2023-11-14T15:01:52-07:00 2022-12-31 710983128 Hawaii Care Service LLC 1460 Hunakai St 1 Honolulu HI 96816 990 2022-01-01 272831637 PROJECT VISION HAWAII PROJ 8082013937 810 N Vineyard Blvd Honolulu HI 96817 TYRIE JENKINS PRESIDENT 8082956849 2023-11-14 1 1 Gregory Wong P01362222 8082224848 2023-11-08 1 11 1 AAL2 2022 2023-04-26 12:10:37Z Tyrie Jenkins 810 N Vineyard Blvd HONOLULU HI 96817 5380109 0 X www.projectvisionhawaii.org X 2011 HI Project Vision Hawaii is a nonprofit that works in partnership with the people of Hawaii to promote health, happiness and dignity for all. 11 11 96 35 0 0 1770734 148057 3398315 5110461 160819 -15578 49788 36542 5379656 5279482 29100 0 0 0 1840768 3008791 0 0 90658 2257289 2436387 4127157 5445178 1252499 -165696 2642257 2527213 337947 417141 2304310 2110072 Project Vision Hawaii is a nonprofit that works in partnership with the people of Hawaii to promote health, happiness and dignity for all. We offer mobile service units, which are literal and figurative vehicles for access to health and human services. Our success and positive reputation come largely because of two unique components: (1) we bring resources directly to access-challenged communities via mobile service units; and (2) services are always 100% free of charge to participants. 0 0 3092772 0 3664006 Project Vision Hawaii responded to the Covid-19 pandemic, providing testing, vaccinations, contact tracing, and outreach. The organization worked with public and private entities to mitigate the effects of Covid-19, with a focus on vulnerable populations and service providers. 498417 0 532073 Better Vision for Keiki is a partnership with Vision to Learn and the Hawaii State Department of Education to provide vision care services to help children succeed in school and in life. This program provides free vision screenings, eye exams, and prescription glasses to Hawaii students, with a focus on Title I schools. The program has expanded to also include hearing screenings. 487484 0 528704 HiEHiE brings health, hygiene and human services to people experiencing homelessness. This mobile hygiene program provides hot, private showers to the houseless community and connects them with resources and support. 423243 0 382309 Project Vision Hawaii, dba Hawaiian Eye Foundation, promotes the preservation, restoration and improvement of vision throughout the Pacific Basin through charitable service, education and research programs. This is achieved through outreach in Hawaii and the Pacific Basin, including free cataract surgeries, rural eye camps and training expeditions, and sub-specialty training. SNAP and additional general health programs are included in service programs. 423243 0 382309 4501916 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 38 0 1 96 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 HI X Project Vision Hawaii 8082224848 PO Box 23212 Honolulu HI 96823 X Darrah Kauhane Executive Director 60 0 X 206377 0 25000 Tyrie Jenkins President, Director 2 0 X X 0 0 0 Jane Shuman Secretary, Director 2 0 X X 0 0 0 Christopher Tortora MD Treasurer, Director 2 0 X X 0 0 0 Joseph Humphrey Director 1 0 X 0 0 0 Heather Haynes MD Director 1 0 X 0 0 0 Alan Faulkner MD Vice President, Director 2.00 0 X X 0 0 0 Maile Thompson Director 1.00 0 X 0 0 0 Karen Bachman Director 1 0 X 0 0 0 Radji Tolentino Director 1 0 X 0 0 0 206377 0 25000 2 0 1 0 0 0 0 0 0 0 148057 97818 148057 COVID Response Program 624100 3664006 3664006 0 0 Better Vision for Keiki 624100 532073 532073 0 0 HieHie 624100 532073 532073 0 0 382309 382309 0 0 5110461 437 437 0 0 0 0 0 0 0 0 0 0 0 0 0 1500 0 17515 0 -16015 -16015 -16015 0 0 119654 0 83112 36542 0 36542 0 5279482 5094883 0 36542 X 0 0 0 0 0 0 0 0 206377 196058 6191 