Skip to the page content
Your donations
Passes our checks

Hawaii Health & Harm Reduction Center

EIN 99-0284222 · Honolulu, HI

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair58 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

SEE SCHEDULE O

Income
$15.3 million
Spending
$15.4 million
Spent on programs
92%
Reserves
2.7 months of spending
Largest source of income
government grants, 70%
Employees
115
Volunteers
125
Highest pay
$178,359, psychiatrist

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 58 out of 100. Higher than 30% of charities in its peer group (diseases, $10m to $100m).

  • Reserves

    10 of 35

    Spendable reserves would cover 2.7 months of spending.

  • Debt

    10 of 20

    It owes 41% of what it owns.

  • Living within its means

    8 of 15

    Spending exceeded income by 1% of income.

  • Income trend

    15 of 15

    Income rose 10% on the year before.

  • Spending floor

    15 of 15

    92% of spending went to programs and raising each dollar of donations cost 3 cents.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 35% of charities in its peer group (diseases, $10m to $100m).

  • Independent board

    25 of 25

    10 of 10 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (4)
  1. $6.3 million spent. CLINICAL SERVICES: HHHRC'S CLINICAL SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF CLINICAL SERVICES (1 FTE) AND ITS MEDICAL DIRECTOR (1 FTE). THESE SERVICES INCLUDE A NUMBER OF MEDICAL PERSONNEL, CASE MANAGERS, AND EMPLOYEES TO OPERATE. THE CARE TEAM PROVIDES SERVICES TO 641 PERSONS LIVING WITH HIV (PLWH) ON OAHU. PLWH ARE ASSISTED WITH LINKAGE TO MEDICAL PROVIDERS, ACCESS TO ANTIRETROVIRAL MEDICATION, APPLICATIONS FOR GENERAL ASSISTANCE, HOUSING REFERRALS, AND ACCESS TO FOOD. ADDITIONALLY, HHHRC'S IN-HOUSE CLINIC, MEDICAL MOBILE UNIT, AND STREET-BASED WOUND CARE PROGRAM SERVES OVER 1200 PATIENTS. HHHRC'S PREP PROGRAM SERVES OVER 300 PATIENTS. THESE SERVICES ARE AVAILABLE TO ALL CLIENTS OF THE AGENCY. HHHRC MEDICAL MOBILE UNIT (MMU) PROVIDED STI TESTING IN WOMEN OF CHILD BEARING AGE TO OUR HOUSELESS COMMUNITY IN REGION 1 (PUNAWAI REST STOP, KALIHI TRANSIT CENTER, SAND ISLAND, WOMEN'S IHS, THOMAS SQUARE, WAIANAE BOAT HARBOR). THE PURPOSE OF THIS TARGETED OUTREACH IS TO DECREASE THE RISK OF CONGENITAL SYPHILIS. THE MMU TEAM WHICH CONSISTS OF A NURSE PRACTITIONER, MEDICAL ASSISTANT AND A SEXUAL HEALTH NAVIGATOR PROVIDES FREE WOUND CARE SERVICE TO OUR HOUSELESS COMMUNITY AS A POINT OF ENGAGEMENT INTO TESTING AND TREATING FOR SEXUALLY TRANSMITTED DISEASES. A TOTAL OF 158 PEOPLE WERE SCREENED FOR STIS, 53% WERE TREATED FOR SYPHILIS, 44% WAS TREATED FOR CHLAMYDIA AND 23% WAS TREATED FOR GONORRHEA. HO'OKAHI LEO KAUHALE PROJECT IS A PROGRAM FOCUSED ON COMMUNAL HOUSING AND SUPPORT FOR INDIVIDUALS OVER THE AGE OF 18 AND COUPLES EXPERIENCING HOMELESSNESS. WE ARE CURRENTLY OPERATING PHASE OF 1 OF THE DEVELOPMENT WHICH HAS 19 SLEEPING UNITS THAT ARE OCCUPIED WITH 24 RESIDENTS INCLUDING 4 COUPLES. 1 UNIT IS AN ADA COMPLIANT UNIT. PHASE 2 WILL ADD IN 30 ADDITIONAL SLEEPING PODS WITH ELECTRICAL AND SEWAGE HOOK UPS. WE ARE PROJECTING PHASE 2 TO OPEN IN LATE SUMMER 2026.
