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KUAKINI MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KUAKINI MEDICAL CENTER (EIN 99-0074139)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349304141
Schema version
2010v3.7
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)
Timestamp2012-05-14T16:21:42-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Line11132 BISHOP STREET SUITE 1200AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968132870ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990074139EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KUAKINI MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKUAKNameControl
Phone8085479231Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameQUIN OGAWAName
TitleVP & CFOTitle
Date Signed2012-05-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1347 N KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Gross Receipts132748281GrossReceipts
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1065TotalNbrEmployees
Total Nbr Volunteers156TotalNbrVolunteers
Total Gross UBI897937TotalGrossUBI
Net Unrelated Business Txbl Income332902NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1500000ContributionsGrantsPriorYear
Contributions Grants Current Year2021000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year119576797ProgramServiceRevenuePriorYear
Program Service Revenue CY119170267ProgramServiceRevenueCY
Investment Income Prior Year512205InvestmentIncomePriorYear
Investment Income Current Year271541InvestmentIncomeCurrentYear
Other Revenue Prior Year3170432OtherRevenuePriorYear
Other Revenue Current Year5247516OtherRevenueCurrentYear
Total Revenue Prior Year124759434TotalRevenuePriorYear
Total Revenue Current Year126710324TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year70166600SalariesEtcPriorYear
Salaries Etc Current Year74574392SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year54785415OtherExpensePriorYear
Other Expenses Current Year55991211OtherExpensesCurrentYear
Total Expenses Prior Year124967015TotalExpensesPriorYear
Total Expenses Current Year130575603TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-207581RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3865279RevenuesLessExpensesCY
Total Assets BOY128951103TotalAssetsBOY
Total Assets EOY131776910TotalAssetsEOY
Total Liabilities BOY83449650TotalLiabilitiesBOY
Total Liabilities EOY83911408TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45501453NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY47865502NetAssetsOrFundBalancesEOY
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
Expense94718516Expense
Grants10000Grants
Revenue119170267Revenue
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 Expense94718516TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 FootnotetrueReportFin48Footnote
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 With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1065NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
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 N KUAKINI ST HONO HIAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
GARY KAJIWARA
PRESIDENT & CEO20.0XX041142043432
ARTHUR YAMAMOTO
VICE CHAIRPERSON1.25XX000
CHUCK GEE
TREASURER1.25XX000
SATORU IZUTSU
CHAIRPERSON1.5XX000
KAMAL MASAKI
DIRECTOR0.5X3219700
WESLEY HIYANE
DIRECTOR0.5X000
JAMES YASUDA
DIRECTOR0.5X000
WAYNE ARAKAKI
DIRECTOR0.5X000
Michael Nagoshi
DIRECTOR0.5X3860000
AMY HIRANO
DIRECTOR0.5X000
ALAN ARIZUMI
DIRECTOR0.5X000
GLENN INOUYE
DIRECTOR2.0X000
NOBUYUKI MIKI
VP-MEDICAL AFFAIRS32.0X146419032210
JUNE DRUMELLER
VP-CLINICAL SERVICES60.0X152247036267
GREGG OISHI
SR VP & COO30.0X020677240215
Quin Ogawa
VP & CFO20.0X011591733466
Roger Rodwell
RN44.25150389032100X
LON WHITE
PRINCIPAL INVESTIGATOR40.015884808448X
Reynaldo Palma
RN50.65156239019865X
MARIA VICTORIA S MARIANO
RN56.96141862026449X
Lilian Macaraig
RN58.43139750024614X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1116551TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs734109TotalReportableCompFrmRltdOrgs
Total Other Compensation297066TotalOtherCompensation
Number Individuals GT100 K117NumberIndividualsGT100K
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 CITYMO641412702CONSULTING4520191
PACIFIC HEALTH RESEARCH INSTITUTE
700 BISHOP STREET 900HONOLULUHI96813CONSULTING830717
HAWAII RESIDENCY PROGRAMS
1356 LUSITANA STREET 510HONOLULUHI96813MEDICAL SERVICES1826771
UNIVERSITY OF HAWAII
1960 EAST-WEST ROAD T107HONOLULUHI96822MEDICAL SERVICES1147043
Sirius Computer Solutions
613 NW Loop410 Ste 1000SAN ANTONIOTX78216Consulting1170751
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Related Organizations2021000RelatedOrganizations
Total Contributions2021000TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH CARE SVCS116865030116865030
RESEARCH PROGRAMS23052372305237
FieldValueIRS element (for citing)
Total Program Service Revenue119170267TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column193790TotalRevenueColumn
Unrelated Business Revenue5302UnrelatedBusinessRevenue
Exclusion$188,488ExclusionAmount

