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KUAKINI MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KUAKINI MEDICAL CENTER (EIN 99-0074139)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201421349349304717
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T12:52:18-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1999 BISHOP STREET SUITE 2700AddressLine1
CityHonoluluCity
StateHIState
ZIP Code968134454ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990074139EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KUAKINI MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% QUIN OGAWAInCareOfName
Name ControlKUAKNameControl
Phone8085479231Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1347 NORTH KUAKINI STREETAddressLine1
Address Line2SuiteAddressLine2
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameQUIN OGAWAName
TitleVP & CFOTitle
Phone8085479231Phone
Date Signed2014-02-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY KAJIWARANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1347 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Gross Receipts153525676GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KUAKINI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionSEE ATTACHMENT 1ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1079TotalNbrEmployees
Total Nbr Volunteers151TotalNbrVolunteers
Total Gross UBI916936TotalGrossUBI
Net Unrelated Business Txbl Income359672NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2003000ContributionsGrantsPriorYear
Contributions Grants Current Year27366ContributionsGrantsCurrentYear
Program Service Revenue Prior Year124799759ProgramServiceRevenuePriorYear
Program Service Revenue CY138726426ProgramServiceRevenueCY
Investment Income Prior Year434289InvestmentIncomePriorYear
Investment Income Current Year656501InvestmentIncomeCurrentYear
Other Revenue Prior Year7093064OtherRevenuePriorYear
Other Revenue Current Year6366310OtherRevenueCurrentYear
Total Revenue Prior Year134330112TotalRevenuePriorYear
Total Revenue Current Year145776603TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9181GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year75934677SalariesEtcPriorYear
Salaries Etc Current Year79738005SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year57468289OtherExpensePriorYear
Other Expenses Current Year67361102OtherExpensesCurrentYear
Total Expenses Prior Year133412147TotalExpensesPriorYear
Total Expenses Current Year147109107TotalExpensesCurrentYear
Revenues Less Expenses Prior Year917965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1332504RevenuesLessExpensesCY
Total Assets BOY135851141TotalAssetsBOY
Total Assets EOY136579094TotalAssetsEOY
Total Liabilities BOY106327922TotalLiabilitiesBOY
Total Liabilities EOY99693670TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29523219NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY36885424NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense101133116Expense
Grants10000Grants
Revenue138726426Revenue
DescriptionKUAKINI 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.Description
Total Program Service Expense101133116TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1079NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonQUIN OGAWANamePerson
Telephone Number8085479231TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1347 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
GARY KAJIWARA
PRESIDENT & CEO20.0XX041171939992
ARTHUR YAMAMOTO
VICE CHAIRPERSON1.3X
CHUCK GEE
TREASURER1.3XX
SATORU IZUTSU
CHAIRPERSON1.5X
KAMAL MASAKI
DIRECTOR0.5X3994000
WESLEY HIYANE
DIRECTOR0.5X
JAMES YASUDA
DIRECTOR0.5X
WAYNE ARAKAKI
DIRECTOR0.5X
MICHAEL NAGOSHI
DIRECTOR0.0X3740000
AMY HIRANO
DIRECTOR0.5X
ALAN ARIZUMI
DIRECTOR0.5X
GLENN INOUYE
DIRECTOR0.5X
ROBIN TAKATA
DIRECTOR0.5X3180000
NOBUYUKI MIKI
VP-MEDICAL AFFAIRS32.0X155517034164
JUNE DRUMELLER
VP-CLINICAL SERVICES60.0X172116041145
GREGG OISHI
SR VP & COO30.0X022006944812
QUIN OGAWA
VP & CFO20.0X014109148972
TESSIE HUNTER
RN51.0197373019239X
JANETTE SEBASTIAN
RN60.0192102037262X
REYNALDO PALMA
RN63.0182875024573X
ROSE LILY QUINTERO
RN58.0179428042101X
LILIAN MACARAIG
RN53.0171504028628X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1360055TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs772879TotalReportableCompFrmRltdOrgs
Total Other Compensation360888TotalOtherCompensation
Number Individuals GT100 K177NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO641412702CONSULTING3457216
HAWAII RESIDENCY PROGRAM
1356 LUSITANA STREET 510HONOLULUHI96813MEDICAL SERVICES1573742
UNIVERSITY OF HAWAII
1960 EAST-WEST ROAD T107HONOLULUHI96822MEDICAL SERVICES1423058
STANDARD PARKING
1003 BISHOP STREET PAUAHI TOWER 6HONOLULUHI96813MANAGEMENT SERVICES569984
MEDICAL SPECIALISTS OF HAWAII LLC
PO BOX 22626HONOLULUHI96822OUTSIDE SERVICES794000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Related Organizations8000RelatedOrganizations
All Other Contributions19366AllOtherContributions
Total Contributions27366TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH CARE SERVICES138013036138013036
RESEARCH PROGRAMS713390713390
