2024-05-14T20:00:24-05:00 2023-06-30 465002021 ALEX J SMITH CPA 1403 FRANK STREET HONOLULU HI 96816 990 2022-07-01 990210974 HAWAII ISLAND ADULT CARE INC HAWA 8089613747 561 KUPUNA PLACE HILO HI 96720 JAY IGNACIO PRESIDENT 8089613747 2024-05-14 1 JAY IGNACIO 999009999 1 ALEX J SMITH P00994702 8089271725 X 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANDREA WERNLI 561 KUPUNA PLACE HILO HI 96720 1602934 0 X WWW.HAWAIIISLANDADULTCARE.ORG X 1981 HI TO PROVIDE OHANA WITH HIGH-QUALITY ADULT DAY CARE AND CAREGIVER SERVICES TO SUPPORT AGING IN PLACE. MAIN ACTIVITIES INCLUDE OPERATING A YEAR ROUND DAY CARE PROGRAM AND A CAREGIVER TRAINING AND SUPPORT PROGRAM. 9 9 39 35 0 0 285998 273178 1070125 1292082 79 126 659443 6325 2015645 1571711 143119 141390 0 0 996909 1020286 0 0 59132 419211 500022 1559239 1661698 456406 -89987 1295926 1277869 99936 114366 1195990 1163503 TO PROVIDE OHANA WITH HIGH-QUALITY ADULT DAY CARE AND CAREGIVER SERVICES TO SUPPORT AGING IN PLACE. 0 0 1206406 141390 1304612 ACCOMPLISHMENTS INCLUDE MAINTAINING A SAFE AND COMPASSIONATE DAYTIME CARE ENVIRONMENT FOR OUR ELDERLY PARTICIPANTS AND STAFF, DEVELOPMENT OF OUR PARTICIPANT CERAMICS CLASSES, RESTRUCTURING LEVELS OF CARE TO MEET INCREASED NEEDS, RE-ENVISIONING OUR CAREGIVER CONNECTION PROGRAM OFFERINGS, AND HOLDING OUR ANNUAL GOLF TOURNAMENT FUNDRAISER. 1206406 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 39 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X THE ORGANIZATION 8089613747 561 KUPUNA PLACE HILO HI 96720 JAY IGNACIO PRESIDENT 1.50 X X 0 0 0 CHRIS SCHLUETER VICE PRESIDENT 1.00 X X 0 0 0 JON MIYATA VICE PRESIDENT 1.50 X X 0 0 0 MARCIE SAQUING VICE PRESIDENT 1.00 X X 0 0 0 NANCY KELLY SECRETARY 1.00 X X 0 0 0 NICOLAS K LOS BANOS DIRECTOR 1.00 X 0 0 0 AMY HONDA DIRECTOR 1.00 X 0 0 0 LANI PRATT DIRECTOR 1.00 X 0 0 0 ALAN PARKER DIRECTOR 1.00 X 0 0 0 ANDREA WERNLI EXECUTIVE DIRECTOR (FROM 9/15) 40.00 X 19679 0 861 TANYA AYNESSAZIAN EXECUTIVE DIRECTOR (TO 9/15) 40.00 X 49578 0 0 69257 0 861 0 0 0 0 0 26958 126271 119949 273178 ADULT DAY CARE & FEES 623990 1292082 1292082 1292082 126 126 25018 26958 31223 -6205 -6205 OTHER INCOME 900099 12530 12530 12530 1571711 1304612 0 -6079 141390 141390 74528 52170 19377 2981 710063 489904 186773 33386 164591 113691 43254 7646 71104 49124 18683 3297 621 621 28113 7409 20207 497 9434 6518 2479 437 21982 15187 5776 1019 22894 15817 6015 1062 84816 77793 4682 2341 169 169 10956 7596 2856 504 69653 59205 6965 3483 39560 30909 7028 1623 OTHER PROGRAM EXPENSES 125783 125783 BUILDING MAINTENANCE FU 46000 46000 REPAIRS AND MAINTENANCE 9454 8036 945 473 DUES & SUBSCRIPTIONS 2636 1821 693 122 27951 3884 23806 261 1661698 1206406 396160 59132 896108 630921 279717 135984 175514 42302 38304 474551 321138 221532 153413 1295926 1277869 86318 97292 13618 17074 99936 114366 X 1117598 1009677 78392 153826 1195990 1163503 1295926 1277869 -89987 57500 0 X 0 1 X 1 0 X 419204 286739 325758 966767 273178 2271646 14000 14000 433204 286739 325758 966767 273178 2285646 2285646 75 156 1015 79 126 1451 18530 11286 6233 1829 12530 50408 2337505 5898201 0.97780 0.92100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19600 8820 10780 285039 190952 94087 169912 121366 48546 153413 X 1602934 31223 31223 1571711 0 1571711 1692921 31223 31223 1661698 0 1661698 PART X, LINE 2: HAWAII ISLAND ADULT CARE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND THEREFORE HAS MADE NO PROVISIONS FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FALL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AS OF YEAR END BY REVIEWING ITS INCOME TAX RETURN AND CONFERRING WITH ITS TAX ADVISORS AND HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES SHOWN NET PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES SHOWN NET GOLF TOURNAMENT 41268 26958 14310 4680 2814 12048 PLAY 4 KUPUNA 10708 10708 2000 5236 4445 51976 26958 25018 6680 8050 16493 31223 -6205 1 TUITION SCHOLARSHIPS 46 141390 FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 IS GIVEN TO THE INTERNAL AFFAIRS COMMITTEE WHO REVIEWS AND FORWARDS THE 990 AND A RECOMMENDATION TO THE FULL BOARD, AND THEN AN OFFICER OR ED AUTHORIZES THE 990 FOR SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD'S GOVERNANCE COMMITTEE HAS OVERSIGHT, AND THE EXECUTIVE DIRECTOR DISTRIBUTES AND COLLECTS SIGNED CONFLICT OF INTEREST STATEMENTS AS WELL AS PERSONAL AND PROFESSIONAL STANDARDS OF CONDUCT FORMS ANNUALLY FROM BOARD MEMBERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS COMPARES SALARIES OF OTHER NOT FOR PROFIT ORGANIZATIONS OF SIMILAR SIZE AND TYPES OF SERVICES, SCOPE OF DUTIES AND RESPONSIBILITIES, AND ACCOMPLISHMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.