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← LANAI COMMUNITY HEALTH CENTER

Form 990 for tax year 2023

Filed by LANAI COMMUNITY HEALTH CENTER.

Totals

Total revenue
$6,616,173
Total expenses
$6,168,340
Contributions and grants received
$3,644,727
Grants paid
$0
Program services expenses (Part IX)
$4,795,580
Management and general expenses
$1,129,748
Fundraising expenses
$243,012
Program service expenses (Part III)
$4,795,580

Program services were 77.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DEBORAH DELA CRUZ

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • AARON FERNANDEZ

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • MICHELE HOLSOMBACK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • MAX KINCAID

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MATTHEW MANO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JENNIFER MONTGOMERY

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • RANDON SANCHES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SIMON TAJIRI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ZANE DELA CRUZ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RAHNIA BOYER

    EXECUTIVE DI

    Total calculated
    $0
    Hours/week
    40

  • DIANA SHAW

    PAST EXEC. D

    Total calculated
    $0
    Hours/week
    10

  • CINDY FIGUERRES

    INTERIM EXEC

    Total calculated
    $136,249
    From this org
    $124,879
    From related orgs
    $0
    Other
    $11,370
    Hours/week
    50 + 3 related

  • NINA MEDEIROS

    CHIEF FINANC

    Total calculated
    $96,838
    From this org
    $86,984
    From related orgs
    $0
    Other
    $9,854
    Hours/week
    50

  • CORI L TAKESUE

    DIR. BEHAVIO

    Total calculated
    $142,875
    From this org
    $131,250
    From related orgs
    $0
    Other
    $11,625
    Hours/week
    40

  • KRIS B ACERET

    NURSE PRACTI

    Total calculated
    $129,494
    From this org
    $118,887
    From related orgs
    $0
    Other
    $10,607
    Hours/week
    40

  • JARED HN MEDEIROS

    ASSOC. MED.

    Total calculated
    $239,854
    From this org
    $211,826
    From related orgs
    $0
    Other
    $28,028
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,826
    Bonus
    not reported
    Other
    not reported
    Deferred
    $8,477
    Nontaxable benefits
    $19,551
    Filer's total
    $239,854

  • GORDON R STANGER

    DENTAL DIREC

    Total calculated
    $184,404
    From this org
    $173,287
    From related orgs
    $0
    Other
    $11,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,287
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,932
    Nontaxable benefits
    $4,185
    Filer's total
    $184,404

  • ARCELITA IMASA

    DIRECTOR OF

    Total calculated
    $176,952
    From this org
    $150,550
    From related orgs
    $0
    Other
    $26,402
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,550
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,022
    Nontaxable benefits
    $20,380
    Filer's total
    $176,952

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 — 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 · 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.

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.

  • LCHC HOLDINGS INC

    501C2 · REAL ESTAT · HI · controlled entity

    Directly controlled by LANAI COMM HEALTH CENTER

Provenance

Return type
form_990
Tax year
2023
Filed
11 October 2024
IRS schema version
2023v5.0
Source object
202442889349301959

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