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)
Real61231Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real61231Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column61231TotalRevenueColumn
Exclusion$61,231ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6115708Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5904856Securities
Other133101Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities210852Securities
Other-133101Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column77751TotalRevenueColumn
Exclusion$77,751ExclusionAmount

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
PARKING9000991629759891629$738,130
PRINTING5614992260381006$225,032
CAFETERIA722210772645$772,645

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2557843TotalRevenueColumn
Related Or Exempt Function Income2117570RelatedOrExemptFunctionIncome
Exclusion$440,273ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5186285TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column126710324TotalRevenueColumn
Related Or Exempt Function Income121287837RelatedOrExemptFunctionIncome
Unrelated Business Revenue897937UnrelatedBusinessRevenue
Exclusion$2,503,550ExclusionAmount

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)
Total422032Total
Program Services78398ProgramServices
Management And General343634ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58635839Total
Program Services46322313ProgramServices
Management And General12313526ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3098368Total
Program Services2447711ProgramServices
Management And General650657ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12418153Total
Program Services9810341ProgramServices
Management And General2607812ManagementAndGeneral

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)
Total1764Total
Management And General1764ManagementAndGeneral

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)
Total1481988Total
Management And General1481988ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7821810Total
Management And General7821810ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total572789Total
Management And General572789ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER PROFESSIONAL291139442300001561139290
GENERAL SERVICES722473957075441517195
ADMINISTRATIVE & FISCAL47093023720349988953
RESEARCH AND EDUCATION PROGRAM27104562710456
PROVISION FOR BAD DEBT14430301443030

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total911389Total
Program Services911389ProgramServices
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total130575603Total
Program Services94718516ProgramServices
Management And General35857087ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5087BOY
EOY4987EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1797966BOY
EOY5391254EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20377682BOY
EOY17393422EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2644273BOY
EOY2509725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1384533BOY
EOY1438083EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis187282304LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec126128136LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY60862608BOY
EOY61154168EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5805159BOY
EOY3067714EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9591585BOY
EOY9261510EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26482210BOY
EOY31556047EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY128951103BOY
EOY131776910EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7524858BOY
EOY10006345EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2580000BOY
EOY2143835EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27610000BOY
EOY27050000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY45734792BOY
EOY44711228EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY83449650BOY
EOY83911408EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY45501453BOY
EOY47865502EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45501453BOY
EOY47865502EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128951103BOY
EOY131776910EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3865279ReconcilationRevenueExpenses
Reconcilation Other Changes6229328ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3502745OtherCostOrOtherBasis
Book Value3502745BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61666004OtherCostOrOtherBasis
Depreciation43284432Depreciation
Book Value18381572BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis85867172OtherCostOrOtherBasis
Depreciation58473316Depreciation
Book Value27393856BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36246383OtherCostOrOtherBasis
Depreciation24370388Depreciation
Book Value11875995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings61154168TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionASSETS HELD BY TRUSTEEDescription
Book Value9261510BookValue
FieldValueIRS element (for citing)
Total Of Book Value Securities9261510TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES23050404
INVESTMENTS IN AFFILIATES7352486
DEFERRED LOAN FEES706432
OTHER NONCURRENT ASSETS446725
FieldValueIRS element (for citing)
Total Book Value Other Assets31556047TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL$1,934,259
ACCRUED VACATION$3,547,497
ACCRUED PENSION$30,558,455
EST.THIRD PARTY PAYOR SETTLMNT$2,732,372
CAPITAL LEASE OBLIG. - CURRENT$735,736
CAPITAL LEASE OBLIG. - NON-CUR$1,783,300
INTEREST PAYABLE$850,573
OTHER LONG-TERM LIABILITIES$483,836
OTHER$2,085,200
FieldValueIRS element (for citing)
Total Of Amounts44711228TotalOfAmounts
Total Revenue126710324TotalRevenue
Total Expenses130575603TotalExpenses
Excess Or Deficit For Year-3865279ExcessOrDeficitForYear
Net Unrealized GL On Investments-3795NetUnrealizedGLOnInvestments
Other$6,229,006OtherAmount
Total Adjustments6225211TotalAdjustments
Excess Or Deficit Per FS2359932ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt127590127TotRevenueEtcAuditedFinclStmt
Other Revenues3439009OtherRevenues
Revenue Not Rptd F9903439009RevenueNotRptdF990
Revenue Subtotal124151118RevenueSubtotal
Other Revenues Not Included2559206OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2559206RevenueNotRptdOnFinStmt
Total Revenue Per Form990126710324TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt133976950TotExpensesEtcAuditedFinclStmt
Other Expenses Included3522531OtherExpensesIncluded
Expenses Not Rptd F9903522531ExpensesNotRptdF990
Expenses Subtotal130454419ExpensesSubtotal
Other Expenses Not Included121184OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt121184ExpensesNotRptdOnFinStmt
Total Expenses Per Form990130575603TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART XI, LINE 8SCHEDULE DEQUITY IN EARNINGS OF AFFILIATES = $ 880,469 GIFT SHOP NET INCOME = $ < 4,656 > MINIMUM PENSION LIABILITY ADJUSTMENT = $ 5,352,648 EJE FOR SUBSIDIARIES = $ 47,892 KDC NET LOSS = $ < 46,093 > PAR NET LOSS = $ < 3,200 > OTHER ADJUSTMENTS = $ 1,946 ------------------ TOTAL TO PART XI, LN 8 = $ 6,229,006 ------------------
PART XII, LINE 2dSCHEDULE DREVERSE KDC REVENUE = < 3,305,882> REVERSE PAT REVENUE = < 26> LOSS ON SALE OF FIXED ASSETS = < 133,101> ------------- TOTAL TO PART XI, LN 8 = < 3,439,009> -------------
PART XII, LINE 4bSCHEDULE DINTEREST & DIVIDENDS INCLUDED IN NONOPERRATING REV = $ 203,460 GIFT SHOP REVENUE = $ 123,895 REALIZED GAIN ON INVESTMENT-INCL IN NONOPER - KMC = $ 13,775 REALIZED GAIN ON INVESTMENTINCL IN NONOPER - PARKING = $ 197,076 TRANSFERS INCLUDED IN THE TEMPORARILY RESTRICTED -NET ASSETS = $ 2,021,000 -------------- TOTAL TO PART XII, LINE 2b = $ 2,559,206 --------------
PART XIII, LINE 2dSCHEDULE DREVERSE KDC EXPENSES = $ < 3,387,158> REVERSE PAT EXPENSES = $ < 2,272> LOSS ON SALE OF FIXED ASSETS = $ < 133,101> ---------------- TOTAL TO PART XIII, LIND 2d = $ < 3,522,531> ----------------
PART XIII, LINE 4bSCHEDULE DGIFT SHOP EXPENSES = $ 109,238 TRANSFERS TO KSS = $ 10,000 OTHER ADJUSTMENTS = $ 1,946 ------------- TOTAL TO PART XIII, LINE 4b = $ 121,184 -------------
PART X, LINE 2SCHEDULE DTHE HEALTH SYSTEM EVALUATES ITS UNCERTAIN TAX POSITIONS AND DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2011 AND 2010.

