Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 3,138,753 | 3,560,166 | 4,424,012 | 8,149,055 | 7,276,373 | 26,548,359 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 3,138,753 | 3,560,166 | 4,424,012 | 8,149,055 | 7,276,373 | 26,548,359 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 26,548,359 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,138,753 | 3,560,166 | 4,424,012 | 8,149,055 | 7,276,373 | 26,548,359 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 24 | 356 | 1 | 8,041 | 10,398 | 18,820 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 26,567,179 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: | REDUCING HARM, PROMOTING HEALTH, CREATING WELLNESS, AND FIGHTING STIGMA IN HAWAI'I AND THE PACIFIC. HAWAI'I HEALTH AND HARM REDUCTION CENTER (HHHRC) SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. WE FOCUS OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. WE FOSTER HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING. |
| FORM 990, PART III, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: | REDUCING HARM, PROMOTING HEALTH, CREATING WELLNESS, AND FIGHTING STIGMA IN HAWAI'I AND THE PACIFIC. HAWAI'I HEALTH AND HARM REDUCTION CENTER (HHHRC) SERVES HAWAI'I COMMUNITIES BY REDUCING THE HARM AND FIGHTING THE STIGMA OF HIV, HEPATITIS, HOMELESSNESS, SUBSTANCE USE, MENTAL ILLNESS, AND POVERTY IN OUR COMMUNITY. WE FOCUS OUR EFFORTS ON THOSE DISPROPORTIONATELY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING BUT NOT LIMITED TO: PEOPLE LIVING WITH AND/OR AFFECTED BY HIV, HEPATITIS, SUBSTANCE USE, AND THE TRANSGENDER, LGBQ AND THE NATIVE HAWAIIAN COMMUNITIES. WE FOSTER HEALTH, WELLNESS, AND SYSTEMIC CHANGE IN HAWAI'I AND THE PACIFIC THROUGH CARE SERVICES, ADVOCACY, TRAINING, PREVENTION, EDUCATION, AND CAPACITY BUILDING. |
| FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: | HIV CARE SERVICES HHHRC PROVIDES HIV CARE SERVICES TO MORE THAN 700 HIV POSITIVE PEOPLE LIVING ON THE ISLAND OF OAHU. THE HIV CARE SERVICES CONSIST OF A CLINICAL DIRECTOR, 2.5 FTE APRN-RX (SPECIALIZED IN WOUND CARE AND ADDICTION MEDICINE), 0.5 FTE PSYCHIATRIST (SPECIALIZED IN ADDICTIONS MEDICINE), 2.0 FTE TEAM LEADS , COMMUNITY HEALTH NURSE, 2.0 FTE SUPPORTIVE CASE MANAGER, RYAN WHITE PROGRAM QUALITY COORDINATOR, 8.0 FTE MEDICAL CASE MANAGERS, AND 2.5 FTE PATIENT NAVIGATORS. HHHRC CARE CONTINUUM PROVIDES HIV PATIENTS WITH ACCESS TO HEALTHCARE (ACCESS TO RAPID ART FOR NEWLY DIAGNOSED PATIENTS, WOUND CARE, BEHAVIORAL HEALTH CARE, AND ADDICTION MEDICINE) INSURANCE, HOUSING, FOOD, AND FINANCIAL ASSISTANCE AS APPROPRIATE. EACH ENROLLED CLIENT WILL RECEIVE MEDICAL CASE MANAGEMENT SUPPORT WHICH INCLUDES BUT ARE NOT LIMITED TO: LINKAGE TO MEDICAL PROVIDERS INCLUDING HIV SPECIALIST, BEHAVIORAL HEALTH, PRIMARY CARE; ACCESS TO HIV/AIDS MEDICATION AND ANY OTHER MEDICATIONS AS PRESCRIBED (HDAP ASSISTANCE); FINANCIAL STABILITY (APPLYING FOR GENERAL ASSISTANCE, SSI, SSDI); HOUSING (REFERRAL TO HOUSING PROGRAMS); EMOTIONAL HEALTH (REFERRAL TO BEHAVIORAL HEALTH