2021-05-17T20:38:49-05:00 2020-06-30 990169131 N&K CPAS INC 999 BISHOP ST STE 2200 HONOLULU HI 96813 990 2019-07-01 990225140 KUAKINI HEALTH SYSTEM KUAK 8085479231 347 N KUAKINI STREET HONOLULU HI 96817 GREGG OISHI SENIOR VP, CAO & CFO 8085479231 2021-05-05 1 MICHAEL I TANAKA P00412914 8085242255 2019 2022-09-23 18:48:47Z GARY KAJIWARA 347 N KUAKINI STREET HONOLULU HI 96817 2607531 0 X WWW.KUAKINI.ORG X 1983 HI THE MISSION OF KUAKINI HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND PROGRAMS AT REASONABLE COST, CONTINUOUSLY IMPROVING THE QUALITY OF HEALTH CARE SERVICES AND PROGRAMS, ENCOURAGING CLINICAL RESEARCH, SUPPORTING TRAINING AND EDUCATIONAL PROGRAMS FOR HEALTH CARE PERSONNEL, AND OFFERING COMMUNITY SERVICE PROGRAMS. KUAKINI HEALTH SYSTEM IS RESPONSIBLE FOR PROVIDING ADMINISTRATIVE FUNCTIONS INCLUDING MANAGEMENT AND FINANCIAL SERVICES TO ALL SUBSIDIARIES OF THE CORPORATION. 13 11 5 0 32350 31350 0 84015 2209309 1820808 17127 17011 943262 685697 3169698 2607531 0 0 0 0 1125864 1173817 0 0 0 599761 368611 1725625 1542428 1444073 1065103 20096559 18079866 2937873 3196429 17158686 14883437 X THE MISSION OF KUAKINI HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND PROGRAMS AT REASONABLE COST, CONTINUOUSLY IMPROVING THE QUALITY OF HEALTH CARE SERVICES AND PROGRAMS, ENCOURAGING CLINICAL RESEARCH, SUPPORTING TRAINING AND EDUCATIONAL PROGRAMS FOR HEALTH CARE PERSONNEL, AND OFFERING COMMUNITY SERVICE PROGRAMS. KUAKINI HEALTH SYSTEM IS RESPONSIBLE FOR PROVIDING ADMINISTRATIVE FUNCTIONS INCLUDING MANAGEMENT AND FINANCIAL SERVICES TO ALL SUBSIDIARIES OF THE CORPORATION. 0 0 903154 1248958 KUAKINI HEALTH SYSTEM PROVIDES THE ADMINISTRATIVE SERVICES FOR THE SUPPORTED ORGANIZATIONS. 903154 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 74 0 1 5 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X KIM HANSON 8085479231 347 N KUAKINI STREET HONOLULU HI 96817 GARY KAJIWARA PRESIDENT & CEO 40.00 12.00 X X 413201 0 21956 GLENN INOUYE SECRETARY 1.25 0.50 X X 0 0 0 SATORU IZUTSU CHAIRPERSON 1.25 1.25 X X 0 0 0 JOJI SETA TREASURER 1.25 0.00 X X 0 0 0 ALAN TAMAYOSE VICE-CHAIR 1.25 0.25 X X 0 0 0 ALAN ARIZUMI DIRECTOR 0.50 0.50 X 0 0 0 CHUCK GEE DIRECTOR 0.50 1.25 X 0 0 0 ROCHELLE LEE GREGSON DIRECTOR 0.50 0.50 X 0 0 0 DON KIM DIRECTOR 0.75 0.25 X 0 0 0 PAUL KOSASA DIRECTOR 0.75 0.00 X 0 0 0 KAMAL MASAKI DIRECTOR 0.50 0.10 X 0 39940 0 NANCY SHIMAMOTO DIRECTOR 0.50 0.25 X 0 0 0 JAMES YASUDA DIRECTOR 0.50 1.25 X 0 0 0 GREGG OISHI SR VP, CAO & CFO 20.00 20.00 X 240991 0 35810 JUNE DRUMELLER SR VP, CCO 10.00 50.00 X 235753 0 30146 DANA NAGAISHI MGR, AUDIT & COMPLIANCE 40.00 0.00 X 102034 0 31124 991979 39940 119036 4 0 1 0 KPMG LLP 355 SOUTH GRAND AVENUE 2000 LOS ANGELES CA 90071 ACCOUNTING 103874 1 84015 84015 ADMINISTRATIVE SERVICES 541900 1248958 1248958 PARTNERSHIP INCOME PROGRAM SVC 541900 571850 32350 539500 1820808 17011 17011 MEDICAL SUPPLY REBATES 900099 685697 685697 685697 2607531 1248958 32350 1242208 991979 475139 516840 101743 101743 33302 33302 46793 46793 234990 112556 122434 2004 2004 1058 1058 128428 128428 DUES AND SUBSCRIPTIONS 1923 1923 PARKING VALIDATIONS 208 208 1542428 903154 639274 0 274056 531074 0 3500 28293 27390 37733 32695 6096 5038 19788114 17512864 20096559 18079866 300366 230005 2637507 2966424 2937873 3196429 X 15481964 13126812 1676722 1756625 17158686 14883437 20096559 18079866 X 1065103 -3340352 X X 0 1 X 1 0 X X 3 KUAKINI GERIATRIC CARE INC 990225065 3 1 0 159918 KUAKINI FOUNDATION 990225067 7 1 0 6390 KUAKINI MEDICAL CENTER 990074139 3 1 0 1070527 3 0 1236835 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12(G), COLUMN