﻿<?xml version="1.0" encoding="utf-8"?>
<Return xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2015v3.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-05-15T13:09:38-05:00</ReturnTs>
    <TaxPeriodEndDt>2016-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KPMG LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1003 Bishop Street Suite 2100</AddressLine1Txt>
        <CityNm>Honolulu</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96813</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>990074139</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>KUAKINI MEDICAL CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% WILFRED HIGASHI</InCareOfNm>
      <BusinessNameControlTxt>KUAK</BusinessNameControlTxt>
      <PhoneNum>8085362236</PhoneNum>
      <USAddress>
        <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
        <CityNm>HONOLULU</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96817</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>WENNIE TOMITA</PersonNm>
      <PersonTitleTxt>VP, FINANCE &amp; CFO</PersonTitleTxt>
      <PhoneNum>8085479231</PhoneNum>
      <SignatureDt>2017-05-12</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>VALERIE J BALL</PreparerPersonNm>
      <PTIN>P00178114</PTIN>
      <PhoneNum>8085402800</PhoneNum>
      <PreparationDt>2017-05-12</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <PrincipalOfficerNm>GARY KAJIWARA</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
        <CityNm>HONOLULU</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96817</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>137743725</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.KUAKINI.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1983</FormationYr>
      <LegalDomicileStateCd>HI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE ATTACHMENT 1</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1039</TotalEmployeeCnt>
      <TotalVolunteersCnt>136</TotalVolunteersCnt>
      <TotalGrossUBIAmt>1059397</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>400914</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>4006250</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>9727200</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>122478711</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>121402050</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1482791</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-435318</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>5527512</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>4337389</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>133495264</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>135031321</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>12000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>13700</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>76691087</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>77408243</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>60907260</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>62063925</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>137610347</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>139485868</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-4115083</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-4454547</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>125855728</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>123796230</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>109436904</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>123325919</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>16418824</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>470311</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF KUAKINI MEDICAL CENTER 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 MEDICAL CENTER PROVIDES ACUTE HOSPITAL SERVICES, AMBULATORY CARE SERVICES, EMERGENCY ROOM SERVICES, TEACHING SERVICES AND BIOMEDICAL RESEARCH.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>110861319</ExpenseAmt>
      <GrantAmt>13700</GrantAmt>
      <RevenueAmt>122200150</RevenueAmt>
      <Desc>KUAKINI MEDICAL CENTER PROVIDES HOSPITAL CARE SERVICES AND AMBULATORY CARE SERVICES TO PROVIDE RELIEF TO PEOPLE IN THE STATE OF HAWAII AS A RESULT OF ILLNESS, POVERTY, ACCIDENT OR OTHER CAUSE; PROMOTES THE GENERAL WELFARE OF THE COMMUNITY; PERFORMS ANY CHARITABLE OR BENEVOLENT WORK; ESTABLISHES AND MAINTAINS FACILITIES TO PROVIDE MEDICAL SERVICES; PROVIDES AND CONDUCTS EDUCATIONAL SERVICES TO RENDER CARE TO THE SICK AND INJURED; AND PROMOTES SCIENTIFIC RESEARCH RELATING TO THE CARE OF THE SICK AND INJURED.</Desc>
      <TotalProgramServiceExpensesAmt>110861319</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="BinaryAttach BinaryAttachN1">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>102</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>1039</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>false</WrittenPolicyOrProcedureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>WILFRED HIGASHI</PersonNm>
        <PhoneNum>8085479231</PhoneNum>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Kajiwara</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>20.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>427769</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44013</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Wayne Arakaki</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan Arizumi</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chuck Gee</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Hirano</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Wesley Hiyane</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Glenn Inouye</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.25</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Satoru Izutsu</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.25</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Myron Shirasu</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Takata</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>38400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Yamamoto</PersonNm>
        <TitleTxt>Chair (THRU 12/2015)</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Yasuda</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rochelle Lee Gregson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregg Oishi</PersonNm>