SERVICES). THE 8 MEDICAL CASE MANAGERS ARE RESPONSIBLE FOR A CASELOAD OF 65-100 CLIENTS. THE ACUITY OF EACH CLIENT RANGE FROM BASIC MINIMAL NEEDS TO A HIGH ACUITY CLIENT THAT NEEDS EXTRA SUPPORT AND SERVICES TO MEET THEIR INDIVIDUAL GOALS. TO ADDRESS THESE CHALLENGES, HHHRC'S PATIENT NAVIGATORS (2.5 FTE) WILL PROVIDE INDIVIDUALIZED CARE TO PATIENTS WITH HIGH ACUITY THAT NEED EXTRA SUPPORT AND ASSISTANCE IN GETTING TO MEDICAL APPOINTMENTS, MEDICATION ADHERENCE, AND SUPPORT WITH DAILY LIVING FUNCTIONS. THE MEDICAL CASE MANAGERS AND PATIENT NAVIGATORS ARE PART OF THE MEDICAL TREATMENT TEAM AND HELP TO PROVIDE COMPREHENSIVE AND WRAP AROUND CARE FOR PEOPLE LIVING WITH HIV. DURING THE FISCAL YEAR, HHHRC ASLO PROVIDED A MEDICAL DIRECTOR AND MEDICAL SUPPORT STAFF FOR A TEMPORARY ISOLATION AND QUARANTINE CENTER FOR UNSHELTERED PERSONS WHO ARE SYMPTOMATIC, HAVE UNDERLYING CONDITIONS AND ARE AWAITING COVID-19 TEST RESULTS, OR WHO HAVE TESTED POSITIVE FOR COVID-19. |
| FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE: | HIV PREVENTION SERVICES A CORE FUNCTION OF HHHRC SINCE ITS INCEPTION IN THE EARLY 1980S HAS BEEN TO FIGHT THE SPREAD OF HIV AND AIDS IN THE HAWAIIAN ISLANDS. THIS HAS INVOLVED VARIOUS STRATEGIES OVER THE YEARS BUT HAS ALWAYS REVOLVED AROUND MAKING SURE THAT PEOPLE KNOW THEIR HIV AND HCV STATUS AND REACHING OUT TO PEOPLE WHO ARE OR MAY BECOME INVOLVED IN BEHAVIORS THAT PUT THEM AT HIGH RISK FOR CONTRACTING HIV AND/OR HCV. IN THE PAST YEAR, THESE STRATEGIES HAVE INCLUDED HIV AND HCV RAPID TESTING OF NEARLY 600 PEOPLE IN THE OFFICE AS WELL AS REMOTE LOCATIONS THROUGHOUT OAHU. OF THESE, APPROXIMATELY 1% WERE POSITIVE FOR HIV. IN ADDITION, HHHRC OUTREACH WORKERS HAVE PERFORMED OVER 15,000 HIV PREVENTION INTERACTIONS AMONG INDIVIDUALS AND GROUPS WITH PRIORITY POPULATIONS BEING MEN WHO HAVE SEX WITH MEN, PARTNERS OF HIV-POSITIVE, PEOPLE WHO INJECT DRUGS AND THEIR PARTNERS, AND TRANSGENDERED PEOPLE. OUTREACH SERVICES HAPPEN IN THE COMMUNITY WHERE THESE INDIVIDUALS CONGREGATE AND ON-LINE. THE KUA'ANA PROJECT PROVIDES SUPPORTIVE SOCIAL SERVICES INCLUDING HIV PREVENTION EDUCATION, EMPLOYMENT, DOMESTIC VIOLENCE AND LEGAL REFERRAL SERVICES TO THE TRANSGENDER COMMUNITY. |
| FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE: | 340B DRUG PURCHASE PROGRAM HHHRC PROVIDES 340B SERVICES UNDER 2 CATEGORIES WHICH INCLUDE HIV AND STD. THE 340B PROGRAM WAS DEVELOPED TO HELP PATIENTS THAT ARE PRIVATELY INSURED (NON MEDICAID) ACCESS THEIR MEDICATION FROM OUR CONTRACTED PHARMACY AND RECEIVE ASSISTANCE WITH CO-PAY COST. THE PROGRAM WAS DESIGNED TO HELP SUPPORT AIDS SERVICE ORGANIZATION INCREASE REVENUE FOR THEIR AGENCIES BY PURCHASING HIV/AIDS MEDICATIONS AT A SIGNIFICANTLY REDUCED AMOUNT AND INSURANCE COMPANIES REIMBURSE AT THE NORMAL RATE. WE CURRENTLY SERVE 15 PREP (PRE EXPOSURE PROPHYLAXIS/PREVENTION FOR HIV) PATIENTS UNDER 340B STD AND 62 PATIENTS UNDER 340B HIV PROGRAM. ALL OF THESE PATIENTS RECEIVE THEIR MEDICATION THROUGH 5 MINUTE PHARMACY. THE PHARMACY IS RESPONSIBLE FOR REORDERING MEDICATIONS AND FILING CLAIMS WITH THE HEALTH INSURANCE PLANS. ALL OF THE HIV PATIENTS ARE ASSIGNED TO A MEDICAL CASE MANAGER AND ALL OF THE PREP PATIENTS ARE ASSIGNED TO THE PREP & TESTING COORDINATOR. |
