Hawaii · Nonprofit
HAWAII HEALTH & HARM REDUCTION CENTER
HAWAII HEALTH & HARM REDUCTION CENTER (Hawaii) receives grants from 41 organizations whose IRS filings report $1,673,296 to it, the largest being THE HARRY AND JEANETTE WEINBERG FOUNDATION INC ($480,000). 18 of them have funded it in more than one year.
- Revenue FY2025
- $15M
- Funders on record
- 41
- Grants received
- $1.7M
- Net assets
- $4.2M
What Hawaii Health & Harm Reduction Center does
Mission
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. Hhhrc focuses 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. Hhhrc fosters health, wellness, and systemic change in hawai'I and the pacific through care services, advocacy, training, prevention, education, and capacity building.
As stated on its FY2025 Form 990.
Programs
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…
$6,326,645 spentof which $204,182 as grants44% of program spendingPrevention 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…
$1,357,919 spent10% of program spending340b 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.
$1,847,241 spent$3,302,562 earned by the program13% of program spendingRyan 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.
$4,709,349 spent$34,659 earned by the program33% of program spending
The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $14,241,154.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $6.6M to $8.8M (+34%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 96% · 2018 95% · 2020 62% · 2021 70% · 2022 73% · 2023 55% · 2024 70% · 2025 70%. Grants only. Government contracts and fees sit inside program revenue.
78% of HAWAII HEALTH & HARM REDUCTION CENTER’s revenue is contributions — more reliant on donations than three-quarters of its peers (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Heather Lusk
Executive director
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 3 funders to 14 funders, grant income rose $10k → $374k.
8 of 41 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 28% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of HAWAII HEALTH & HARM REDUCTION CENTER’s funders (the co-funder graph). Top 30 of 41 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
HAWAII HEALTH & HARM REDUCTION CENTER has a broad base — no single funder exceeds 29% of grant income, and it takes 3 funders to reach half.
the vertical line marks half of all grant income — 3 funders to its left
52% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund HAWAII HEALTH & HARM REDUCTION CENTER.
Largest funder’s share by year: 2017 100% · 2018 49% · 2019 30% · 2020 25% · 2021 47% · 2022 37% · 2023 53% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
13% of HAWAII HEALTH & HARM REDUCTION CENTER's funders are still giving 3 years after their first grant; 44% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
HAWAII HEALTH & HARM REDUCTION CENTER draws 88% of its grant income from funders outside Hawaii, across 11 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $471k arriving through sponsors registered in 6 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
HAWAII HEALTH & HARM REDUCTION CENTER has grown faster than three-quarters of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding HAWAII HEALTH & HARM REDUCTION CENTER receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $2.1M on record.
- Department of Health and Human Services$1.6M
- Department of Housing and Urban Development$486k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like HAWAII HEALTH & HARM REDUCTION CENTER
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Hawaii
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
92% of spending goes to programs.
Governance
Public support
100%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 1 state
Screen this organization
A dated, signed PDF of the compliance screen for HAWAII HEALTH & HARM REDUCTION CENTER: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds HAWAII HEALTH & HARM REDUCTION CENTER?
- HAWAII HEALTH & HARM REDUCTION CENTER (Hawaii) receives grants from 41 organizations whose IRS filings report $1,673,296 to it, the largest being THE HARRY AND JEANETTE WEINBERG FOUNDATION INC ($480,000). 18 of them have funded it in more than one year.
- How many funders does HAWAII HEALTH & HARM REDUCTION CENTER have?
- IRS filings report 41 organizations giving $1,673,296 in grants to HAWAII HEALTH & HARM REDUCTION CENTER, 18 of which have funded it in more than one year.
- Who is the largest funder of HAWAII HEALTH & HARM REDUCTION CENTER?
- THE HARRY AND JEANETTE WEINBERG FOUNDATION INC is the largest funder on record, with $480,000 in grants. The full list of funders is on this page.
- How can an organization like HAWAII HEALTH & HARM REDUCTION CENTER find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Hawaii. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Hawaii Health & Harm Reduction Center →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 41 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing