HAWAII MEDICAL ASSOCIATION

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1973

Legal Domicile

Principal Officer

THOMAS KOSASA MD

Phone

8085367703

Tax Period

2023-01-01 to 2023-12-31

HAWAII MEDICAL ASSOCIATION, founded in 1973, is a small nonprofit that reported $446K in total revenue in fiscal year 2023. Revenue decreased 6% compared to the prior year. Expenses of $419K left a modest 6% surplus.

Mission

HAWAII MEDICAL ASSOCIATION IS DEDICATED TO SERVING PHYSICIANS, THEIR PATIENTS AND COMMUNITY THROUGH REPRESENTATION, ADVOCACY, AND PUBLIC SERVICE. CORE ACTIVITIES: ADVOCACY, EDUCATION

Program Service Accomplishments

Program 1

Expenses: $57,306

LEGISLATIVE ACTIVITIES: PROVIDE LOBBYING, GOVERNMENT RELATIONS, AND LEGISLATIVE AWARENESS SERVICES PRIMARILY FOR HMA MEMBERS (APPROXIMATELY 337), AND NON-MEMBER PHYSICIANS (UP TO APPROX. 2700...

LEGISLATIVE ACTIVITIES: PROVIDE LOBBYING, GOVERNMENT RELATIONS, AND LEGISLATIVE AWARENESS SERVICES PRIMARILY FOR HMA MEMBERS (APPROXIMATELY 337), AND NON-MEMBER PHYSICIANS (UP TO APPROX. 2700 ADDITIONAL PHYSICIANS). INCLUDES INTRODUCING HEALTH CARE LEGISLATION AT THE STATE LEGISLATURE; PROVIDING TESTIMONY ON PROPOSED LEGISLATION; INFORMING PHYSICIANS, THE PUBLIC, AND THE GOVERNMENT ON KEY HEALTH ISSUES.

Program 2

Expenses: $157,110 Revenue: $56,742

A. CME@HMA SUPPORTS QUALITY PATIENT CARE THROUGH APPROPRIATE AND TIMELY EDUCATION FOR PHYSICIANS, WITH INFORMATION ABOUT CURRENT AND VITAL ISSURES OF MEDICINE AND MEDICAL PRACTICE FOR DOCTORS OF...

A. CME@HMA SUPPORTS QUALITY PATIENT CARE THROUGH APPROPRIATE AND TIMELY EDUCATION FOR PHYSICIANS, WITH INFORMATION ABOUT CURRENT AND VITAL ISSURES OF MEDICINE AND MEDICAL PRACTICE FOR DOCTORS OF MEDICINE AND OSTEPATHY IN HAWAII AND THE PACIFIC BASIN. APPROXIMATELY 100 PERSONS PARTICIPATED IN THESE PROGRAMS IN 2023.B. THE HAWAII MEDICAL ASSOCIATION (HMA) AND THE WASHINGTON STATE MEDICAL ASSOCIATION (WSMA) STARTED A NEW COLLABORATION, CALLED PACWEST CONTINUING EDUCATION ACCREDITATION COLLABORATIVE(PCEAC), WHICH WAS FORMED TO SUPPORT THE STATE MEDICAL SOCIETY (SMS) ACCREDITATION PROGRAMS ACCROSS THE NORTHWEST AND PACIFIC. THE COLLABORATION WENT INTO EFFECT JANUARY 1, 2023. ACCREDITATION DECISONS FOR CURRENTLY HMA- OR WSMA-ACCREDITED PROVIDERS IN ALASKA, AMERICAN SAMOA, GUAM, HAWAII, OREGON, AND WASHINGTON WILL NOW BE MADE THROUGH ONE COLLABORATIVE OF SURVEYORS AND COMMITTEE MEMBERS FROM ACCROSS THE NORTHWEST AND PACIFIC. ACCME WILL CONTINUE TO PROVIDE SUPPORT AND OVERSIGHT OF THE NEW ENTITY THROUGH THE RECOGNITION PROCESS. C. AS OF JANUARY 1, 2023, HMA HAS A COLLABORATION WITH HAWAII PACIFIC HEALTH AS A POINT PROVIDER FOR CME'S.D. HMA STARTED A PODCAST PROGRM IN 2022 ENTITLED, HMA CONNECT, BRINING INTERVIEWS WITH PHYSICIANS AND OTHER IMPORTANT TO THE PROFESSION OF PHYSICIANS, INCLUDING THE INTERVIEWS FOR THE 2022 HAWAII ELECTIONS.E. HMA STARTED A NEW LIVE-VIDEO PROGRAM, CONVERSATIONS AT HMA, IN 2023 FEATURED INTERVIEWS AND DISCUSSIONS WITH PHYSICIANS AND OTHER HEALTHCARE LEADERS ON A VARIETY OF TOPICS OF INTEREST ESPECIALLY TO PHYSICIANS AND PATIENTS. MANY OF THESE, ALONG WITH SELECTED CME PROGRAMS, ARE ALSO AVAILABLE ON THE NEW HMAS YOUTUBE CHANNEL.

