2025-08-25T17:09:36-05:00 2024-12-31 205325889 ACCUITY LLP 999 BISHOP STREET STE 2300 HONOLULU HI 96813 990 2024-01-01 990246999 HAWAII DENTAL SERVICE FOUNDATION HAWA 8085211431 700 BISHOP STREET HONOLULU HI 96813 DIANE SL PALOMA PHD VICE PRESIDENT 8085211431 2025-06-17 1 0 RACHEL C ANTAL P01263071 8085313400 2024 2025-03-06 01:10:19Z MASON SAVAGE 700 BISHOP STREET HONOLULU HI 96813 10658618 0 X N/A X 1986 HI TO PROMOTE THE GENERAL WELFARE OF THE COMMUNITY AND ADVANCE HEALTH AND ORAL HYGIENE 7 7 0 0 0 0 497000 1500000 0 0 2398568 5506480 0 0 2895568 7006480 1973081 1990246 0 0 350312 371589 0 0 0 258705 320772 2582098 2682607 313470 4323873 60601387 67514550 376566 106317 60224821 67408233 X TO PROMOTE AND ENCOURAGE THE BETTERMENT OF THE GENERAL HEALTH AND WELFARE OF THE PEOPLE OF THE COMMUNITY AND ADVANCE RESEARCH, EDUCATION, STUDY AND LEARNING IN THE HEALTH AREAS SUCH AS DENTISTRY, ORAL HYGIENE AND RELATED SERVICE. (SEE SCHEDULE O). 0 0 2513429 1990246 DURING 2024, HDSF DISTRIBUTED $1,990,246 TO 13 ORGANIZATIONS WHO HAVE PROGRAMS IN PLACE TO SUPPORT ORAL HEALTH INITIATIVES IN HAWAII. SEE SCHEDULE I FOR ADDITIONAL DETAILS. 2513429 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X QUIN OGAWA 8085211431 900 FORT STREET MALL SUITE 1900 HONOLULU HI 968133705 MASON A SAVAGE DDS CHAIR 1.00 1.00 X 0 0 0 KERIANN ERNST DIRECTOR 1.00 1.00 X 0 0 0 DAVID K TODANI DIRECTOR 1.00 1.00 X 0 0 0 ALLISON P TRAN DDS DIRECTOR 1.00 1.00 X 0 0 0 EMI ENO ORIKASA DDS VICE CHAIR AND PRESIDENT 1.00 1.00 X X 0 0 0 KAIMANA GOO-RAHTZ DMD DIRECTOR 1.00 1.00 X 0 0 0 JAN BOIVIN DIRECTOR (START 12/11/24) 1.00 1.00 X 0 0 0 JOSEPH CHA DDS DIRECTOR (START 07/01/24) 1.00 1.00 X 0 0 0 SHERELEE SANEISHI-KIM SECRETARY 34.00 6.00 X 0 150753 64161 DIANE SL PALOMA PHD VICE PRESIDENT 1.00 41.00 X 0 553563 70288 QUIN OGAWA TREASURER 1.00 41.00 X 0 326479 64050 0 1030795 198499 0 0 1 0 0 1500000 1500000 1368228 1368228 7790390 3652138 4138252 4138252 4138252 7006480 0 0 5506480 1990246 1990246 371508 371508 81 81 10251 10251 70829 70829 27958 27958 9608 9608 39593 39593 13220 13220 8258 8258 10658 10658 ORAL HEALTH 127797 127797 MEALS AND ENTERTAINMENT 1345 1345 MISCELLANEOUS 1255 1255 2682607 2513429 169178 0 148204 956094 59953908 66557337 499275 1119 60601387 67514550 376566 106317 376566 106317 X 60224821 67408233 60224821 67408233 60601387 67514550 4323873 2859539 0 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 DENTAL LIFELINE NETWORK HAWAII 1800 15TH STREET SUITE 100 DENVER CO 80202 846129064 501(C)(3) 20000 0 FUNDING TO CONTINUE OFFERING DENTAL TREATMENT TO INDIVIDUALS WHO COULD NOT AFFORD TO SEE A DENTIST ELSEWHERE HAMAKUA HEALTH CENTER INC 45-549 PLUMERIA STREET HONOKAA HI 96727 990115515 501(C)(3) 71284 0 PROVIDE FUNDING NEW EQUIPMENT AND SUPPLIES TO INCREASE ACCESS TO DENTAL CARE AMONGST UNDERSERVED ADULTS HUI NO KE OLA PONO INC 95 MAHALANI ST RM 21 WAILUKU HI 96793 990287193 501(C)(3) 190000 0 FUNDING TO RENOVATE AND EXPAND