VI KUAKINI HEALTH SYSTEM PROVIDED OR PURCHASED FOR THE BENEFIT OF KUAKINI MEDICAL CENTER, KUAKINI GERIATRIC CARE, INC., KUAKINI FOUNDATION AND KUAKINI SUPPORT SERVICES, INC. (COLLECTIVELY THE SUPPORTED ORGANIZATIONS) VARIOUS SERVICES, FACILITIES, AND GOODS. SEE FORM 990 PART IX FOR FURTHER DETAILS. THE TOTAL AMOUNT OF SUPPORT LISTED WAS FOR BOTH THE SUPPORTED ORGANIZATIONS AND OTHER RELATED ORGANIZATIONS THAT ARE AN INTEGRAL PART OF THE KUAKINI HEALTH SYSTEM HEALTHCARE GROUP AND ARE LISTED ON FORM 990 SCHEDULE R. PART IV, SECTION C, QUESTION 1 KUAKINI HEALTH SYSTEM'S GOVERNING DOCUMENTS PROVIDE THAT KUAKINI HEALTH SYSTEMS OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE SUPPORTED ORGANIZATIONS. THERE HAS BEEN A HISTORICAL RELATIONSHIP BETWEEN KUAKINI HEALTH SYSTEMS, THE SUPPORTED ORGANIZATIONS, AND THE OTHER ORGANIZATIONS THAT COMPRISE THE KUAKINI HEALTH SYSTEM HEALTHCARE GROUP. KUAKINI HEALTH SYSTEM IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. AS PART OF THE KUAKINI HEALTH SYSTEM HEALTHCARE GROUP KUAKINI HEALTH SYSTEM AND THE SUPPORTED ORGANIZATIONS HAVE THE SAME PRESIDENT & CEO, AND VP FINANCE/CFO. ALTHOUGH THERE IS NOT A MAJORITY BOARD OVERLAP, ALL SUPPORTED ORGANIZATIONS HAVE AT LEAST ONE BOARD MEMBER THAT IS A BOARD MEMBER WITH KUAKINI HEALTH SYSTEM. THIS SHARED MANAGEMENT ALONGSIDE KUAKINI HEALTH SYSTEMS RIGHTS AS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS ENSURES THAT KUAKINI HEALTH SYSTEM IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37733 32695 5038 5038 INVESTMENT IN PREMIER HEALTHCARE 5161440 OTHER NONCURRENT ASSETS 87907 BENEFICIAL INTEREST IN KUAKINI FOUNDATION 12263517 17512864 DUE TO AFFILIATES 2966424 2966424 X 979168 209439 209439 769729 1837802 1837802 2607531 293470 -1248958 -1248958 1542428 0 1542428 PART X, LINE 2: THE HEALTH SYSTEM HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH IT OPERATES. CERTAIN SUBSIDIARIES ARE SUBJECT TO INCOME TAXES; SUCH AMOUNTS ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. AT JUNE 30, 2020 AND 2019, MANAGEMENT BELIEVES THERE WERE NO SIGNIFICANT UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PARTNERSHIP INCOME PER BOOK 209,439. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFIED ALLOCATION INCOME 1,248,958. INCOME FROM PARTNERSHIP K-1 588,844. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFIED ALLOCATION INCOME -1,248,958. X X 0 0 0 0 0 0 0 0 0 GARY KAJIWARA PRESIDENT & CEO 413201 0 0 0 0 0 5248 0 16708 0 435157 0 0 0 GREGG OISHI SR VP, CAO & CFO 240991 0 0 0 0 0 4935 0 30875 0 276801 0 0 0 JUNE DRUMELLER SR VP, CCO 235753 0 0 0 0 0 4832 0 25314 0 265899 0 0 0 FORM 990, PART VII GARY KAJIWARA SERVES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF KUAKINI HEALTH SYSTEM. HE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HIS SERVICES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HIS SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). GREGG OISHI SERVES AS THE SENIOR VICE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER/CHIEF FINANCIAL OFFICER OF KUAKINI HEALTH SYSTEM. HE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HIS SERVICES AS THE SENIOR VICE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER/CHIEF FINANCIAL OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HIS SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). KAMAL MASAKI SERVES AS A DIRECTOR OF KUAKINI HEALTH SYSTEM. SHE IS A VOLUNTEER DIRECTOR AND IS NOT COMPENSATED FOR THOSE SERVICES. COMPENSATION PAID TO DR. MASAKI IS FOR HER SERVICES AS A RESEARCH INVESTIGATOR FOR KUAKINI MEDICAL