FieldValueIRS element (for citing)
Total Program Service Revenue138726426TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1158747TotalRevenueColumn
Exclusion$1,158,747ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real55601Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real55601Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column55601TotalRevenueColumn
Exclusion$55,601ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7242523Securities
Other4304Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7185961Securities
Other563112Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities56562Securities
Other-558808Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-502246TotalRevenueColumn
Exclusion-$502,246ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PARKING9000991651598914568$737,030
PRINTING5614992401512368$237,783
CAFETERIA722210939690$939,690

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3479270TotalRevenueColumn
Related Or Exempt Function Income3296973RelatedOrExemptFunctionIncome
Exclusion$182,297ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6310709TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column145776603TotalRevenueColumn
Related Or Exempt Function Income142023399RelatedOrExemptFunctionIncome
Unrelated Business Revenue916936UnrelatedBusinessRevenue
Exclusion$2,808,902ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total413070Total
Program Services39940ProgramServices
Management And General373130ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total64052932Total
Program Services50601816ProgramServices
Management And General13451116ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1844893Total
Program Services1457465ProgramServices
Management And General387428ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13427110Total
Program Services10607417ProgramServices
Management And General2819693ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1244717Total
Program Services0ProgramServices
Management And General1244717ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8223047Total
Program Services0ProgramServices
Management And General8223047ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total687630Total
Program Services0ProgramServices
Management And General687630ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER PROFESSIONAL324832192566174368214760
GENERAL SERVICES8654575683711418174610
ADMINISTRATIVE & FISCAL424526733537618915060
RESEARCH AND EDUCATION PROGRAM1633378163337800

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10189269Total
Program Services930482ProgramServices
Management And General9258787ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total147109107Total
Program Services101133116ProgramServices
Management And General45975991ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4990BOY
EOY5432EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3126360BOY
EOY4122198EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21807144BOY
EOY20045580EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3074214BOY
EOY3066546EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1621548BOY
EOY1884116EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis195374359LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec136923872LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59398651BOY
EOY58450487EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5068512BOY
EOY5651512EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8536030BOY
EOY7765358EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33213692BOY
EOY35587865EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY135851141BOY
EOY136579094EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12563751BOY
EOY12920422EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1905614BOY
EOY1713510EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY26571479BOY
EOY25835000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY65287078BOY
EOY59224738EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106327922BOY
EOY99693670EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29523219BOY
EOY36885424EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29523219BOY
EOY36885424EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY135851141BOY
EOY136579094EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1332504ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-57045ReconciliationUnrealizedInvest
Reconcilation Other Changes8751754ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3502746OtherCostOrOtherBasis
Book Value3502746BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis62861236OtherCostOrOtherBasis
Depreciation46719714Depreciation
Book Value16141522BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis94528177OtherCostOrOtherBasis
Depreciation64965311Depreciation
Book Value29562866BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34482200OtherCostOrOtherBasis
Depreciation25238847Depreciation
Book Value9243353BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings58450487TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionASSETS HELD BY TRUSTEEDescription
Book Value7765358BookValue