        <TitleTxt>Sr VP &amp; CAO</TitleTxt>
        <AverageHoursPerWeekRt>30.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>219304</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53262</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Quin Ogawa</PersonNm>
        <TitleTxt>VP Finance &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>30.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>26.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>199363</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45989</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>June Drumeller</PersonNm>
        <TitleTxt>Sr VP &amp; CCO</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>223362</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45521</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nobuyuki Miki</PersonNm>
        <TitleTxt>VP Med Svcs &amp; CMO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>163395</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36299</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Virginia Walker</PersonNm>
        <TitleTxt>VP Nurs Svcs &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>157722</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35533</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janette Sebastian</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>52.9</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165230</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37747</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ruby Anderson</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>47.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>154682</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18262</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Miyama</PersonNm>
        <TitleTxt>Ultrasound Tech</TitleTxt>
        <AverageHoursPerWeekRt>53.7</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>142458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33903</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Victoria Mariano</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>47.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>149734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35302</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carrie Mak-Chang</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>43.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>147929</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29712</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1119550</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1069798</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>415543</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>157</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HAWAII RESIDENCY PROGRAMS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1356 LUSITANA STREET 510</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96813</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED SERVICES</ServicesDesc>
        <CompensationAmt>1496237</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIVERSITY OF HAWAII</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1960 EAST-WEST ROAD T107</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96822</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED SERVICES</ServicesDesc>
        <CompensationAmt>492618</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THE QUEEN'S MEDICAL CENTER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 PUNCHBOWL STREET</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96813</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED SERVICES</ServicesDesc>
        <CompensationAmt>408368</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ELIPSE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11901 SANTA MONICA BLVD 500</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSIDE HIRES</ServicesDesc>
        <CompensationAmt>366597</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PACIFIC ANESTHESIA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>321 N KUAKINI STREET 306</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96817</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSIDE HIRES</ServicesDesc>
        <CompensationAmt>348482</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>9513500</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>213700</AllOtherContributionsAmt>
      <TotalContributionsAmt>9727200</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH PROGRAMS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2159</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2159</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>121399891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121399891</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>121402050</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1242885</TotalRevenueColumnAmt>
        <ExclusionAmt>1242885</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>144070</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>144070</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>144070</TotalRevenueColumnAmt>
        <ExclusionAmt>144070</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1034201</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1374009</SecuritiesAmt>
        <OtherAmt>1338395</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-339808</SecuritiesAmt>
        <OtherAmt>-1338395</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1678203</TotalRevenueColumnAmt>
        <ExclusionAmt>-1678203</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PARKING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1709268</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>1056696</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>652572</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PRINTING</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>208101</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>2701</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>205400</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>954619</TotalRevenueColumnAmt>