Program 3

THE ANNUAL MEETING WAS HELD ON OCTOBER 12, 2023, WITH 40 MEMBERS AND SIX STAFF PRESENT. THERE ARE UP TO 20 VOTING MEMBERS ON THE HMA COUNCIL.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $264,826

Program Service Revenue $56,742

Investment Income $10,085

Other Revenue $114,492

TOTAL REVENUE $446,145

Expense Breakdown

Grants Paid $12,300

Salaries & Benefits $174,609

Fundraising Expenses $0

Program Expenses $214,416

Other Expenses $231,924

TOTAL EXPENSES $418,833

Year-over-Year Comparison

	2023	2022	Change
Revenue	$446,145	$475,804	-0.1%
Expenses	$418,833	$530,138	-0.2%
Net Income	$27,312	$-54,334	-1.5%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✗ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

Total Directors

$90,000

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ELIZABETH IGNACIO MD	PRESIDENT	0.30	Officer Director	$0	$0	$0
NADINE TENN-SALLE MD	PRESIDENT ELECT	0.30	Officer Director	$0	$0	$0
ANGELA PRATT MD	IMMEDIATE PAST PRESIDENT	0.30	Officer Director	$0	$0	$0
THOMAS KOSASA MD	SECRETARY	0.10	Officer Director	$0	$0	$0
JERRIS HEDGES MD	TREASURER	0.30	Officer Director	$0	$0	$0
MARC ALEXANDER	EXECUTIVE DIRECTOR	40.00	Director	$90,000	$0	$90,000
F DON PARSA MD	HNL AT-LARGE-COUNCILOR	0.10	Director	$0	$0	$0
LENHANH TRAN MD	HONOLULU COUNTY PRES	0.10	Director	$0	$0	$0
S KALANI BRADY MD	HNL AT-LARGE-COUNCILOR	0.10	Director	$0	$0	$0
ROBERT SANTRY MD	NEIGHBOR ISLAND AT-LARGE	0.10	Director	$0	$0	$0
CYNTHIA GOTO MD	SPECIALTY DELEGATE	0.10	Director	$0	$0	$0
JERRY GARCIA MD	NEIGHBOR ISLAND AT-LARGE	0.10	Director	$0	$0	$0
F DON PARSA MD	HONOLULU COUNTY DELEGATE	0.10	Director	$0	$0	$0
HELEN K BLAISDELL-BRENNAN MD	SPECIALTY DELEGATE	0.10	Director	$0	$0	$0
KENNETH CHANG MD	SPECIALTY DELEGATE	0.10	Director	$0	$0	$0
ANGELA PRATT MD	AMA DELEGATE	0.30	Director	$0	$0	$0
LAETON PANG MD	SPECIALTY DELEGATE	0.10	Director	$0	$0	$0
S KALANI BRADY MD	HONOLULU COUNTY DELEGATE	0.10	Director	$0	$0	$0
VACANT	MAUI COUNTY DELEGATE	0.10	Director	$0	$0	$0
WILL SCRUGGS MD	SPECIALTY DELEGATE	0.10	Director	$0	$0	$0
JERRY VAN METER MD	AMA DELEGATE	0.10	Director	$0	$0	$0
JUSTIN WONG	MEDICAL STUDENT DELEGATE	0.10	Director	$0	$0	$0
MAYA USHIJIMA	MEDICAL STUDENT DELEGATE	0.10	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$446,145	$418,833	$1,136,363	$27,312
2022	$475,804	$530,138	$983,825	$-54,334
2021	$825,194	$328,737	$1,031,092	$496,457
2020	$272,369	$357,948	$561,528	$-85,579
2019	$391,484	$406,208	$796,593	$-14,724
2018	$550,856	$578,267	$628,530	$-27,411