FieldValueIRS element (for citing)
Total Of Book Value Securities7765358TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES27367283
INVESTMENTS IN AFFILIATES7078708
DEFERRED LOAN FEES640204
OTHER NONCURRENT ASSETS501670
FieldValueIRS element (for citing)
Total Book Value Other Assets35587865TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL$2,419,851
ACCRUED VACATION$3,777,433
ACCRUED PENSION$41,540,930
EST 3RD-PARTY PAYOR SETTLEMENT$5,749,343
CAPITAL LEASE OBLIG - CURRENT$824,548
CAPITAL LEASE OBLIG - NONCURRENT$1,929,392
INTEREST PAYABLE$820,133
OTHER LONG-TERM LIABILITIES$1,578,308
OTHER$584,800
FieldValueIRS element (for citing)
Total Of Amounts59224738TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt140952189TotRevenueEtcAuditedFinclStmt
Other Revenues3893229OtherRevenues
Revenue Not Rptd F9903893229RevenueNotRptdF990
Revenue Subtotal137058960RevenueSubtotal
Other Revenues Not Included8717643OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8717643RevenueNotRptdOnFinStmt
Total Revenue Per Form990145776603TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt143646105TotExpensesEtcAuditedFinclStmt
Other Expenses Included3977296OtherExpensesIncluded
Expenses Not Rptd F9903977296ExpensesNotRptdF990
Expenses Subtotal139668809ExpensesSubtotal
Other Expenses Not Included7440298OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7440298ExpensesNotRptdOnFinStmt
Total Expenses Per Form990147109107TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierExplanationExplanation
PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE:THE HEALTH SYSTEM EVALUATES ITS UNCERTAIN TAX POSITIONS AND DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2013 AND 2012. BECAUSE NO UNCERTAIN TAX POSITIONS HAVE BEEN IDENTIFIED, THE FINANCIAL STATEMENTS DID NOT INCLUDE A RELATED FOOTNOTE FOR THE FISCAL YEAR ENDED JUNE 30, 2013.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REVERSE KDC REVENUE -3,334,413. REVERSE PAR REVENUE -8. LOSS ON SALE OF FIXED ASSETS -558,808. TOTAL TO SCHEDULE D, PART XII, LINE 2D -3,893,229.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE (RECLASS TO EXPENSES) 7,303,991. INTEREST & DIVIDENDS INCLUDED IN NONOPERATING REVENUE 1,158,747. GIFT SHOP REVENUE 134,742. REALIZED GAIN ON INVESTMENTS - PARKING 56,562. TRANSFERS INCL. IN TEMP RESTRICTED NET ASSETS 8,000. LEASE RENTAL INCOME 55,601. TOTAL TO SCHEDULE D, PART XII, LINE 4B 8,714,643.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVERSE KDC EXPENSES -3,415,351. REVERSE PAR EXPENSES -3,137. GAIN ON SALE OF FIXED ASSETS -558,808. TOTAL TO SCHEDULE D, PART XIII, LINE 2D -3,977,326.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE (RECLASSED FROM REVENUES) 7,303,991. GIFT SHOP EXPENSES 126,307. TRANSFERS TO KSS 10,000. TOTAL TO SCHEDULE D, PART XIII, LINE 4B 7,440,298.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense11649594TotalCommunityBenefitExpense
Direct Offsetting Revenue2269611DirectOffsettingRevenue
Net Community Benefit Expense9379983NetCommunityBenefitExpense
Percent Of Total Expense0.06360PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11649594TotalCommunityBenefitExpense
Direct Offsetting Revenue2269611DirectOffsettingRevenue
Net Community Benefit Expense9379983NetCommunityBenefitExpense
Percent Of Total Expense0.06360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Net Community Benefit Expense15000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2377002TotalCommunityBenefitExpense
Direct Offsetting Revenue1663606DirectOffsettingRevenue
Net Community Benefit Expense713396NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense34587830TotalCommunityBenefitExpense
Direct Offsetting Revenue4585211DirectOffsettingRevenue
Net Community Benefit Expense30002619NetCommunityBenefitExpense
Percent Of Total Expense0.20340PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2678740TotalCommunityBenefitExpense
Direct Offsetting Revenue1965350DirectOffsettingRevenue
Net Community Benefit Expense713390NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39658572TotalCommunityBenefitExpense
Direct Offsetting Revenue8214167DirectOffsettingRevenue
Net Community Benefit Expense31444405NetCommunityBenefitExpense
Percent Of Total Expense0.21310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense51308166TotalCommunityBenefitExpense
Direct Offsetting Revenue10483778DirectOffsettingRevenue
Net Community Benefit Expense40824388NetCommunityBenefitExpense
Percent Of Total Expense0.27670PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,303,991BadDebtExpenseAmount
Amount Attributable To90026AmountAttributableTo
Amount Reimbursed By Medicare37125996AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare43487432CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6361436MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1KUAKINI MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1347 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KUAKINI MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
Adopt Implement StrategyXAdoptImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 7: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.