        <ExclusionAmt>954619</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1321331</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>798100</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>523231</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>4193319</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>135031321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>122200150</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1059397</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2044574</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>13700</TotalAmt>
        <ProgramServicesAmt>13700</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>417736</TotalAmt>
        <ProgramServicesAmt>38400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>379336</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>59950977</TotalAmt>
        <ProgramServicesAmt>47652879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12298098</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2275557</TotalAmt>
        <ProgramServicesAmt>1797690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>477867</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>14763973</TotalAmt>
        <ProgramServicesAmt>11663539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3100434</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>39589252</TotalAmt>
        <ProgramServicesAmt>31275502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8313750</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>0</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1413291</TotalAmt>
        <ManagementAndGeneralAmt>1413291</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>8213098</TotalAmt>
        <ProgramServicesAmt>8213098</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1631744</TotalAmt>
        <ManagementAndGeneralAmt>1631744</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBT</Desc>
        <TotalAmt>4590807</TotalAmt>
        <ProgramServicesAmt>4590807</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ADMINISTRATIVE &amp; FISCAL</Desc>
        <TotalAmt>4300874</TotalAmt>
        <ProgramServicesAmt>3397692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>903182</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>1596057</TotalAmt>
        <ProgramServicesAmt>1596057</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR INCOME TAXES</Desc>
        <TotalAmt>220000</TotalAmt>
        <ProgramServicesAmt>220000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>508802</TotalAmt>
        <ProgramServicesAmt>401955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106847</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>139485868</TotalAmt>
        <ProgramServicesAmt>110861319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28624549</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>16221</BOYAmt>
        <EOYAmt>2173664</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2302585</BOYAmt>
        <EOYAmt>501546</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>17498970</BOYAmt>
        <EOYAmt>16941464</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3416725</BOYAmt>
        <EOYAmt>3522808</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2396426</BOYAmt>
        <EOYAmt>2366078</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>173919142</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>126752114</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>50993050</BOYAmt>
        <EOYAmt>47167028</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7135523</BOYAmt>
        <EOYAmt>6208044</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>4875649</BOYAmt>
        <EOYAmt>4781791</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>37220579</BOYAmt>
        <EOYAmt>40133807</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>125855728</BOYAmt>
        <EOYAmt>123796230</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>14095594</BOYAmt>
        <EOYAmt>16564194</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>505056</BOYAmt>
        <EOYAmt>305056</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>26241188</BOYAmt>
        <EOYAmt>25417416</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>68595066</BOYAmt>
        <EOYAmt>81039253</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>109436904</BOYAmt>
        <EOYAmt>123325919</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>16418824</BOYAmt>
        <EOYAmt>470311</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16418824</BOYAmt>
        <EOYAmt>470311</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>125855728</BOYAmt>
        <EOYAmt>123796230</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-4454547</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>108801</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-11602767</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3507014</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3507014</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>65280741</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>50690028</DepreciationAmt>
        <BookValueAmt>14590713</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>86189922</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>65382296</DepreciationAmt>
        <BookValueAmt>20807626</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>18941465</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10679790</DepreciationAmt>
        <BookValueAmt>8261675</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>47167028</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>31935673</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS IN AFFILIATES</Desc>
        <BookValueAmt>6922278</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED LOAN FEES</Desc>
        <BookValueAmt>540862</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER NONCURRENT ASSETS</Desc>
        <BookValueAmt>734994</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>40133807</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL</Desc>
        <Amt>3075827</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>3459436</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION</Desc>
        <Amt>66662326</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIG-CURRENT</Desc>
        <Amt>1165764</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIG-NONCURRENT</Desc>
