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Nonprofiteer
← EAST HAWAII STATE VETERANS HOME

Form 990 for tax year 2022

Filed by EAST HAWAII STATE VETERANS HOME.

Totals

Total revenue
$12,667,301
Total expenses
$12,618,336
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$12,662,638
Investment income
$4,663
Other revenue
$0
Total assets, end of year
$7,137,435
Total liabilities, end of year
$8,152,596
Net assets or fund balances, end of year
-$1,015,161
Program services expenses (Part IX)
$11,573,524
Management and general expenses
$1,044,812
Fundraising expenses
$0
Program service expenses (Part III)
$11,573,524

Program services were 91.7% 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.

  • 2a · Program service revenue: NURSING HOME SERVICES

    total $12,662,638 · related or exempt $12,662,638

  • 3 · Investment income

    total $4,663 · excluded $4,663

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $5,257,605 · program services $5,257,605

  • 9 · Other employee benefits

    total $1,261,458 · program services $1,261,458

  • 10 · Payroll taxes

    total $394,365 · program services $394,365

  • 11a · Fees: management

    total $1,035,224 · program services $155,284 · management and general $879,940

  • 11b · Fees: legal

    total $51,829 · management and general $51,829

  • 11g · Fees: other

    total $2,407,924 · program services $2,407,924

  • 13 · Office expenses

    total $7,974 · program services $5,980 · management and general $1,994

  • 14 · Information technology

    total $74,530 · program services $74,530

  • 16 · Occupancy

    total $685,956 · program services $685,956

  • 17 · Travel

    total $1,319 · program services $1,319

  • 23 · Insurance

    total $283,119 · program services $212,339 · management and general $70,780

  • 24a · Other expenses: FOOD

    total $357,655 · program services $357,655

  • 24b · Other expenses: SUPPLIES

    total $212,560 · program services $212,560

  • 24c · Other expenses: LINEN / BEDDING

    total $183,607 · program services $183,607

  • 24d · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $178,441 · program services $178,441

  • 24e · All other expenses

    total $224,770 · program services $184,501 · management and general $40,269

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $897,482 · end of year $1,242,538

  • 2 · Savings and temporary cash investments

    beginning of year $4,271,711 · end of year $3,876,198

  • 4 · Accounts receivable

    beginning of year $1,327,754 · end of year $1,939,369

  • 8 · Inventories for sale or use

    beginning of year $7,600 · end of year $42,044

  • 9 · Prepaid expenses and deferred charges

    beginning of year $48,118 · end of year $37,286

  • 17 · Accounts payable and accrued expenses

    beginning of year $854,040 · end of year $1,138,002

  • 19 · Deferred revenue

    beginning of year $386,325

  • 21 · Escrow or custodial account liability

    beginning of year $5,341,804 · end of year $5,341,804

  • 25 · Other liabilities

    beginning of year $1,420,947 · end of year $1,672,790

  • 27 · Net assets without donor restrictions

    beginning of year -$1,450,451 · end of year -$1,015,161

Mission and programs · 2022

Mission

TO OPERATE A STATE VETERAN'S HOME SERVING VETERANS DISABLED BY AGE, DISEASE, OR OTHERWISE, WHO BY REASON OF SUCH DISABILITY ARE INCAPABLE OF EARNING A LIVING IN THE COUNTY OF HAWAII. THE CORPORATION WILL PROVIDE QUALITY OF CARE TO VETERANS IN NEED OF NURSING HOME AND ADULT DAY HEALTH CARE. TO PROMOTE THE HEALTH OF THE VETERAN COMMUNITY OF THE COUNTY OF HAWAII THROUGH THE PROVISION OF HIGH-QUALITY LONG-TERM CARE AND ADULT DAY HEALTH SERVICES, MEETING UNITED STATES VETERANS AFFAIRS DEPARTMENT AND UNITED STATES CENTERS FOR MEDICARE & MEDICAID SERVICES STANDARDS. TO SERVE AS A SUPPORTING ORGANIZATION TO THE HAWAII HEALTH SYSTEMS CORPORATION.

  • TO OPERATE A STATE VETERAN'S HOME.

    Expenses $11,573,524 · Revenue $12,662,638

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

Listed in Part VII

  • Jerry Gray

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.1 + 0.2 related

  • Dan Brinkman

    VICE PRESIDE

    Total calculated
    $462,307
    From this org
    $0
    From related orgs
    $407,348
    Other
    $54,959
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $407,348 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported + $26,400 related
    Nontaxable benefits
    not reported + $28,559 related
    Filer's total
    not reported + $462,307 related

  • Joni Waltjen

    TREASURER

    Total calculated
    $257,642
    From this org
    $0
    From related orgs
    $257,642
    Other
    $0
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    not reported + $257,642 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $257,642 related

  • Denise Mackey

    SECRETARY

    Total calculated
    $245,075
    From this org
    $0
    From related orgs
    $235,939
    Other
    $9,136
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $235,939 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported + $9,136 related
    Filer's total
    not reported + $245,075 related

  • Brenda Ho

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 0.2 related

  • Shellyann K Chartrand

    ADMINISTRATO

    Total calculated
    $177,107
    From this org
    $0
    From related orgs
    $159,459
    Other
    $17,648
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    not reported + $159,459 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported + $17,648 related
    Filer's total
    not reported + $177,107 related

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

None.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349307821

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