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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <PersonNm>KPMG LLP</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1003 BISHOP ST STE 2100</AddressLine1Txt>
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            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96813</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Accounting</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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        <Desc>PSHIP INC PROGRAM SVC</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>ADMIN SERVICES</Desc>
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      <NetGainOrLossInvestmentsGrp>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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        <ExclusionAmt>941692</ExclusionAmt>
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        <ExclusionAmt>952109</ExclusionAmt>
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      <PensionPlanContributionsGrp>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>38421</ProgramServicesAmt>
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        <ProgramServicesAmt>51072</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>533589</TotalAmt>
        <ManagementAndGeneralAmt>533589</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <FeesForServicesOtherGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>97262</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>32000</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>7717</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>373812</ProgramServicesAmt>
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        <EOYAmt>501713</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>22281</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>15452</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>3488458</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>507567</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1002093</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <SupportingOrgType2Ind>X</SupportingOrgType2Ind>
      <SupportedOrganizationsCnt>3</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
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        </SupportedOrganizationName>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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        <OtherSupportAmt>128043</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI FOUNDATION</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI MEDICAL CENTER</BusinessNameLine1Txt>
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        <EIN>990074139</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>1811764</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>3</SupportedOrganizationsTotalCnt>
      <OtherSupportSumAmt>1939807</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <MajorityDirTrstSupportedOrgInd>false</MajorityDirTrstSupportedOrgInd>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART I, LINE 12(G), COLUMN VI</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION C, QUESTION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI HEALTH SYSTEMS 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 &amp; CEO, AND VP FINANCE/CFO. ALTHOUGH THERE IS NOT A MAJORITY BOARD OVERLAP, FOR MOST OF THE SUPPORTED ORGANIZATIONS THERE IS AT LEAST ONE KHS BOARD MEMBER ALSO ON THOSE BOARDS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>37733</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22281</DepreciationAmt>
        <BookValueAmt>15452</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>15452</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INV. IN PREMIER H'LTHCARE</Desc>
        <BookValueAmt>2762086</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER NONCURRENT ASSETS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN KF</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>17100285</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFLIATES</Desc>
        <Amt>3234113</Amt>
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      <TotalLiabilityAmt>3234113</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherRevenueAmt>1183993</OtherRevenueAmt>
      <RevenueNotReportedAmt>1183993</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>541</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>2446833</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2446833</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2447374</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>-3256</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>-3256</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1943063</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1943063</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1939807</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health System evaluates its uncertain tax positions and has no material unrecognized tax benefits as of June 30, 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN KF 1,183,993 PART XI, LINE 4B - OTHER ADJUSTMENTS PROGRAM REVENUE NET WITH EXPENSES 1,001,371 FROM PREMIER HEALTHCARE ALLIANCE LP SCHEDULE K-1: - ORDINARY INCOME 493,894 - INTEREST INCOME 9,876 RECLASS OF MEDICAL SUPPLY REBATES FROM EXPENSES 941,692 TOTAL TO SCHEDULE D, PART XI, LINE 4B 2,446,833 PART XII, LINE 4B - OTHER ADJUSTMENTS PROGRAM REVENUE NET WITH EXPENSES 1,001,371 RECLASS OF MEDICAL SUPPLY REBATES TO REVENUE 941,692 TOTAL TO SCHEDULE D, PART XII, LINE 4B 1,943,063</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gary Kajiwara</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>405599</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39656</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8759</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>460014</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregg Oishi</PersonNm>
        <TitleTxt>Sr VP &amp; CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>238266</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32945</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21417</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>292628</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>June Drumeller</PersonNm>
        <TitleTxt>Sr VP &amp; CCO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>34296</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Wilfred Higashi</PersonNm>
        <TitleTxt>Mgr, Corporate Audit &amp; Comp.</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29590</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>8040</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162503</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 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).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF ORGANIZATION MISSION: AT REASONABLE COST; CONTINUOUSLY IMPROVE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the CFO and other management personnel, and a copy is provided to the Board before filing. Comments by Board members are reviewed by the CFO and other officers. CFO provides Board member a response to their comments.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 12c:</FormAndLineReferenceDesc>
        <ExplanationTxt>All Kuakini Health System and its Subsidiaries officers; employees; and members of the Boards of Directors are covered by Kuakinis 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 bodys discussion and decision-making regarding business activities and transactions in order to avoid conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15a &amp; 15B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request, the Form 990 are made available for viewing at the administrative offices. Except for Form 990, No Documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL BALANCE - BENEFICIAL INTEREST IN KF 321,870 CURRENT YEAR NET INCOME - KF 1,183,993 PREMIER K-1 NET INCOME ADJUSTMENT (503,770) TOTAL TO FORM 990, PART XI, LINE 9 1,002,093</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS' AUDIT COMMITTEE HAS OVERSIGHT REVIEW OF THE AUDIT. THE INDEPENDENT AUDITORS PRESENT TO THE BOARD OF DIRECTORS' AUDIT COMMITTEE THE RESULTS OF THE AUDIT AND ANY MANAGEMENT COMMENTS, IF ANY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
          <CityNm>Honolulu</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>BOX 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kuakini Geriatric Care Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
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          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Geriatric med</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>BOX 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
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          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>BOX 7</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kuakini Support Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
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          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990225148</EIN>
        <PrimaryActivitiesTxt>Support Org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>BOX12 TYPE1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Kuakini Development Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
          <CityNm>Honolulu</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990171854</EIN>
        <PrimaryActivitiesTxt>Pharmacy/Dev</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KMC</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Pacific Asian Resources Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
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          <StateAbbreviationCd>HI</StateAbbreviationCd>
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          <AddressLine1Txt>347 North Kuakini Street</AddressLine1Txt>
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        <DirectControllingEntityName>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>325615</ShareOfEOYAssetsAmt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>