Five Mountains Hawaii Inc

Nonprofit profile at a glance

EIN
990330168
IRS 990 coverage
2010–2025
Forms available
Form 990 2025, Form 990-EZ 2011
Location
Kamuela, HI, USA
Phone
8088855900
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
Public Health Program (Includes General Health and Wellness Promotion Services)

Reported finances

Revenue
$3,018,971
Expenses
$3,232,313
Assets
$5,784,623
Liabilities
$317,384

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • OLIVER SHIMAOKA (PRESIDENT)
  • LILA MALANI DEAGUIAR (VICE PRESIDENT)
  • CLAREN KEALOHA-BEAUDET PSY D (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • CLAREN KEALOHA-BEAUDET PSY D (CHIEF EXECUTIVE OFFICER): $195,112 total reported compensation
  • FRANCO ACQUARO PHD (ASSOCIATE DIRECTOR): $175,242 total reported compensation
  • SOON-JA P KAOHIMAUNU (NURSE PRACTITIONER): $165,794 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Five mountains Hawaii provides a full range of bio-psycho-social services to the residents of north hawai'i, with a special emphasis on addressing the physical and mental health disparities of the kanaka maoli (native hawaiian) population.

What it reported doing in 2025

Kipuka o ke ola: kipuka o ke ola (koko) was designed to provide a full range of bio-psycho- social services in north Hawaii. It strives to provide culturally-informed direct services, while actively collaborating with other like-spirited individuals/organizations. Koko is proud to be led by the community in which it serves. Koko serves all of the residents of north hawai`i, and gives special emphasis to providing services in a manner which are culturally-sensitive for the native hawaiian host culture - which suffers from significant health disparities. Koko offers both primary care services and behavioral health services (psychological and psychiatric) via an integrated health model known as the patient-centered medical home, for which koko is nationally accredited. In addition, koko is accredited as the very first independent rural health clinic in the state of Hawaii, which ensures koko's standards and practices are consistent with industry best practices.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 84
  • Accountability: 100
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.3%; rating input score 81
  • Program expense ratio: 75.9%; rating input score 76
  • Fundraising efficiency: $19.13 raised per $1 spent on fundraising; rating input score 57; 57th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -7.1%; rating input score 13; 13th percentile among comparable filings
  • Total-asset coverage ratio: 1.79; rating input score 54; 54th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 23.5%; rating input score 12; 12th percentile among comparable filings

Growth

  • Program expense growth: 15.2% per year; rating input score 100; 75th percentile among comparable filings
  • Revenue growth: 15.7% per year; rating input score 100; 81st percentile among comparable filings
  • Asset growth: 19.4% per year; rating input score 100; 83rd percentile among comparable filings

Details

  • Where the money goes: 81.3% of revenue deployed · 75.9% of spending went to programs
  • Governance: 6 of 6 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $2.5M in reported program spending
  • Leadership: top reported pay $195K · 11 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 13/100.
  • Review — Financial Efficiency: Fundraising efficiency scored 57/100.
  • Review — Sustainability: Total-asset coverage ratio scored 54/100.
  • High — Sustainability: Officer compensation ratio scored 12/100.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.