2015-09-18T18:57:29-05:00 2014-12-31 990169131 N&K CPAS INC 1001 BISHOP ST STE 1700 HONOLULU HI 968133696 990 2014-01-01 990257883 HAWAII ORGAN PROCUREMENT ORGANIZATION HAWA 8085997630 405 N KUAKINI STREET NO 810 HONOLULU HI 96817 STEPHEN A KULA PRESIDENT/CEO 8085997630 2015-09-08 1 MICHAEL I TANAKA P00412914 8085242255 2014 2016-02-25 16:41:14Z LEGACY OF LIFE HAWAII STEPHEN A KULA 405 N KUAKINI STREET NO 810 HONOLULU HI 96817 6497264 0 X N/A X 1987 HI TO PERFORM OR COORDINATE THE PERFORMANCE OF RETRIEVING, PRESERVING, AND TRANSPORTING ORGANS AND TISSUES AND PLACING ORGANS ACCORDING TO NATIONALLY ESTABLISHED CRITERIA TO CONDUCT PROFESSIONAL AND PUBLIC EDUCATION. 12 12 52 178 0 0 46532 92629 2438323 6036537 58306 64208 8326 18108 2551487 6211482 0 0 0 0 1406045 2862455 0 0 0 1320074 3193207 2726119 6055662 -174632 155820 3691958 4180440 2002552 2247192 1689406 1933248 TO PERFORM OR COORDINATE THE PERFORMANCE OF RETRIEVING, PRESERVING, AND TRANSPORTING ORGANS AND TISSUES AND PLACING ORGANS ACCORDING TO NATIONALLY ESTABLISHED CRITERIA. TO CONDUCT PROFESSIONAL AND PUBLIC EDUCATION. 0 0 5250388 6054645 PROCUREMENT OF ORGANS AND TISSUES FOR TRANSPLANT AND RESEARCH. THE ORGANIZATION RECOVERED 144 ORGANS FROM 47 DONORS RESULTING IN 116 LIFE SAVING TRANSPLANTS; RECOVERED TISSUES FROM 121 DONORS; 45,456 PARTICIPANTS IN HEALTH FAIRS PRESENTED TO 32 DIFFERENT COMMUNITY GROUPS; AND DISTRIBUTED 11,570 PACKETS OF INFORMATION. 5250388 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 11 0 1 52 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X STEPHEN A KULA 8085997630 405 N KUAKINI ST SUITE 810 HONOLULU HI 96817 ART GLADSTONE MBA BSN CHAIRMAN 1.00 X X 0 0 0 KAREN L SCHULTZ RN MS CARN CHAIR ELECT 1.00 X X 0 0 0 WENDY ABE VICE CHAIR 1.00 X X 0 0 0 JULIE A MEIER TREASURER 0.50 X X 0 0 0 ALAN CHEUNG MD DIRECTOR 0.50 X 0 0 0 TIMOTHY BLAISDELL DIRECTOR 1.00 X 0 0 0 DIANNE BROOKINS ESQ DIRECTOR 0.50 X 0 0 0 EMILIE SMITH RN MBA DIRECTOR 0.50 X 0 0 0 KAREN SETTLEMIRE SECRETARY 1.00 X X 0 0 0 AARON OKUBO DIRECTOR 0.50 X 0 0 0 JOHN CAUDELL DIRECTOR 0.50 X 0 0 0 STEPHANIE CHUN DIRECTOR 0.50 X 0 0 0 LIVINGSTON WONG MD HONORARY BOARD MEMBER 1.00 X 0 0 0 STEPHEN A KULA PRESIDENT/CEO 40.00 X 153018 0 20018 CHRISTINE L BOGEE EXECUTIVE VP/COO 40.00 X 137080 0 12689 KATHARINE KICKERTZ DIRECTOR OF ORGAN PROCUREM 40.00 X 117439 0 17487 KELLY L KENT ORGAN PROGRAM MANAGER 40.00 X 115061 0 16644 FELICIA WELLS-WILLIAMS DIRECTOR OF FAMILY SERVICES 40.00 X 116640 0 29260 GERMAN A ESTRELLA DIRECTOR OF TISSUE PROCURE 40.00 X 134565 0 17691 773803 0 113789 6 0 1 0 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL ST 303 HONOLULU HI 96813 HOSPITAL FEES 458087 SURGICAL ASSOCIATES INC 550 S BERETANIA ST SUITE 403 HONOLULU HI 96813 SURGICAL RECOVERY & MEDICAL DIRECTOR FEE 281793 STATLINE 6400 S FIDDLERS GREEN CIRCLE SUI GREENWOOD VILLAGE CO 80111 CALL CENTER SERVICES 139797 PALI MOMI MEDICAL CENTER 98-1079 MOANALUA ROAD AIEA HI 96701 HOSPITAL FEES 102150 4 92629 92629 ORGAN PROCUREMENT 900099 6036537 6036537 6036537 45428 45428 304562 285782 18780 18780 18780 RESEARCH INCOME 900099 11400 11400 MISC INCOME 900099 6708 6708 18108 6211482 6054645 0 64208 173036 173036 2171556 1868789 302767 110012 88259 21753 239176 194223 44953 168675 138490 30185 187324 133820 53504 73542 72927 615 124860 103402 21458 100086 77653 22433 120735 96636 24099 9509 4876 4633 5931 5931 73558 73558 75855 73531 2324 RECOVERY & PROCUREMENT 1854706 1854706 ANSWERING SERVICE 194072 194072 COMPUTER ON-LINE 112821 112821 EDUCATION 66617 64238 2379 193591 171945 21646 6055662 5250388 805274 0 42770 96065 37763 216949 409274 744007 112019 102368 2091697 443424 1721831 