Skip to content
Nonprofiteer
← HAWAII DENTAL SERVICE

Form 990 for tax year 2022

Filed by HAWAII DENTAL SERVICE.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2022 , filed 13 February 2024. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Those are the same on the two returns, so the amendment changed something else.

Totals

Total revenue
$252,385,095
Total expenses
$231,667,639
Contributions and grants received
$0
Grants paid
$3,187,021
Program service revenue
$243,490,397
Investment income
$6,892,080
Other revenue
$2,002,618
Total assets, end of year
$357,056,921
Total liabilities, end of year
$43,579,579
Net assets or fund balances, end of year
$313,477,342
Program services expenses (Part IX)
$219,562,242
Management and general expenses
$12,105,397
Fundraising expenses
$0
Program service expenses (Part III)
$219,562,242

Program services were 94.8% 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: SUBSCRIPTIONS EARNED

    total $243,490,397 · related or exempt $243,490,397

  • 3 · Investment income

    total $8,723,383 · excluded $8,723,383

  • 6a · Gross rents

    real property $11,744

  • 6b · Less rental expenses

    real property $11,744

  • 6c · Rental income or loss

    real property $0

  • 7a · Gross sales of assets other than inventory

    securities $97,971,108

  • 7b · Less cost or other basis and sales expenses

    securities $99,802,411

  • 7c · Gain or loss

    securities -$1,831,303

  • 7d · Net gain or loss

    total -$1,831,303 · excluded -$1,831,303

  • 11a · Other revenue: FMG DENTAL INSUR. CONTRACTS (NET)

    total $1,973,558 · related or exempt $1,973,558

  • 11b · Other revenue: MISC. OTHER INCOME

    total $25,675 · related or exempt $25,675

  • 11c · Other revenue: PROFESSIONAL SERVICES

    total $3,385 · unrelated business $3,385

  • 11e · Other revenue, total

    $2,002,618

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,187,021 · program services $3,187,021

  • 4 · Benefits paid to or for members

    total $202,348,257 · program services $202,348,257

  • 5 · Compensation of officers, directors and key employees

    total $2,904,245 · program services $1,245,523 · management and general $1,658,722

  • 7 · Other salaries and wages

    total $7,065,441 · program services $3,993,971 · management and general $3,071,470

  • 8 · Pension plan contributions

    total $1,533,360 · program services $747,360 · management and general $786,000

  • 9 · Other employee benefits

    total $1,144,863 · program services $558,006 · management and general $586,857

  • 10 · Payroll taxes

    total $872,509 · program services $425,261 · management and general $447,248

  • 11b · Fees: legal

    total $189,533 · management and general $189,533

  • 11c · Fees: accounting

    total $282,718 · management and general $282,718

  • 11d · Fees: lobbying

    total $71,989 · management and general $71,989

  • 11f · Fees: investment management

    total $577,947 · management and general $577,947

  • 11g · Fees: other

    total $1,979,488 · program services $1,034,582 · management and general $944,906

  • 12 · Advertising and promotion

    total $152,106 · management and general $152,106

  • 13 · Office expenses

    total $308,045 · program services $269,008 · management and general $39,037

  • 14 · Information technology

    total $1,202,484 · program services $745,262 · management and general $457,222

  • 16 · Occupancy

    total $1,110,336 · program services $683,967 · management and general $426,369

  • 17 · Travel

    total $95,281 · program services $128 · management and general $95,153

  • 19 · Conferences, conventions and meetings

    total $78,911 · management and general $78,911

  • 22 · Depreciation, depletion and amortization

    total $2,728,512 · program services $1,724,264 · management and general $1,004,248

  • 23 · Insurance

    total $460,950 · program services $331,261 · management and general $129,689

  • 24a · Other expenses: BROKER COMMISSIONS

    total $1,382,223 · program services $1,382,223

  • 24b · Other expenses: ORAL HEALTH

    total $515,540 · program services $515,540

  • 24c · Other expenses: DUES

    total $467,773 · management and general $467,773

  • 24d · Other expenses: BUSINESS DEVELOPMENT

    total $234,293 · program services $2,913 · management and general $231,380

  • 24e · All other expenses

    total $773,814 · program services $367,695 · management and general $406,119

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $27,394,423 · end of year $42,912,053

  • 4 · Accounts receivable

    beginning of year $13,768,693 · end of year $13,160,866

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,522,734 · end of year $5,634,538

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

    $20,616,896

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

    $6,355,620

  • 10c · Land, buildings and equipment, net

    beginning of year $12,814,705 · end of year $14,261,276

  • 11 · Investments: publicly traded securities

    beginning of year $293,719,005 · end of year $273,780,143

  • 12 · Investments: other securities

    beginning of year $6,734,225 · end of year $0

  • 14 · Intangible assets

    end of year $7,308,045

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,144,047 · end of year $13,069,619

  • 19 · Deferred revenue

    beginning of year $4,598,515 · end of year $4,443,777

  • 25 · Other liabilities

    beginning of year $23,007,018 · end of year $26,066,183

  • 27 · Net assets without donor restrictions

    beginning of year $319,204,205 · end of year $313,477,342

Mission and programs · 2022

Mission

SEE SCHEDULE O.