ORGANIZATION'S DENTAL CLINIC TO PROVIDE A SAFER AND MORE WELCOMING ENVIRONMENT FOR THEIR PATIENTS AND STAFF. KAHUKU MEDICAL CENTER 56-1147 PUALALEA ST KAHUKU HI 96731 870805301 501(C)(3) 78763 0 FUNDING TO HELP ORGANIZATION TO EXPAND THEIR FACILITIES AND INCREASE ACCESS TO DENTAL CARE FOR LOCAL RESIDENTS KALIHI PALAMA HEALTH CENTER 915 NORTH KING STREET HONOLULU HI 96817 990161221 501(C)(3) 22515 0 FUNDING TO SUPPORT EFFORTS TO INTEGRATE PREVENTIVE ORAL HEALTH CARE WITH THEIR PEDIATRIC PATIENTS AND FAMILIES KOKUA KALIHI VALLEY COMPREHENSIVE SERVICES 2239 NORTH SCHOOL STREET HONOLULU HI 96819 990149797 501(C)(3) 165161 0 FUNDING TO SUPPORT THE DEVELOPMENT OF SPECIALTY DENTAL SERVICES LIKE ROOT CANALS, ENDODONTIC SURGERIES, AND DENTAL IMPLANTS FOR THEIR PATIENTS, AND ALSO ATTRACT DENTAL RESIDENTS TO THEIR PROGRAM, STRENGTHENING THE DENTAL WORKFORCE IN THE COMMUNITY LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501(C)(3) 45847 0 FUNDING TO INTEGRATE ADVANCED DENTAL TREATMENT TECHNOLOGY INTO ORGANIZATION'S PRACTICE, THEREBY IMPROVING PATIENT RECOVERY TIME AND DISCOMFORT LEVELS THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 501(C)(3) 26555 0 FUNDING FOR THE DENTAL CLINIC TO PURCHASE EQUIPMENT THAT WILL PROVIDE FASTER AND MORE COMFORTABLE ORAL SCANNING, ESPECIALLY FOR SPECIAL NEEDS OR HEAD AND NECK CANCER PATIENTS UNIVERSITY OF HAWAII FOUNDATION - AREA HEALTH EDUCATION CENTER (AHEC) LOAN 1810 UNIVERSITY AVENUE SUITE 300 HONOLULU HI 96822 990085260 501(C)(3) 250000 0 FUNDING TO THE UNIVERSITY OF HAWAII FOR THE HAWAII INNOVATIVE LOAN REPAYMENT PROGRAM FOR DENTAL PROFESSIONALS WHICH IS ADMINISTERED BY AHEC. UNIVERSITY OF HAWAII FOUNDATION - MAUI COUNTY 1810 UNIVERSITY AVENUE SUITE 300 HONOLULU HI 96822 990085260 501(C)(3) 150000 0 FUNDING TO HELP UH MAUI COLLEGE TO EXPAND THEIR DENTAL HYGIENE PROGRAM TO HAWAII ISLAND, RESUME THEIR DENTAL ASSISTING PROGRAM, AND PROVIDE CRUCIAL ORAL HEALTH SERVICES TO BOTH THE MAUI AND HAWAII ISLAND COMMUNITIES UNIVERSITY OF HAWAII FOUNDATION 1810 UNIVERSITY AVENUE SUITE 300 HONOLULU HI 96822 990085260 501(C)(3) 800000 0 FUNDING TO EXPAND HDS ENDOWED SCHOLARSHIP PROGRAM FOR DENTAL HYGIENE STUDENTS UNIVERSITY OF HAWAII FOUNDATION - KAPIOLANI COMMUNITY COLLEGE 1810 UNIVERSITY AVENUE SUITE 300 HONOLULU HI 96822 990085260 501(C)(3) 154272 0 FUNDING TO ENHANCE KCC'S DENTAL ASSISTING PROGRAM BY PURCHASING NEW EQUIPMENT AND TOOLS ALIGNED WITH INDUSTRY STANDARDS. FORM 990, SCHEDULE I THERE IS A FORMAL PROCESS FOR APPLICANTS TO REQUEST GRANTS OF $5,000 OR MORE FROM THE FOUNDATION. APPLICANTS NEED TO SUBMIT GRANT PURPOSE, PROPOSED BUDGET FOR GRANTS, AND PROOF OF TAX-EXEMPT STATUS. AT THE END OF THE YEAR, APPLICANTS WHO RECEIVED GRANTS ARE REQUIRED TO SUBMIT A REPORT OF HOW THE GRANT WAS SPENT. REQUEST FOR GRANTS ARE REVIEWED BY THE DIRECTOR OF THE HDS FOUNDATION AND VICE PRESIDENT AND SUBMITTED TO THE BOARD OF DIRECTOR'S FOR APPROVAL. EFFECTIVE SEPTEMBER 2021, THE BOARD OF DIRECTORS APPROVED A SECOND WAY FOR NON-PROFIT ORGANIZATIONS TO RECEIVE GRANTS LESS THAN $4,999. THE SMILE FUND GRANTS CAN BE REQUESTED AT ANY TIME DURING THE YEAR AND DOES NOT REQUIRE BOARD APPROVAL. THE HDS FOUNDATION DIRECTOR HAS THE DISCRETION TO FUND THE NON-PROFIT OR NOT DEPENDING ON EVALUATION OF THE ORGANIZATION'S GRANT APPLICATION. 