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 Expense9231353TotalCommunityBenefitExpense
Direct Offsetting Revenue1888538DirectOffsettingRevenue
Net Community Benefit Expense7342815NetCommunityBenefitExpense
Percent Of Total Expense0.05690PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9231353TotalCommunityBenefitExpense
Direct Offsetting Revenue1888538DirectOffsettingRevenue
Net Community Benefit Expense7342815NetCommunityBenefitExpense
Percent Of Total Expense0.05690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Direct Offsetting Revenue5000DirectOffsettingRevenue
Net Community Benefit Expense10000NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2283594TotalCommunityBenefitExpense
Direct Offsetting Revenue801234DirectOffsettingRevenue
Net Community Benefit Expense1482360NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense30237091TotalCommunityBenefitExpense
Direct Offsetting Revenue3710008DirectOffsettingRevenue
Net Community Benefit Expense26527083NetCommunityBenefitExpense
Percent Of Total Expense0.20550PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense3672668TotalCommunityBenefitExpense
Direct Offsetting Revenue2305237DirectOffsettingRevenue
Net Community Benefit Expense1367431NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Direct Offsetting Revenue5000DirectOffsettingRevenue
Net Community Benefit Expense10000NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense36223353TotalCommunityBenefitExpense
Direct Offsetting Revenue6826479DirectOffsettingRevenue
Net Community Benefit Expense29396874NetCommunityBenefitExpense
Percent Of Total Expense0.22760PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense45454706TotalCommunityBenefitExpense
Direct Offsetting Revenue8715017DirectOffsettingRevenue
Net Community Benefit Expense36739689NetCommunityBenefitExpense
Percent Of Total Expense0.28450PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,055,413BadDebtExpenseAmount
Amount Reimbursed By Medicare33863097AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41852327CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7989230MedicareSurplusOrShortfall

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 N Kuakini StreetAddressLine1
CityHonoluluCity
StateHIState
ZIP Code968170000ZIPCode
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
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 MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Body AttachmentXBodyAttachment
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 (10 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 7The 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. BAD DEBT EXPENSE OF $ 1,443,030 WAS EXCLUDED FOR THE CALCULATION OF THE NET COMMUNITY BENEFIT PERCENTAGE IN PART I, LINE 7, COLUMN F.
PART III, LINE 4Allowance 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.
PART III, LINE 8All short fall reported on line 7 should be treated as community benefit. MEDICARE COST REPORT FOR FYE 2011 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9BPatients 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 VI, LINE 2Kuakini 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 3Patients without health care coverage are referred to an outside vendor who will assist them in qualifying for Medicaid health coverage. If the patients do not qualify for Medicaid, they are then informed about the organization's charity care policy.
PART VI, LINE 4Kuakini 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 5Kuakini 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.
PART IIKUAKINI 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 V, SECTION B, LINE 21THE 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.