Activities or mission (Part I)

PROMOTE BETTERMENT OF MEDICAL & DENTAL HEALTH OF THE PUBLIC FOR THE GENERAL WELFARE OF THE COMMUNITY

  • HAWAII DENTAL SERVICE (HDS) OFFERS AND ADMINISTERS DENTAL CARE PROGRAMS TO ABOUT 693,000 INDIVIDUALS THROUGHOUT THE STATE OF HAWAII. AS A MEMBER OF THE DELTA DENTAL PLANS ASSOCIATION, A NATIONAL ASSOCIATION SUPPORTING DELTAS NATION-WIDE, HDS SUBSCRIBERS ARE ABLE TO ACCESS DELTA CONTRACTED PROVIDERS IN EVERY STATE. IN 2022, HDS PROCESSED OVER 1.2 MILLION CLAIMS FOR SUBSCRIBERS AND THEIR DEPENDENTS. TO ENSURE PROVIDERS ARE SUBMITTING CLAIMS APPROPRIATELY, HDS CONTINUALLY AUDITS CLAIMS TO REDUCE COMMON ERRORS. IN ADDITION, HDS AWARDED $3.1 MILLION IN GRANTS TO OTHER CHARITABLE ORGANIZATIONS.

    Expenses $217,743,763 · Grants $3,187,021 · Revenue $240,584,197

  • MANAGING THE DENTAL BENEFITS OF ELIGIBLE BENEFICIARIES COVERED BY THE STATE OF HAWAII MED-QUEST PROGRAM.

    Expenses $1,818,479 · Revenue $2,906,200

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

Listed in Part VII

  • Shakil Ahmed

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Charles R Sugiyama DDS

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tyler Kimura

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David K Todani

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Martin Oishi DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mason A Savage DDS

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Emi Eno Orikasa DDS

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Allison P Tran DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • John R Black DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kevin S Haseyama

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Keriann Ernst

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Emmit A Kane

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • T Kimo Blaisdell

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Nelson Km Lau

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nona Tamanaha

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kaimana Goo-Rahtz DMD

    DIRECTOR (EFFECTIVE 7/1/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Cheryl Takitani-Smith

    TREASURER & CFO (THROUGH 1/15/22)

    Total calculated
    $153,700
    From this org
    $150,899
    From related orgs
    $0
    Other
    $2,801
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $51,335
    Bonus
    $99,564
    Other
    $0
    Deferred
    $1,515
    Nontaxable benefits
    $1,286
    Filer's total
    $153,700
  • Thomas Delaney

    ASSIST. SEC. & CIO (THROUGH 4/1/22)

    Total calculated
    $184,251
    From this org
    $180,120
    From related orgs
    $0
    Other
    $4,131
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $95,136
    Bonus
    $84,984
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,131
    Filer's total
    $184,251
  • Cara Numasaki

    INTERIM CFO/TREASURER (1/15/22-6/22/22)

    Total calculated
    $187,558
    From this org
    $169,092
    From related orgs
    $0
    Other
    $18,466
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $135,875
    Bonus
    $33,217
    Other
    $0
    Deferred
    $5,073
    Nontaxable benefits
    $13,393
    Filer's total
    $187,558
  • Minna-Mari Lehti

    SECRETARY & COO

    Total calculated
    $364,293
    From this org
    $346,817
    From related orgs
    $0
    Other
    $17,476
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $251,192
    Bonus
    $94,749
    Other
    $876
    Deferred
    $9,150
    Nontaxable benefits
    $8,326
    Filer's total
    $364,293
  • Diane Sl Paloma PhD

    PRESIDENT & CEO

    Total calculated
    $352,967
    From this org
    $334,323
    From related orgs
    $0
    Other
    $18,644
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $330,000
    Bonus
    $0
    Other
    $4,323
    Deferred
    $413
    Nontaxable benefits
    $18,231
    Filer's total
    $352,967
  • Patti Garrett

    ASSISTANT SECRETARY(6/22/22-9/14/22)

    Total calculated
    $233,507
    From this org
    $212,234
    From related orgs
    $0
    Other
    $21,273
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,374
    Bonus
    $32,860
    Other
    $0
    Deferred
    $3,520
    Nontaxable benefits
    $17,753
    Filer's total
    $233,507
  • Quin Ogawa

    TREASURER & CFO (EFFECTIVE 6/22/22)

    Total calculated
    $136,801
    From this org
    $132,959
    From related orgs
    $0
    Other
    $3,842
    Hours/week
    40 + 2 related
  • Colbert Seto

    ASSISTANT SECRETARY (EFFECTIVE 9/14/22)

    Total calculated
    $90,318
    From this org
    $82,865
    From related orgs
    $0
    Other
    $7,453
    Hours/week
    40
  • Gwyn Hirasa

    DIRECTOR OF DENTAL OPERATIONS

    Total calculated
    $190,214
    From this org
    $172,162
    From related orgs
    $0
    Other
    $18,052
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,934
    Bonus
    $25,228
    Other
    $0
    Deferred
    $5,165
    Nontaxable benefits
    $12,887
    Filer's total
    $190,214
  • Chad Yano