0 0 0 0 0 0 0 0 0 DIANE SL PALOMA PHD VICE PRESIDENT 0 366312 0 181913 0 5338 0 42715 0 27573 0 623851 0 0 QUIN OGAWA TREASURER 0 240484 0 85995 0 0 0 56700 0 7350 0 390529 0 0 SHERELEE SANEISHI-KIM SECRETARY 0 130892 0 19861 0 0 0 51608 0 12553 0 214914 0 0 PART I, LINE 3 THE FOUNDATION DOES NOT PAY COMPENSATION TO ITS DIRECTORS OR OFFICERS. COMPENSATION FOR OFFICERS REPORTED IS FOR A RELATED ORGANIZATION, HAWAII DENTAL SERVICE (HDS). HDS CEO AND OFFICER COMPENSATION IS DETERMINED BASED ON ADVICE FROM AN INDEPENDENT COMPENSATION CONSULTANT WHICH IS PRESENTED TO AND APPROVED BY HDS BOARD OF DIRECTORS COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES. PERIODICALLY AN INDEPENDENT CONSULTANT IS HIRED TO REVIEW THE COMPENSATION FOR MANAGEMENT AND STAFF POSITIONS. COMPENSATION FOR THESE POSITIONS ARE APPROVED ANNUALLY BY THE PRESIDENT/CEO AND EXECUTIVES. MATTHEW OISHI SON OF A DIRECTOR OF THE CONTROLLING ENTITY OF HDSF 1455 GRANT (E) PURPOSE OF ASSISTANCE SMILEFUND GRANT FROM HAWAII DENTAL SERVICE FOUNDATION (HDSF) TO THE UNIVERSITY OF HAWAII FOUNDATION (UHF). THIS GRANT FROM HDSF TO UHF WAS APPROVED TO PAY FOR THE REGISTRATION FEES FOR DR MATTHEW OISHI TO ATTEND THE PACIFIC REGION INDIGENOUS DOCTORS CONGRESS AND PRESENT HIS FINDINGS TO MEDICAL COLLEAGUES. THE GRANT WAS AWARDED ON AN OBJECTIVE, NONDISCRIMINARY BASIS BASED ON PRE-ESTABLISHED CRITERIA. DR. MATTHEW OISHI IS THE ORAL HEALTH DIRECTOR AT THE JOHN A. BURNS SCHOOL OF MEDICINE AT THE UNIVERSITY OF HAWAII AND IS THE SON OF DR. MARTIN OISHI WHO IS AN HAWAII DENTAL SERVICE (HDS) BOARD MEMBER. HDSF IS A CONTROLLED ENTITY OF HDS (EIN: 99-0107971). DR. MARTIN OISHI IS NOT ON THE BOARD OF HDSF, NOR WAS THE GRANT DIRECTLY TO DR. MATTHEW OISHI. THE GRANT WAS AWARDED AT THE DISCRETION OF THE HDS DIRECTOR, AND DUE TO THE SIZE OF THE GRANT, THE GRANT DID NOT REQUIRE BOARD APPROVAL. FORM 990, PART I & PART III, LINE 1 ORGANIZATION'S MISSION STATEMENT THE OVERALL EXEMPT PURPOSE OF HAWAII DENTAL SERVICE FOUNDATION, AS A VEHICLE FOR HAWAII DENTAL SERVICE, IS TO PROMOTE THE WELFARE OF THE COMMUNITY AND TO CONTRIBUTE TO THE CHARITABLE AND HEALTH ISSUES OF THE COMMUNITY. TO PROMOTE AND ENCOURAGE THE BETTERMENT OF THE GENERAL HEALTH, INCLUDING BUT NOT LIMITED TO MEDICAL AND DENTAL HEALTH, OF THE PUBLIC FOR THE COMMON GOOD AND GENERAL WELFARE OF THE PEOPLE OF THE COMMUNITY. TO PROMOTE AND ADVANCE RESEARCH, EDUCATION, STUDY AND LEARNING IN THE HEALTH AREAS SUCH AS THE FIELD OF DENTISTRY, ORAL HYGIENE AND RELATED SCIENCES. TO ESTABLISH, CONDUCT, MAINTAIN, SPONSOR AND PROMOTE STUDIES OF COMMUNITY HEALTH, SUCH AS MEDICAL AND DENTAL