        <Amt>2300240</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST PAYABLE</Desc>
        <Amt>753349</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG-TERM LIABILITIES</Desc>
        <Amt>1717668</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER</Desc>
        <Amt>1800</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF INSURANCE RESERVE</Desc>
        <Amt>1902843</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>81039253</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>136124702</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>4658224</OtherRevenueAmt>
      <RevenueNotReportedAmt>4658224</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>131466478</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>3564843</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>3564843</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>135031321</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>139762870</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3936939</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3936939</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>135825931</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>3659937</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>3659937</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>139485868</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SYSTEM EVALUATES ITS UNCERTAIN TAX POSITIONS AND DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2016, 2015 AND 2014. BECAUSE NO UNCERTAIN TAX POSITIONS HAVE BEEN IDENTIFIED, THE FINANCIAL STATEMENTS DID NOT INCLUDE A RELATED FOOTNOTE FOR THE FISCAL YEAR ENDED JUNE 30, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN EARNINGS OF AFFILIATES 997,348. REVERSE KDC REVENUE 3,880,868. REVERSE PAR REVENUE 8. RECLASS PROVISION FOR INCOME TAXES TO EXPENSE (220,000). TOTAL TO SCHEDULE D, PART XII, LINE 2D 4,658,224.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE (RECLASS TO EXPENSE) 4,590,807. GAIN/LOSS ON DISPOSAL OF FIXED ASSETS (1,277,828). GIFT SHOP REVENUE 112,431. GAIN/LOSS ON SUBSIDIARIES (60,567). CONTRIBUTION INCLUDED IN TEMP RESTRICTED NET ASSETS 200,000. TOTAL TO SCHEDULE D, PART XII, LINE 4B 3,564,843.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVERSE KDC EXPENSES 3,933,225. REVERSE PAR EXPENSES 3,714. TOTAL TO SCHEDULE D, PART XIII, LINE 2D 3,936,939.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN/LOSS ON DISPOSAL OF FIXED ASSETS (1,277,828). PROVISION FOR BAD DEBT 4,590,807. GIFT SHOP EXPENSES 113,258. TRANSFERS TO KSS 13,700. RECLASS PROVISION FOR INCOME TAXES REVENUES 220,000. TOTAL TO SCHEDULE D, PART XIII, LINE 4B 3,659,937.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>105248</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>105248</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>25788507</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>25788507</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15330</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>25893755</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>25893755</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15410</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>15000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>2182833</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1203621</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>979212</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00730</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>33409662</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3845159</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>29564502</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.21890</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>1671100</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1671100</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01240</TotalExpensePct>
      </ResearchGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>37278595</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5048780</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>32229814</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.23870</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>63172350</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5048780</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>58123569</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.39280</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>4590808</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>71503</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>32678443</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>37899654</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-5221211</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>KUAKINI MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.KUAKINI.ORG</WebsiteAddressTxt>
        <StateLicenseNum>13-H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>KUAKINI MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.KUAKINI.ORG</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.KUAKINI.ORG</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form Sch H Part V Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Castle Medical Center, Kahi Mohala Behavioral Health, Kahuku Medical Center, Kaiser Permanente Medical Center, Kapi'olani Medical Center for Women &amp; Children, Leahi Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children-Honolulu, Straub Clinic &amp; Hospital, The Queen's Medical Center, Wahiawa General Hospital</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form Sch H Part V Line 6b</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare Association oF Hawaii and Healthy Communities Institute</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form Sch H Part V Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>REFER TO THE 2015 IMPLEMENTATION STRATEGY ATTACHED TO FORM 990.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form Sch H Part V Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CHARGES EACH OF ITS PATIENTS THE GROSS CHARGES, BUT FINAL AMOUNTS ARE ADJUSTED IN ACCORDANCE WITH THE CONTRACTUAL AGREEMENTS AND/OR FINANCIAL ASSISTANCE POLICIES FOR THOSE QUALIFIED PATIENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED WAS A COST-TO-CHARGE RATIO DERIVED FROM THE MOST RECENT MEDICARE COST REPORT FOR WORKSHEET 2-RATIO OF PATIENT CARE COST-TO-CHARGES. FORM SCH H PART I, LINE 1F The amount of bad debt included on Form 990 Part IX line 25, column A, but subtracted for purposes of calculating the percentages in the Part I line 7 table column f, was 4,590,807.