4128 0 0 0 0 2293439 2178767 68803 45869 37048 35196 1111 741 293767 225516 63591 4660 178160 169252 5345 3563 5226 5226 122071 36621 79346 6104 916756 634719 276206 5831 67165 10543 51045 5577 71372 34243 36548 581 186584 131496 52757 2331 11574 2183 9391 382 382 149869 140139 9730 59620 42012 11739 5869 Medical, screening & program supplies 382786 328267 53842 677 Payroll processing fees & other payroll related costs 222534 211136 7136 4262 Equipment rental, maintenance & repairs 101713 82790 18855 68 Community Expenses 43502 21951 21154 397 95233 21027 74206 5445178 4501916 852604 90658 421346 401086 347070 707387 1232875 735980 8124 11469 1112096 447310 632842 664786 6505 2642257 2527213 159050 137665 2967 18401 160496 276509 337947 417141 X 2304310 2110072 0 0 2304310 2110072 2642257 2527213 X -165696 0 0 0 0 -28542 X 0 1 X 1 0 X 809537 623981 1148711 1770734 148057 4501020 307572 396117 1552049 3398315 5110461 10764514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117109 1020098 2700760 5169049 5258518 15265534 480 670 1250 7000 7200 16600 370000 125840 1771999 3195114 3238300 8701253 370480 126510 1773249 3202114 3245500 8717853 6547681 3 20 21 121 437 602 0 0 0 0 0 0 3 20 21 121 437 602 0 0 0 0 0 0 0 0 0 0 0 0 1117112 1020118 2700781 5169170 5258955 15266136 0.42890 0.48232 0.00004 0.00002 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 51744 5353 46391 0 1060352 441957 618395 0 0 0 0 664786 0 Accrued Payroll 162879 Accrued Vacation 113630 276509 X 5279482 0 0 0 0 0 5279482 0 0 0 5279482 5445178 0 0 0 0 0 5445178 0 0 0 5445178 Schedule D, Part X, Line 2 PVH is recognized by the Internal Revenue Service as an exempt organization under Section 501(c)(3) of the Internal Revenue Code (Code). PVH is not subject to income taxes in the U.S. federal jurisdiction and the State of Hawaii, though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excludable by the Code. Tax regulations within each jurisdiction are subject to interpretation of the related tax laws and regulations and require significant judgment to apply. PVH's U.S. Federal and State of Hawaii tax returns are subject to examination, generally for three years after the filing date. PVH has not identified any uncertain tax positions that require disclosure in the accompanying financial statements. Eyeball 119564 0 119564 0 0 0 32321 0 50791 0 0 119564 0 119564 0 0 0 32321 0 50791 83112 36452 X 0 0 0 0 0 0 0 0 0 Darrah Kauhane Executive Director 120000 0 86377 0 0 0 0 0 25000 0 231377 0 0 0 X 1900 Thrift shop X 1 78968 FMV X Security System 1 6950 Cost X Cement Slab 1 10000 Cost 0 0 0 0 Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed by the Treasurer and Executive Director before filing. Copies of the Form 990 are made available to the members of the Board. Form 990, Part VI, Section B, Line 12c The Board of Directors periodically reviews the conflict of interest policy and provides on-going self due diligence and awareness education to the Board members of its intent and instruction. Form 990, Part VI, Section B, Line 15 Compensation decisions are proposed by executive management and reviewed and approved by the Board of Directors. Form 990, Part VI, Section C, Line 19 The Organization's by-laws, conflict of interest policy and financial statements are available to the public upon request. A copy of the Form 990 is filed with the Hawaii Office of the Attorney General. Form 990, Part IX, Line 11g Other contractor costs consist of (1) grant manager/writer - $56,800; (2) outside contract service - $454,040; (3) Vision to Learn - $55,555; (4) Lab billing - $246,209, EHR - $40,394 and (5) physician services - $63,757. Form 990, Part XI, Line 9 Prior period adjustment to 2021 audited financial statements.