CENTER. JUNE DRUMELLER SERVES AS THE SENIOR VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM. SHE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HER SERVICES AS THE VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HER SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CFO AND OTHER MANAGEMENT PERSONNEL, AND A COPY IS PROVIDED TO THE BOARD BEFORE FILING. COMMENTS BY BOARD MEMEBERS ARE REVIEWED BY THE CFO AND OTHER OFFICERS. CFO PROVIDES BOARD MEMBER A RESPONSE TO THEIR COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C ALL KUAKINI HEALTH SYSTEM AND ITS SUBSIDIARIES OFFICERS, EMPLOYEES, AND MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED BY KUAKINI'S CONFLICT OF INTEREST POLICY. REVIEW/INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST IS DONE BY A DESIGNEE OF THE PRESIDENT AND CEO. INDIVIDUALS ARE ASKED TO RECUSE THEMSELVES FROM PARTICIPATING IN THE GOVERNING BODY'S DISCUSSION AND DECISION-MAKING REGARDING BUSINESS ACTIVITIES AND TRANSACTIONS IN ORDER TO AVOID CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY THE GOVERNING BODY'S COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS THE CEO'S PERFORMANCE IN RELATIONSHIP TO THE GOALS AGREED UPON BY THE CEO AND COMPENSATION COMMITTEE. THE COMMITTEE ESTABLISHES THE CEO'S COMPENSATION BASED ON AN ANNUAL REVIEW OF COMPARATIVE BASE SALARIES OF NOT-FOR-PROFIT HOSPITAL CEOS IN THE U.S. AND HAWAII, AND COMPARATIVE BASE SALARIES OF HEALTH-RELATED AND NON-HEALTHCARE COMPANIES' CEOS IN HAWAII. THE CEO REVIEWS THE PERFORMANCE OF THE MEMBERS OF THE ADMINISTRATIVE TEAM AND ESTABLISHES THEIR COMPENSATION BASED ON AN ANNUAL REVIEW OF COMPARATIVE BASE SALARIES OF COMPARABLE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE FORM 990 AND RELATED DOCUMENTS ARE MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICES. FORM 990, PART XI, LINE 9: CURRENT YEAR NET INCOME/LOSS - KUAKINI FOUNDATION -2,960,947. PREMIER INCOME ADJUSTMENT -379,405. FORM 990 PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KUAKINI MEDICAL CENTER 347 NORTH KUAKINI STREET HONOLULU HI 96817 990074139 HOSPITAL SERVICES HI 501(C)(3) LINE 3 KUAKINI HEALTH SYSTEM 1 KUAKINI GERIATRIC CARE INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225065 GERIATRIC MEDICINE HI 501(C)(3) LINE 3 KUAKINI HEALTH SYSTEM 1 KUAKINI FOUNDATION 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225067 FUNDRAISING HI 501(C)(3) LINE 7 KUAKINI HEALTH SYSTEM 1 KUAKINI SUPPORT SERVICES INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225148 SUPPORT ORGANIZATION HI 501(C)(3) LINE 12A, I KUAKINI HEALTH SYSTEM 1 KUAKINI DEVELOPMENT CORP 347 NORTH KUAKINI STREET HONOLULU HI 96817 990171854 PHARMACY/DEVELOPMENT HI KUAKINI MEDICAL CENTER C 424974 3362495 1.00000 1 PACIFIC ASIAN RESOURCES INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 990257899 HEALTH SERVICES HI KUAKINI MEDICAL CENTER C 8 18239 1.00000 1 KUAKINI PACIFIC CORPORATION 347 NORTH KUAKINI STREET HONOLULU HI 96817 990328954 EDUCATION/RESEARCH HI N/A C 325618 1.00000 1 KUAKINI PHO 347 NORTH KUAKINI STREET HONOLULU HI 96817 943256790 HEALTH SERVICES HI N/A C 253942 787244 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 KUAKINI GERIATRIC CARE INC Q 159918 FMV KUAKINI MEDICAL CENTER Q 1070527 FMV PREMIER HEALTHCARE ALLIANCE LP 13034 BALLANTYEN CORPORATE PLACE CHARLOTTE NC 28277 330387407 HOSPITAL SUPPLIES PURVEYOR NC EXCLUDED 0 588844 2442636 0 32350 0 0.00220 FORM 990, SCHEDULE R, PART V, LINE 2: AMOUNTS REPRESENTS SUPPORT PROVIDED TO SUPPORTED ORGANIZATIONS BY KUAKINI HEALTH SYSTEM AS ALSO SHOWN ON SCHEDULE A, PART 1, LINE 12G.