  2. $1.4 million spent. PREVENTION SERVICES: HHHRC'S PREVENTION SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF PROGRAMS. THESE SERVICES INCLUDE A NUMBER OF MANAGERS AND EMPLOYEES SPANNING 9 PROGRAMS. PREVENTION SERVICES INCLUDE BUT NOT LIMITED TO 1) THE STATEWIDE SYRINGE EXCHANGE PROGRAM THAT EXCHANGED OVER 484,112SYRINGES STATEWIDE, 2) HIV AND HEPATITIS C TESTING AND LINKAGE THAT ADMINISTERED 881 HIV AND HCV TESTS, AND 915 INDIVIDUALS SCREENED FOR STIS 3) THE OVERDOSE PREVENTION PROGRAM (OD2A PROJECT) WHICH TRAINED 1,530 INDIVIDUALS ON NALOXONE AND DISTRIBUTED OVER 4,565 DOSES OF NASAL NALOXONE, 4) THE SMOKING CESSATION PROGRAM WHICH SERVICED 672 CLIENTS, 5) GUIDE ON THE SIDE (GOTS) PROVIDED NAVIGATION AND LONG-TERM CASE MANAGEMENT SERVICES TO 124UNSHELTERED YOUTH EXPERIENCING HOUSELESSNESS AND 100 YOUTH WERE ENROLLED INTO SERVICES, 6) STATEWIDE HOUSING OUTREACH PROGRAM (SHOP) SERVED 950INDIVIDUALS AND ENROLLED 260 INDIVIDUALS INTO SERVICES, AND FOUND TRANSITIONAL/EMERGENCY/PERMANENT HOUSING TO 53 INDIVIDUALS, 8) THE KUA'ANA PROJECT'S TRANSGENDER SERVICES THAT ASSISTED WITH 53 NAME CHANGES, 258 LINKAGE TO HEALTHCARE, AND 9) BEHAVIORAL HEALTH ) PROGRAM SERVED 18 CLIENTS THAT ARE ON PAROLE OR PROBATION AND DIAGNOSED WITH A SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH DIAGNOSIS.
  3. $1.8 million spent. 340B DRUG PURCHASE PROGRAM: HHHRC PARTICIPATES IN HRSA'S 340B DRUG PRICING PROGRAM AS A COVERED ENTITY UNDER STD DESIGNATION. COVERED ENTITIES ARE ABLE TO GENERATE PROGRAM INCOME BY PURCHASING DRUGS AT THE DISCOUNTED 340B RATE AND BEING REIMBURSED BY INSURANCE COMPANIES FOR THE FULL COSTS. HHHRC USES THIS PROGRAM INCOME TO PROVIDE ADDITIONAL CARE AND PREVENTION SERVICES AS PERMITTED BY THE FEDERAL AWARDS IT IS ASSOCIATED WITH.
  4. $4.7 million spent. RYAN WHITE PART B SERVICES:THE HAWAI'I STATE DEPARTMENT OF HEALTH'S HARM REDUCTION SERVICES BRANCH (HRSB) IS HAWAI'I'S GRANTEE FOR THE RYAN WHITE PART B (RWB) PROGRAM. HRSB CONTRACTS WITH HHHRC TO PROVIDE COMMUNITY-BASED CARE AND SUPPORT SERVICES TO PLWH, INCLUDING BY SUBCONTRACTING WITH AGENCIES STATEWIDE. RYAN WHITE PART B SERVICES, WHICH INCLUDES A COMPREHENSIVE CASE MANAGEMENT SYSTEM, AS WELL AS OTHER SUPPORT SERVICES, ARE PROVIDED THROUGH AIDS SERVICE ORGANIZATIONS, HOUSING PROGRAMS, COMMUNITY HEALTH CENTERS AND OTHER MEDICAL FACILITIES. HHHRC CURRENTLY CONTRACTS WITH 5 AGENCIES TO PROVIDE RYAN WHITE PART B SERVICES.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since June 1995.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.