PART II:KUAKINI MEDICAL CENTER CONDUCTS A YEAR-ROUND PROGRAM OF COMMUNITY HEALTH EVENTS FEATURING HEALTH EDUCATION ACTIVITIES, FREE HEALTH SCREENINGS AND THE DISTRIBUTION OF EDUCATIONAL MATERIALS THROUGH ITS 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.
PART III, LINE 4: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. In 2013, the Health System increased its provision for uncollectible receivables due to an increase in receivables aged greater than 365 days.
PART III, LINE 8:All short fall reported on line 7 should be treated as community benefit. MEDICARE COST REPORT FOR FYE 2013 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9B: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.
PART V, LINE 3:SEE ATTACHED KUAKINI CHNA REPORT AND IMPLEMENTATION PLAN.
PART V, LINE 4:Castle Medical Center, Kahi Mohala Behavioral Health, Kahuku Medical Center, Kaiser Permanente Medical Center, Kapi'olani Medical Center for Women & Children, Leahi Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children-Honolulu, Straub Clinic & Hospital, The Queen's Medical Center, Wahiawa General Hospital
PART V, LINE 7:SEE ATTACHED KUAKINI CHNA REPORT AND IMPLEMENTATION PLAN.
PART V, LINE 22: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.
PART VI, LINE 2: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.
PART VI, LINE 3: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.
PART VI, LINE 4: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.
PART VI, LINE 5: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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1KUAKINI SUPPORT SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1347 N KUAKINI STREETAddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient990225148EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantOPERATING GRANT TO AFFILIATEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2:Identifier
ExplanationFUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY KAJIWARA
PRESIDENT & CEO040571900060000000041171900
NOBUYUKI MIKI
VP-MEDICAL AFFAIRS155517000000000155517000
JUNE DRUMELLER
VP-CLINICAL SERVICES172116000000000172116000
GREGG OISHI
SR VP & COO022006900000000022006900
QUIN OGAWA
VP & CFO014109100000000014109100
TESSIE HUNTER
RN197373000000000197373000
JANETTE SEBASTIAN
RN192102000000000192102000
REYNALDO PALMA
RN182875000000000182875000
ROSE LILY QUINTERO
RN179428000000000179428000
LILIAN MACARAIG
RN171504000000000171504000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierFORM 990, PART VII:Identifier
ExplanationGary 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 Operating 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 Operating 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). Kamal Masaki serves as a director of Kuakini Medical Center. She is a volunteer director and is not compensated for those services. Compensation paid to Dr. Masaki is for her services as a research investigator for Kuakini Medical Center. Robin Takata serves as a director of Kuakini Medical Center. She is a volunteer director and is not compensated for those services. Compensation paid to Dr. Takata is for her services as chief of staff for Kuakini Medical Center. Michael Nagoshi serves as a director of Kuakini Medical Center. He is a volunteer director and is not compensated for those services. His term as director ended on December 31, 2012. Compensation paid to Dr. Nagoshi is for his services as chief of staff for Kuakini Medical Center.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonAlan ArizumiNamePerson
FieldValueIRS element (for citing)
Relationshipdirector of KMCRelationship
Amount Of Transaction0AmountOfTransaction
Description Of TransactionSEE PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IV, (D) - DESCRIPTION OF TRANSACTION:Identifier
ExplanationALAN ARIZUMI IS AN OFFICER OF THE LENDING INSTITUTION WITH WHICH THE ORGANIZATION HAS A BANKING RELATIONSHIP.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6:THE ORGANIZATION HAS ONE SOLE MEMBER, KUAKINI HEALTH SYSTEM WHICH, THROUGH ITS BOARD OF DIRECTORS, APPROVES THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A:The Organization has members who may elect one or more members of the governing body indirectly through the requirement that a portion of the board of directors on the subsidiaries of Kuakini Health System be directors of Kuakini Health System, which selects the directors of the subsidiaries.