    DIRECTOR OF INFORMATION SYSTEMS

    Total calculated
    $204,173
    From this org
    $178,122
    From related orgs
    $0
    Other
    $26,051
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,580
    Bonus
    $27,542
    Other
    $0
    Deferred
    $5,344
    Nontaxable benefits
    $20,707
    Filer's total
    $204,173
  • Elaine Fujiwara

    DIRECTOR OF SALES

    Total calculated
    $225,216
    From this org
    $205,619
    From related orgs
    $0
    Other
    $19,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,647
    Bonus
    $32,461
    Other
    $511
    Deferred
    $6,169
    Nontaxable benefits
    $13,428
    Filer's total
    $225,216
  • Clesson Pang

    DIRECTOR OF UNDERWRITING

    Total calculated
    $217,934
    From this org
    $202,775
    From related orgs
    $0
    Other
    $15,159
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,732
    Bonus
    $31,043
    Other
    $0
    Deferred
    $6,083
    Nontaxable benefits
    $9,076
    Filer's total
    $217,934
  • Jan Iga

    DIRECTOR OF HUMAN RESOURCES

    Total calculated
    $176,790
    From this org
    $164,758
    From related orgs
    $0
    Other
    $12,032
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $138,542
    Bonus
    $26,216
    Other
    $0
    Deferred
    $4,943
    Nontaxable benefits
    $7,089
    Filer's total
    $176,790
  • Roque Aranador

    DIRECTOR OF INFORMATION TECHNOLOGY

    Total calculated
    $202,864
    From this org
    $190,044
    From related orgs
    $0
    Other
    $12,820
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,676
    Bonus
    $29,368
    Other
    $0
    Deferred
    $5,701
    Nontaxable benefits
    $7,119
    Filer's total
    $202,864
  • Michael Orozco

    DIRECTOR OF MARKETING

    Total calculated
    $178,738
    From this org
    $160,904
    From related orgs
    $0
    Other
    $17,834
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,443
    Bonus
    $24,461
    Other
    $0
    Deferred
    $4,827
    Nontaxable benefits
    $13,007
    Filer's total
    $178,738
  • Christine Fejeran

    DIRECTOR OF GOVERNMENT PROGRAMS

    Total calculated
    $167,237
    From this org
    $150,800
    From related orgs
    $0
    Other
    $16,437
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,646
    Bonus
    $25,154
    Other
    $0
    Deferred
    $4,524
    Nontaxable benefits
    $11,913
    Filer's total
    $167,237
  • Ryan Kadooka

    INFORMATION TECHNOLOGY MANAGER

    Total calculated
    $154,347
    From this org
    $139,899
    From related orgs
    $0
    Other
    $14,448
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,640
    Bonus
    $15,259
    Other
    $0
    Deferred
    $4,197
    Nontaxable benefits
    $10,251
    Filer's total
    $154,347
  • Mark H Yamakawa

    PRESIDENT & CEO (UNTIL 11/22/21)

    Total calculated
    $546,344
    From this org
    $536,260
    From related orgs
    $0
    Other
    $10,084
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $283,260
    Bonus
    $253,000
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $934
    Filer's total
    $546,344

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 · Discretionary spending account
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
SUPPLEMENTAL COMPENSATION INFORMATION: HDS HOLDS A CORPORATE MEMBERSHIP IN A SOCIAL CLUB IN WHICH THE CLUB REQUIREMENTS DICTATE THAT AN INDIVIDUAL BE IDENTIFIED TO AUTHORIZE TRANSACTIONS. AS SUCH, HDS'S CEO HAS BEEN DESIGNATED AS THE AUTHORIZED INDIVIDUAL. ONLY BUSINESS TRANSACTIONS ARE ALLOWED AND SUBSTANTIATED BY PROPER DOCUMENTATION. DISCRETIONARY SPENDING ACCOUNT: ONLY BUSINESS RELATED TRANSACTIONS ARE ALLOWED AND SUBSTANTIATED BY PROPER DOCUMENTATION.
PART I, LINE 7
NON-FIXED PAYMENTS: HDS HAS AN INCENTIVE PLAN DETAILING THE INCENTIVE CALCULATION WHEN THE COMPANY ACHIEVES CERTAIN PERFORMANCE STANDARDS AND STRATEGIC GOALS. THE INCENTIVE AMOUNT VARIES EACH YEAR DEPENDING ON ACHIEVEMENT OF STRATEGIC GOALS. INCENTIVE AMOUNTS FOR OFFICERS ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE WHICH IS DOCUMENTED IN MINUTES. INCENTIVE AMOUNTS FOR MANAGEMENT AND STAFF ARE APPROVED BY OFFICERS AND THE BOARD OF DIRECTORS THROUGH THE ANNUAL BUDGETING PROCESS.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HAWAII CLIENT SERVICES CORPORATION

    C · ADMIN SERVICES · HI · 100% owned · share of assets $1,654,339 · controlled entity

    Directly controlled by HAWAII DENTAL SERVICE

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202323189349316807

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.