| FORM 990, PART VI, SECTION B, LINE 11B | COPIES OF THE COMPLETED FORM 990 (INCLUDING REQUIRED SCHEDULES) AND AUDITED FINANCIAL STATEMENTS WILL BE PROVIDED, BY THE AUDITING FIRM, TO THE BOARD TREASURER AND THE BOARD'S FINANCE COMMITTEE FOR REVIEW. ANY QUESTIONS OR CONCERNS WILL BE NOTED AND ADDRESSED, AND THE FINANCE MANAGER SHALL ENSURE THAT ANY APPROPRIATE CHANGES ARE INCORPORATED WITHIN A WEEK, WHICH THEN SHALL BE SIGNED BY THE EXECUTIVE DIRECTOR OR OTHER AUTHORIZED OFFICER OF HHHRC. THE FORM 990 SHALL THEN BE FILED WITH THE IRS ON A TIMELY BASIS; PROVIDED, IF MANAGEMENT CONSIDERS IT FEASIBLE AND APPROPRIATE UNDER THE CIRCUMSTANCES, IT MAY DISTRIBUTE THE FINAL VERSION OF THE FORM 990 (WITH REQUIRED SCHEDULES) TO EVERY VOTING MEMBER OF HHHRC'S BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. THE FINAL FORM MAY BE DISTRIBUTED EITHER IN PAPER OR ELECTRONIC FORM IN ANY MANNER DEEMED APPROPRIATE BY THE BOARD TREASURER. A COPY OF THE FILED FORM 990, IF THE FINAL VERSION WAS NOT CIRCULATED PRIOR TO FILING, SHALL BE CIRCULATED TO THE BOARD OF DIRECTORS AS PROMPTLY AS REASONABLY PRACTICAL AFTER THE FILING, AND IN NO CASE LATER THAN ITS NEXT REGULAR MEETING FOLLOWING SUCH FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PRESENTED TO EACH BOARD MEMBER ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH MUST BE COMPLETED BY EACH MEMBER INDICATING EITHER THAT THE MEMBER PERCEIVES NO CONFLICT OF INTEREST OR LISTING POTENTIAL CONFLICTS IN ORDER TO PUT THE ORGANIZATION AND OTHER BOARD MEMBERS ON NOTICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE SITS AS THE ORGANIZATION'S COMPENSATION COMMITTEE FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR THE EXECUTIVE DIRECTOR. IN SO DOING, THE COMMITTEE DETERMINES THE EXECUTIVE DIRECTOR'S LEVEL AND QUALITY OF PERFORMANCE DURING THE PREVIOUS YEAR AND CONDUCTS A BRIEF SURVEY WITHIN THE HONOLULU COMMUNITY TO DETERMINE THE CURRENT RANGE OF COMPENSATION FOR CHIEF EXECUTIVE POSITIONS AT ORGANIZATIONS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO HHHRSC. THE COMMITTEE THEN USES THE RESULT OF BOTH PERFORMANCE REVIEW AND SALARY SURVEYS TO FASHION AN EXECUTIVE DIRECTOR COMPENSATION PACKAGE FOR THE COMING YEAR. THE EXECUTIVE DIRECTOR, IN TURN PERFORMS THE SAME PROCESS RELATIVE TO THE OPERATION AND FINANCIAL DIRECTOR AND PROGRAM DEPARTMENT HEADS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990 IS PUBLISHED TO THE ORGANIZATION WEBSITE. OTHER AVAILABLE GOVERNANCE DOCUMENTS INCLUDING PRINTED COPIES OF FORM 990 AND CONFLICTS OF INTEREST POLICIES CAN BE FOUND AT THE BUSINESS OFFICE OF THE HHHRC. |
| FORM 990, PART IX, LINE 11G | CONSULTANT FEES: PROGRAM SERVICE EXPENSES 2,842,056. MANAGEMENT AND GENERAL EXPENSES 11,727. FUNDRAISING EXPENSES 4,050. TOTAL EXPENSES 2,857,833. |
| Software ID: | |
| Software Version: |