINS HAWAII INC

Form 990 for tax year 2022

Filed by FIVE MOUNTAINS HAWAII INC.

Totals

Total revenue
$2,530,719
Total expenses
$2,223,237
Contributions and grants received
$1,084,417
Grants paid
$0
Program service revenue
$1,445,381
Investment income
$346
Other revenue
$575
Total assets, end of year
$2,096,027
Total liabilities, end of year
$608,626
Net assets or fund balances, end of year
$1,487,401
Program services expenses (Part IX)
$1,721,598
Management and general expenses
$460,546
Fundraising expenses
$41,093
Program service expenses (Part III)
$1,721,598

Program services were 77.4% 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.

  • 1e · Government grants (contributions)

    $613,118

  • 1f · All other contributions, gifts and grants

    $471,299

  • 2a · Program service revenue: INSURANCE PAYMENTS

    total $1,445,381 · related or exempt $1,445,381

  • 3 · Investment income

    total $346 · excluded $346

  • 11a · Other revenue: MEDICAL RECORDS

    total $575 · related or exempt $575

  • 11e · Other revenue, total

    $575

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $295,000 · program services $238,743 · management and general $48,500 · fundraising $7,757

  • 7 · Other salaries and wages

    total $1,080,863 · program services $874,736 · management and general $177,704 · fundraising $28,423

  • 9 · Other employee benefits

    total $46,587 · program services $37,703 · management and general $7,659 · fundraising $1,225

  • 10 · Payroll taxes

    total $116,010 · program services $93,886 · management and general $19,073 · fundraising $3,051

  • 11b · Fees: legal

    total $2,699 · program services $1,449 · management and general $1,250

  • 11c · Fees: accounting

    total $34,420 · program services $18,475 · management and general $15,945

  • 11g · Fees: other

    total $100,709 · program services $54,056 · management and general $46,653

  • 12 · Advertising and promotion

    total $1,317 · management and general $1,317

  • 13 · Office expenses

    total $22,733 · program services $17,803 · management and general $4,436 · fundraising $494

  • 16 · Occupancy

    total $155,296 · program services $122,745 · management and general $32,551

  • 17 · Travel

    total $15,832 · program services $8,328 · management and general $7,361 · fundraising $143

  • 20 · Interest

    total $2,414 · program services $1,908 · management and general $506

  • 22 · Depreciation, depletion and amortization

    total $29,482 · program services $23,025 · management and general $6,457

  • 23 · Insurance

    total $36,036 · program services $29,839 · management and general $6,197

  • 24a · Other expenses: SUPPLIES

    total $146,530 · program services $122,147 · management and general $24,383

  • 24b · Other expenses: PROGRAM EXPENSES

    total $68,707 · program services $68,707

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $46,336 · program services $8,048 · management and general $38,288

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $20,051 · management and general $20,051

  • 24e · All other expenses

    total $2,215 · management and general $2,215

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $121,083 · end of year $300,652

  • 2 · Savings and temporary cash investments

    beginning of year $705,228 · end of year $974,559

  • 3 · Pledges and grants receivable

    beginning of year $156,210 · end of year $133,435

  • 4 · Accounts receivable

    beginning of year $114,683 · end of year $81,251

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,306 · end of year $13,284

  • 10a · Land, buildings and equipment: cost or other basis

    $356,391

  • 10b · Land, buildings and equipment: accumulated depreciation

    $151,319

  • 10c · Land, buildings and equipment, net

    beginning of year $213,059 · end of year $205,072

  • 15 · Other assets

    beginning of year $1,900 · end of year $387,774

  • 17 · Accounts payable and accrued expenses

    beginning of year $94,758 · end of year $86,609

  • 19 · Deferred revenue

    end of year $105,000

  • 23 · Secured mortgages and notes payable

    beginning of year $46,792 · end of year $33,100

  • 25 · Other liabilities

    end of year $383,917

  • 27 · Net assets without donor restrictions

    beginning of year $1,179,919 · end of year $1,423,079

  • 28 · Net assets with donor restrictions

    end of year $64,322

Mission and programs · 2022

Mission

FIVE MOUNTAINS HAWAII PROVIDES A FULL RANGE OF BIO-PSYCHO-SOCIAL SERVICES TO THE RESIDENTS OF NORTH HAWAI'I, WITH A SPECIAL EMPHASIS ON ADDRESSING THE PHYSICAL AND MENTAL HEALTH DISPARITIES OF THE KANAKA MAOLI (NATIVE HAWAIIAN) POPULATION. THIS MISSION IS OUR KULEANA (PROFOUND RESPONSIBILITY).

  • KIPUKA O KE OLA: KIPUKA O KE OLA (KOKO) WAS DESIGNED TO PROVIDE A FULL RANGE OF BIO-PSYCHO- SOCIAL SERVICES IN NORTH HAWAI'I. IT STRIVES TO PROVIDE CULTURALLY-INFORMED DIRECT SERVICES, WHILE ACTIVELY COLLABORATING WITH OTHER LIKE-SPIRITED INDIVIDUALS/ORGANIZATIONS. KOKO IS PROUD TO BE LED BY THE COMMUNITY IN WHICH IT SERVES. KOKO SERVES ALL OF THE RESIDENTS OF NORTH HAWAI`I, AND GIVES SPECIAL EMPHASIS TO PROVIDING SERVICES IN A MANNER WHICH ARE CULTURALLY-SENSITIVE FOR THE NATIVE HAWAIIAN HOST CULTURE - WHICH SUFFERS FROM SIGNIFICANT HEALTH DISPARITIES. KOKO OFFERS BOTH PRIMARY CARE SERVICES AND BEHAVIORAL HEALTH SERVICES (PSYCHOLOGICAL AND PSYCHIATRIC) VIA AN INTEGRATED HEALTH MODEL KNOWN AS THE PATIENT-CENTERED MEDICAL HOME, FOR WHICH KOKO IS NATIONALLY ACCREDITED. IN ADDITION, KOKO IS ACCREDITED AS THE VERY FIRST INDEPENDENT RURAL HEALTH CLINIC IN THE STATE OF HAWAI`I, WHICH ENSURES KOKO'S STANDARDS AND PRACTICES ARE CONSISTENT WITH INDUSTRY BEST PRACTICES.

    Expenses $1,721,598 · Revenue $1,445,956

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Oliver Shimaoka

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.28
  • Lila Malani Deaguiar

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    0.28
  • Kathy Manuel

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.28
  • Russell Paio

    TREASURER

    Total calculated
    $0
    Hours/week
    0.28
  • Wally Lau

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.28
  • Laenette Hudgins

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.28
  • Claren Kealoha-Beaudet Psy D

    EXECUTIVE DI

    Total calculated
    $150,000
    From this org
    $150,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Franco Acquaro PhD

    ASSOCIATE DI

    Total calculated
    $145,000
    From this org
    $145,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Natalie Kong

    PROVIDER

    Total calculated
    $112,435
    From this org
    $107,538
    From related orgs
    $0
    Other
    $4,897
    Hours/week
    40
  • Michael Farnsworth

    PROVIDER

    Total calculated
    $206,789
    From this org
    $187,906
    From related orgs
    $0
    Other
    $18,883
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,906
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $18,883
    Filer's total
    $206,789
  • Dara Pagaduan

    PROVIDER

    Total calculated
    $133,406
    From this org
    $114,946
    From related orgs
    $0
    Other
    $18,460
    Hours/week
    40

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

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
23 June 2023
IRS schema version
2022v5.0
Source object
202341779349300029

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