FORM 990, PART VI, SECTION A, LINE 7B:Decisions of the governing body are subject to approval by members.
FORM 990, PART VI, SECTION B, LINE 11B:FORM 990 IS REVIEWED BY THE CFO AND OTHER MANAGEMENT PERSONNEL AND A COPY IS PROVIDED TO THE BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C:The organization regularly and consistently monitors and enforces compliance with the policy through communications with the Directors, officers, and key employees.
FORM 990, PART VI, SECTION B, LINE 15A & 15B:The compensation of the Organization's CEO is determined by the governing body's compensation committee. The committee reviews the CEO's performance in relationship to the goals agreed upon by the CEO and compensation committee. The committee establishes the CEO's compensation based on an annual review of comparative base salaries of not-for-profit hospital CEOs in the U.S. and Hawaii, and comparative base salaries of health-related and non-healthcare companies' CEOs in Hawaii. The CEO reviews the performance of the members of the administrative team and establishes their compensation based on an annual review of comparative base salaries of comparable positions.
FORM 990, PART VI, SECTION C, LINE 19:UPON REQUEST, FORM 990 IS MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE. EXCEPT FOR FORM 990, NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:EQUITY IN EARNINGS OF AFFILIATES 1,154,592. MINIMUM PENSION LIABILITY ADJUSTMENT 7,834,631. PRIOR PERIOD ADJUSTMENT -181,868. LEASE RENTAL INCOME -55,601. TOTAL TO PART XI, LINE 9 8,751,754.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Kuakini Health System
347 NORTH Kuakini StreetHonoluluHI96817990225140ADMIN SVCSHIBOX 9N/Atrue
Kuakini Geriatric Care Inc
347 NORTH Kuakini StreetHONOLULUHI96817990225065MEDICAL CAREHIBOX 3trueKHS
Kuakini Foundation
347 NORTH Kuakini StreetHONOLULUHI96817990225067FUNDRAISINGHIBOX 7trueKHS
Kuakini Support Services Inc
347 NORTH Kuakini StreetHONOLULUHI96817990225148SUPPORT ORGHIBOXII TYPEItrueKHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
KUAKINI DEVELOPMENT CORP
347 NORTH KUAKINI STREETHONOLULUHI96817990171854PHARMACY/DEVELOPHINAC CORP78136546170251.00000true
KUAKINI PACIFIC CORPORATION
347 NORTH KUAKINI STREETHONOLULUHI96817990328954EDUC/RESEARCHHIKHSC CORPtrue
PACIFIC ASIAN RESOURCES INC
347 NORTH KUAKINI STREETHONOLULUHI96817990257899HEALTH SERVICESHINAC CORP8282861.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KUAKINI HEALTH SYSTEM
P1161374FMV
KUAKINI GERIATRIC CARE INC
Q4910293FMV
KUAKINI FOUNDATION
Q34598FMV
KUAKINI DEVELOPMENT CORP
Q108856FMV
KUAKINI SUPPORT SERVICES INC
B10000FMV
KUAKINI FOUNDATION
C8000FMV
KUAKINI DEVELOPMENT CORP
A4403FMV