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 NORTH 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 AFFILIATE 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 2Identifier
ExplanationFUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST THEM IN CARRYING OUT THEIR EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (9 entries)

Base 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
0405420000600003733506097045485200
NOBUYUKI MIKI
14641900000197010125090178629000
JUNE DRUMELLER
1522470000026846094210188514000
GREGG OISHI
0206772000003146708748024698700
Roger Rodwell
1503890000027052050480182489000
LON WHITE
158848000000084480167296000
Reynaldo Palma
1562390000061110137540176104000
MARIA VICTORIA S MARIANO
1418620000017379090700168311000
Lilian Macaraig
1397500000015266093480164364000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierFORM 990, PART VIIIdentifier
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 (KHS, 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 (KHS, 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 (KHS, 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. MICHAEL NAGOSHI SERVES AS A DIRECTOR OF KUAKINI MEDICAL CENTER. HE IS A VOLUNTEER DIRECTOR AND IS NOT COMPENSATED FOR THOSE SERVICES. 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 IVIdentifier
ExplanationALAN ARIZUMI IS AN OFFICER OF THE LENDING INSTITUTION WITH WHICH THE ORGANIZATION HAS A BANKING RELATIONSHIP WITH.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990PART VI, SECTION A, LINE 6The organization has one sole member, Kuakini Health System which, through its Board of Directors, approves the Board of Directors.
FORM 990PART VI, SECTION A, LINE 7aThe 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 990PART VI, SECTION A, LINE 7bDecisions of the governing body are subject to approval by members.
FORM 990PART VI, SECTION B, LINE 11Form 990 is reviewed by the CFO and other management personnel, and a copy is provided to the Board before filing.
FORM 990PART VI, SECTION B, LINE 12cThe organization regularly and consistently monitor and enforce compliance with the policy through communications with the Directors, officers and key employees.
FORM 990PART VI, SECTION B, LINE 15The 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 990PART VI, SECTION C, LINE 19UPON REQUESTS, THE FORM 990 ARE MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE. EXCEPT FOR FORM 990, NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990PART XI, LINE 5EQUITY IN EARNINGS OF AFFILIATES = $ 880,469 MINIMUM PENSION LIABILITY ADJUSTMENT = $ 5,352,648 UNREALIZED LOSS PARKING = $ < 3,795 > ROUNDING = $ 6 ------------------ TOTAL TO PART XI, LN 8 = $ 6,229,328 ------------------

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Kuakini Health System
347 N Kuakini StreetHonoluluHI96817990225140ADMIN SRVCSHI501(c)(3)BOX 9N/A
Kuakini Geriatric Care Inc
347 N Kuakini StreetHONOLULUHI96817990225065MED CAREHI501(c)(3)BOX 3KHS
Kuakini Foundation
347 N Kuakini StreetHONOLULUHI96817990225067FUNDRAISINGHI501(c)(3)BOX 7KHS
Kuakini Support Services Inc
347 N Kuakini StreetHONOLULUHI96817990225148SUPPORTIN ORGHI501(c)(3)BOXII TYPEIKHS

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 OwnershipPercentageOwnership
Kuakini Development Corp
347 N Kuakini StreetHONOLULUHI968170000990171854DEVEL. & PHARHINAC CORP87113448724311.00000
PACIFIC ASIAN RESOURCES
347 N KUAKINI STREETHONOLULUHI968170000990257899HEALTHCAREHINAC CORP26348771.00000
KUAKINI PACIFIC CORPORATION
347 N KUAKINI STREETHONOLULUHI968170000990328954HEALTH PROGRAHIKHSC CORP
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
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 (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KUAKINI HEALTH SYSTEM
O1237997
KUAKINI GERIATRIC CARE INC
P4507341
KUAKINI FOUNDATION
P38572
KUAKINI DEVELOPMENT CORP
P115745
KUAKINI SUPPORT SERVICES INC
B10000
KUAKINI FOUNDATION
C2021000
KUAKINI DEVELOPMENT CORP
A4403
KUAKINI FOUNDATION
J1764