1648273 951186 1198352 417115 174426 3691958 4180440 654993 1274601 1347559 972591 2002552 2247192 X 1689406 1933248 1689406 1933248 3691958 4180440 X 155820 -62869 150891 0 X X 0 1 X 1 0 X 49312 50024 43141 46532 92629 281638 4416302 4858274 5411110 2438323 6036537 23160546 4465614 4908298 5454251 2484855 6129166 23442184 10000 13000 15000 5000 43000 0 10000 13000 15000 5000 43000 23399184 22548 26794 30893 18492 45428 144155 22548 26794 30893 18492 45428 144155 13391 12120 16946 8326 18108 68891 4501553 4947212 5502090 2511673 6192702 23655230 0.98920 0.98810 0.00610 0.00560 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESEARCH INCOME MISCELLANEOUS INCOME SCHEDULE A, PART III 5 YEAR COMPUTATION PERIOD INCLUDES SHORT TAX YEAR. THE ORGANIZATION FILED A SHORT YEAR TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2013 DUE TO CHANGE OF ACCOUNTING PERIOD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1767192 184053 1583139 324505 259371 65134 1648273 MUTUAL FUNDS 909604 F STOCKS 288748 F 1198352 X 6148613 -62869 -62869 6211482 0 6211482 6055662 0 6055662 0 6055662 PART X, LINE 2: LEGACY OF LIFE HAWAII (LLH) IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. LLH IS NOT SUBJECT TO INCOME TAXES IN THE U.S. FEDERAL JURISDICTION AND THE STATE. TAX REGULATIONS WITHIN EACH JURISDICTION ARE SUBJECT TO INTERPRETATION OF THE RELATED TAX LAWS AND REGULATIONS AND REQUIRE SIGNIFICANT JUDGMENT TO APPLY. X X 0 0 0 0 0 0 0 0 0 STEPHEN A KULA PRESIDENT/CEO 153018 0 0 0 0 0 9258 0 10760 0 173036 0 0 0 GERMAN A ESTRELLA DIRECTOR OF TISSUE PROCURE 134565 0 0 0 0 0 7883 0 9808 0 152256 0 0 0 0 THE QUEEN'S MEDICAL CENTER CHAIR ELECT KAREN SCHULTZ IS VICE PRESIDENT PATIENT CARE OF QUEEN'S MEDICAL 458087 INDEPENDENT CONTRACTOR ARRANGEMENT 0 SURGICAL ASSOCIATES INC BOARD OF DIRECTOR ALAN CHEUNG IS PRESIDENT OF SURGICAL ASSOCIATES, INC. 281793 INDEPENDENT CONTRACTOR ARRANGEMENT 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE FORM 990 IS REVIEWED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND FINANCE COMMITTEE. THE RETURN IS PLACED ON A PASSWORD-PROTECTED WEBSITE FOR WEB ACCESS FOR THE BOARD TO REVIEW AND COMMENT. THE FORM 990 IS THEN FINALIZED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY CONSIDERS ALL DIRECTORS, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST AS AN INTERESTED PERSON. INTERESTED PERSONS MUST COMPLETE A DISCLOSURE FORM ANNUALLY AND ANYTIME ACTUAL OR POSSIBLE CONFLICTS OF INTEREST MAY OCCUR. INTERESTED PERSONS MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AFTER DISCLOSURE BY THE INTERESTED PERSON, THE DETERMINATION OF A CONFLICT IS DISCUSSED AND VOTED ON. IF A CONFLICT OF INTEREST EXISTS THE INTERESTED PERSON MAY MAKE A PRESENTATION REGARDING THE TRANSACTION OR THE CHAIRPERSON MAY APPOINT A DISINTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE EVALUATES THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE USES A NATIONAL SALARY SURVEY THAT IS COMPLETED BY ALL ORGAN PROCUREMENT ORGANIZATIONS TO DETERMINE SALARY RANGES FOR THE INDUSTRY. COMPENSATION GRADES AND RANGES ARE DETERMINED BY USING LOCAL AND NATIONAL SALARY SURVEYS AS WELL AS THE ANNUAL ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION SURVEY AND REFLECT EXPERIENCE, TRAINING AND SCOPE OF JOB AND ORGANIZATIONAL RESPONSIBILITIES. A RECOMMENDATION IS MADE TO THE EXECUTIVE COMMITTEE WHO DETERMINES THE PRESIDENT AND CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR PERFORMING ANNUAL EVALUATIONS AND APPROVING COMPENSATION FOR ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENT FOR ALLOWANCE FOR RECEIVABLES FROM MEDICARE (175,590) AND DEFERRED LEASE RENT LIABILITY (-24,699).