NEEDS, STATISTICAL STUDIES OF GENERAL HEALTH, SUCH AS MEDICAL AND DENTAL, REQUIREMENTS OF THE POPULOUS AND TO INVESTIGATE AND CONDUCT PROGRAMS PROVIDING GENERAL HEALTH, SUCH AS MEDICAL AND DENTAL CARE OVER A BROAD AREA. FORM 990, PART IV, LINE 12B AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAII DENTAL SERVICE, HAWAII DENTAL SERVICE FOUNDATION, AND HAWAII CLIENT SERVICE CORPORATION, YEARS ENDED DECEMBER 31, 2024 AND 2023. THE AUDIT COMMITTEE OF HAWAII DENTAL SERVICE, WHICH CONSISTS OF BOARD MEMBERS, SELECTS THE AUDITORS AND REVIEWS THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF MEMBERS MEMBERS OR DIRECTORS OF THE HAWAII DENTAL SERVICE FOUNDATION ARE: -LIMITED TO INDIVIDUALS WHO SERVE AS DIRECTORS OF HAWAII DENTAL SERVICE -ALSO THE GOVERNING BODY OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE HDS FOUNDATION MEMBERSHIP, WHICH IS COMPRISED OF THE MEMBERS OF THE HAWAII DENTAL SERVICE BOARD OF DIRECTORS, ANNUALLY SETS THE NUMBER (CANNOT BE LESS THAN THREE) AND ELECTS THE DIRECTORS TO SERVE ON THE HAWAII DENTAL SERVICE FOUNDATION BOARD OF DIRECTORS FOR THE ENSUING YEAR. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE RETURN IS THOROUGHLY REVIEWED BY THE CONTROLLER OF HAWAII DENTAL SERVICE PRIOR TO FINAL REVIEW WITH THE TREASURER AND VICE PRESIDENT OF HDS FOUNDATION. A COPY OF THE FORM 990 IS PROVIDED TO THE DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PURSUANT TO THE HAWAII DENTAL SERVICE COMPANIES CONFLICTS OF INTEREST POLICY, DIRECTORS ARE PROVIDED WITH THE CONFLICTS OF INTEREST POLICY AND ARE REQUIRED TO SUBMIT A CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND CERTIFICATION ANNUALLY. DIRECTORS ARE NOT ALLOWED TO PARTICIPATE IN DELIBERATIONS OR VOTE ON ISSUES/TRANSACTIONS WHICH THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE FOUNDATION DOES NOT PAY COMPENSATION TO ITS DIRECTORS OR OFFICERS. COMPENSATION FOR OFFICERS REPORTED IS FOR A RELATED ORGANIZATION, HAWAII DENTAL SERVICE (HDS). HDS CEO AND OFFICER COMPENSATION IS DETERMINED BASED ON ADVICE FROM AN INDEPENDENT COMPENSATION CONSULTANT WHICH IS PRESENTED TO AND APPROVED BY HDS BOARD OF DIRECTOR'S COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES. COMPENSATION FOR MANAGEMENT AND STAFF POSITIONS ARE EVALUATED AND DETERMINED BASED ON EMPLOYERS COUNCIL SURVEYS AND APPROVED BY THE PRESIDENT/CEO AND EXECUTIVES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 18 RETURNS ARE AVAILABLE ON OTHER WEBSITES SUCH AS GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF REQUIRED DOCUMENTS: TAX RETURNS AND OTHER REQUIRED DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. HAWAII DENTAL SERVICE 900 FORT STREET MALL SUITE 1900 HONOLULU HI 968133705 990107971 DENTAL PLAN PROVIDER HI 501(C)(4) N/A N/A 0 HAWAII CLIENT SERVICES CORPORATION 900 FORT STREET MALL SUITE 1900 HONOLULU HI 968133705 452740308 ADMIN SERVICES HI HAWAII DENTAL SERVICE C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0