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Kuakini Medical Center conducts a year-round program of community health events featuring health education activties, free health screenings and the distribution of educational materials through it's Healthful Lifestyle Promotions. The program educates the community about healthful lifestyles, reinforces the importance of practicing good health habits, emphasizes awareness of health-related issues and encourages the community to participate in educational opportunities and free health screenings. The activities enable the community to become aware of their personal health status and to take better care of themselves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOWANCE FOR DOUBTFUL ACCOUNTS - SUBSTANTIALLY ALL OF THE HEALTH SYSTEM'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE HEALTH SYSTEM'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SHORT FALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE COST REPORT FOR FYE 2015 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H Part III, Line 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO DO NOT HAVE MEDICAL COVERAGE ARE REFERRED TO AN OUTSIDE VENDOR WHO WILL ASSIST THEM IN APPLYING FOR MEDICAID HEALTH COVERAGE. THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID ARE INFORMED OF THE ORGANIZATIONS CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAM AND ARE ADVISED TO APPLY FOR SUCH ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI MEDICAL CENTER ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES BY ANALYZING THE AVAILABILITY AND ACCESSIBILITY OF HEALTHCARE SERVICES, AND THE SUPPLY AND DEMAND FOR HEALTHCARE SERVICES IN THE CITY AND COUNTY OF HONOLULU WHICH ENCOMPASSES THE ENTIRE ISLAND OF OAHU, HAWAII. THE HEALTHCARE SERVICES REVIEWED ARE TO ADULT ACUTE HOSPITAL, AMBULATORY CARE AND EMERGENCY SERVICES. KUAKINI PARTICIPATES IN THE HAWAII STATE HEALTH PLANNING AND DEVELOPMENT AGENCY AND HEALTHCARE ASSOCIATION OF HAWAII INITIATIVES TO HELP IDENTIFY AND ASSESS THE HEALTHCARE NEEDS OF THE HAWAII COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WITHOUT HEALTH CARE COVERAGE ARE REFERRED TO AN OUTSIDE VENDOR WHO WILL ASSIST THEM IN QUALIFYING FOR MEDCAID HEALTH COVERAGE. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEY ARE THEN INFORMED ABOUT THE ORGANIZATION'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI MEDICAL CENTER PROVIDES ACUTE HOSPITAL SERVICES, AMBULATORY CARE SERVICES, EMERGENCY ROOM SERVICES, AND GRADUATE MEDICAID TEACHING SERVICES TO GENERAL METROPOLITAN AREA OF THE CITY AND COUNTY OF HONOLULU. APPROXIMATELY 75% OF THE PATIENTS UTILIZING KUAKINI'S SERVICES ARE 60+ YEARS OF AGE AND OF PACIFIC ISLAND/ASIAN ANCESTRY. KUAKINI ALSO SERVES THE COMMUNITY BY PARTICIPATING IN HEALTH FAIRS, PROVIDING LITERATURE ON HEALTHY LIFE STYLE, HOLDING OPEN HOUSE TOURS FOR ELEMENTARY SCHOOL CLASSES, AND SPONSORING VARIOUS RESEARCH EFFORTS THROUGH THE HONOLULU-ASIAN AGING STUDY; JAPAN-HAWAII CANCER STUDY AND HONOLULU HEART PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch H PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI MEDICAL CENTER SUPPORTS AN OPEN MEDICAL STAFF, WITH OVER 500 PARTICIPATING PHYSICIANS AND OVER 200 ACTIVE PRACTICING PHYSICIANS, AND HAS A MAJORITY OF EXTERNAL COMMUNITY MEMBERS SERVING ON THE MEDICAL CENTER BOARD OF DIRECTORS. THE EXTERNAL MEDICAL CENTER BOARD OF DIRECTOR MEMBERS ARE NOT COMPENSATED AND ALL SURPLUS FUNDS ARE DIRECTED FOR THE CONTINUING OPERATIONS OF THE MEDICAL CENTER AND FUNDING FOR CAPITAL IMPROVEMENT PROJECTS AND CAPITAL EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KUAKINI SUPPORT SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <RecipientEIN>990255148</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13700</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATING GRANT TO AN AFFILIATE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <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>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>421519</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6250</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35925</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8088</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>471782</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregg Oishi</PersonNm>
        <TitleTxt>Sr VP &amp; CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>219304</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>33963</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19299</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>272566</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Quin Ogawa</PersonNm>
        <TitleTxt>VP Finance &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>199363</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21229</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24760</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>245352</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>June Drumeller</PersonNm>
        <TitleTxt>Sr VP &amp; CCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>223362</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>34193</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11328</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>268883</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nobuyuki Miki</PersonNm>
        <TitleTxt>VP Med Svcs &amp; CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>163395</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18359</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199694</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Virginia Walker</PersonNm>
