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This return was superseded by a later amendment.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 AhmedSHAKIL AHMED
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Charles R Sugiyama DDSCHARLES R SUGIYAMA DDS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Tyler KimuraTYLER KIMURA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David K TodaniDAVID K TODANI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Martin Oishi DDSMARTIN OISHI DDS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Mason A Savage DDSMASON A SAVAGE DDS
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Emi Eno Orikasa DDSEMI ENO ORIKASA DDS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Allison P Tran DDSALLISON P TRAN DDS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
John R Black DDSJOHN R BLACK DDS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kevin S HaseyamaKEVIN S HASEYAMA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Keriann ErnstKERIANN ERNST
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Emmit A KaneEMMIT A KANE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
T Kimo BlaisdellT KIMO BLAISDELL
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Nelson Km LauNELSON KM LAU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Nona TamanahaNONA TAMANAHA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kaimana Goo-Rahtz DMDKAIMANA GOO-RAHTZ DMD
DIRECTOR (EFFECTIVE 7/1/22)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Cheryl Takitani-SmithCHERYL 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 DelaneyTHOMAS 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 NumasakiCARA 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 LehtiMINNA-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 PhDDIANE 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 GarrettPATTI 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 OgawaQUIN 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 SetoCOLBERT 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 HirasaGWYN 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 YanoCHAD 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 FujiwaraELAINE 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 PangCLESSON 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 IgaJAN 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 AranadorROQUE 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 OrozcoMICHAEL 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 FejeranCHRISTINE 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 KadookaRYAN 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 YamakawaMARK 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
-
HAWAII DENTAL SERVICE FOUNDATION
$1,800,000
SUPPORT ORGANIZATION MISSION
-
$400,000
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
$140,000
PROVIDE SUPPORT FOR THE HAWAII STATE SCIENCE AND ENGINEERING FAIR (HSSEF), AND FOR SEED MONEY, SUPPORT PROGRAM COSTS, AND ORAL HEALTH PROJECTS
-
DOMESTIC VIOLENCE ACTION CENTER
$56,000
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION & DVAC ANNUAL GALA
-
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
$50,000
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
OAHU ECONOMIC DEVELOPMENT BOARD
$50,000
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
-
SUSANNAH WESLEY COMMUNITY CENTER
$50,000
SUPPORT FOR COMMUNITY SERVICES PROVIDED BY THE NON-PROFIT ORGANIZATION
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.
-
HAWAII DENTAL SERVICE FOUNDATION
501(C)(4) · ORAL HEALTH SUPPORT · HI · controlled entity
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.