        <TitleTxt>VP Nurs Svcs &amp; CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157722</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22418</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13115</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>193255</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Janette Sebastian</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>165230</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20251</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17496</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202977</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ruby Anderson</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>154682</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12419</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5843</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172944</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gary Miyama</PersonNm>
        <TitleTxt>Ultrasound Tech</TitleTxt>
        <BaseCompensationFilingOrgAmt>142458</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15890</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18013</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>176361</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maria Victoria Mariano</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>149734</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23634</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11668</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carrie Mak-Chang</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>147929</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24096</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5616</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177641</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM SCH J PART I LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION UTILIZES THE FOLLOWING METHODS OF A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 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). QUIN OGAWA SERVES AS THE VICE PRESIDENT AND 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 VICE PRESIDENT AND 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). ROBIN TAKATA SERVES AS A DIRECTOR OF KUAKINI MEDICAL CENTER. HE IS A VOLUNTEER DIRECTOR AND IS NOT COMPENSATED FOR THOSE SERVICES. COMPENSATION PAID TO DR. TAKATA IS FOR His SERVICES AS CHIEF OF STAFF 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). VIRGNIA WALKER SERVES THE VICE PRESIDENT NURSING SERVICES AND CHIEF NURSING OFFICER OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HER SERVICES AS THE VICE PRESIDENT NURSING SERVICES AND CHIEF NURSING OFFICER OF KUAKINI MEDICAL CENTER. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC). NOBUYUKI MIKI SERVES AS THE VICE PRESIDENT MEDICAL AFFAIRS OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HIS SERVICES AS THE VICE PRESIDENT MEDICAL AFFAIRS OF KUAKINI MEDICAL CENTER. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC) AS THE VICE PRESIDENT MEDICAL AFFAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION IS KUAKINI HEALTH SYSTEM, A HAWAII NONPROFIT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE RIGHT TO ELECT THE DIRECTORS OF THE ORGANIZATION AND TO REMOVE ANY DIRECTOR FROM OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE FOLLOWING RIGHTS: I. TO REPEAL OR CHANGE AT ANY TIME THE BYLAWS THAT HAVE BEEN ADOPTED, ALTERED, AMENDED OR REPEALED BY THE BOARD OF DIRECTORS II. TO VOTE ON ALL MATTERS WHERE THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE CHARTER/ARTICLES OF INCORPORATION, BYLAWS OR THE LAWS OF THE STATE OF HAWAII</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CFO AND OTHER MANAGEMENT PERSONNEL AND A COPY IS PROVIDED TO THE BOARD BEFORE FILING.</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 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.</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 KUAKINI HEALTH SYSTEM'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, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, FORM 990 IS MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE. EXCEPT FOR FORM 990, NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MINIMUM PENSION LIABILITY ADJUSTMENT (12,466,533). KDC &amp; PAR ADJUSTMENTS TO NET ASSETS (148,109). EQUITY IN EARNINGS OF AFFILIATES 997,348. OTHER BOOK-TAX DIFFERENCES 14,527. TOTAL TO PART XI, LINE 9 (11,602,767).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL TOTAL FEES:31514865</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:GENERAL SERVICES TOTAL FEES:8074387</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990225140</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>box 11b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI GERIATRIC CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990225065</EIN>
        <PrimaryActivitiesTxt>MEDICAL CARE</PrimaryActivitiesTxt>
        <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 FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>990225067</ZIPCd>
        </USAddress>
        <EIN>990225067</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>BOX 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI SUPPORT SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990225148</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>box 11a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI DEVELOPMENT CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990171854</EIN>
        <PrimaryActivitiesTxt>PHARMACY/DEVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>745378</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>4555901</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI PACIFIC CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990328954</EIN>
        <PrimaryActivitiesTxt>EDUC/RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PACIFIC ASIAN RESOURCES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONO LULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990257899</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>8</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>18264</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KUAKINI FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>9513500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KUAKINI HEALTH SYSTEM</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>878544</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KUAKINI DEVELOPMENT CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>115394</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KUAKINI GERIATRIC CARE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>5420454</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>