KUAKINI MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- KUAKINI MEDICAL CENTER (EIN 99-0074139)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202141379349310539
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T20:37:06-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 990169131 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | N&K CPAS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 BISHOP ST STE 2200 | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990074139 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUAKINI MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KUAK | BusinessNameControlTxt |
| Phone | 8085479231 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 347 NORTH KUAKINI STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGG OISHI | PersonNm |
| Person Title | SENIOR VP, CAO & CFO | PersonTitleTxt |
| Phone | 8085479231 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL I TANAKA | PreparerPersonNm |
| PTIN | P00412914 | PTIN |
| Phone | 8085242255 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY KAJIWARA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 347 NORTH KUAKINI STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $138,031,152 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KUAKINI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF KUAKINI MEDICAL CENTER IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY: PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND PROGRAMS AT REASONABLE COST; CONTINUOUSLY IMPROVING THE QUALITY OF HEALTH CARE SERVICES AND PROGRAMS; ENCOURAGING CLINICAL RESEARCH; SUPPORTING TRAINING AND EDUCATIONAL PROGRAMS FOR HEALTH CARE PERSONNEL; AND OFFERING COMMUNITY SERVICE PROGRAMS. KUAKINI MEDICAL CENTER PROVIDES ACUTE HOSPITAL SERVICES, AMBULATORY CARE SERVICES, EMERGENCY ROOM SERVICES, TEACHING SERVICES AND BIOMEDICAL RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 881 | TotalEmployeeCnt |
| Total Volunteers | 122 | TotalVolunteersCnt |
| Total Gross UBI | $953,576 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $279,993 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,003,510 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,137,654 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $133,275,470 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $116,953,865 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,478,761 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,523,975 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,077,762 | PYOtherRevenueAmt |
| CY Other Revenue | $3,384,826 | CYOtherRevenueAmt |
| PY Total Revenue | $138,835,503 | PYTotalRevenueAmt |
| CY Total Revenue | $133,000,320 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,838,568 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $72,052,884 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $72,845,572 | PYOtherExpensesAmt |
| CY Other Expenses | $66,273,486 | CYOtherExpensesAmt |
| PY Total Expenses | $143,684,140 | PYTotalExpensesAmt |
| CY Total Expenses | $138,326,370 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,848,637 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,326,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $145,900,990 | TotalAssetsBOYAmt |
| Total Assets EOY | $159,329,744 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $142,309,258 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $168,211,327 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,591,732 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$8,881,583 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF KUAKINI MEDICAL CENTER IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY: PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND PROGRAMS AT REASONABLE COST; CONTINUOUSLY IMPROVING THE QUALITY OF HEALTH CARE SERVICES AND PROGRAMS; ENCOURAGING CLINICAL RESEARCH; SUPPORTING TRAINING AND EDUCATIONAL PROGRAMS FOR HEALTH CARE PERSONNEL; AND OFFERING COMMUNITY SERVICE PROGRAMS. KUAKINI MEDICAL CENTER PROVIDES ACUTE HOSPITAL SERVICES, AMBULATORY CARE SERVICES, EMERGENCY ROOM SERVICES, TEACHING SERVICES AND BIOMEDICAL RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $109,820,236 | ExpenseAmt |
| Revenue | $117,611,931 | RevenueAmt |
| Desc | KUAKINI MEDICAL CENTER PROVIDES HOSPITAL CARE SERVICES AND AMBULATORY CARE SERVICES TO PROVIDE RELIEF TO PEOPLE IN THE STATE OF HAWAII AS A RESULT OF ILLNESS, POVERTY, ACCIDENT OR OTHER CAUSE; PROMOTES THE GENERAL WELFARE OF THE COMMUNITY; PERFORMS ANY CHARITABLE OR BENEVOLENT WORK; ESTABLISHES AND MAINTAINS FACILITIES TO PROVIDE MEDICAL SERVICES; PROVIDES AND CONDUCTS EDUCATIONAL SERVICES TO RENDER CARE TO THE SICK AND INJURED; AND PROMOTES SCIENTIFIC RESEARCH RELATING TO THE CARE OF THE SICK AND INJURED. | Desc |
| Total Program Service Expenses | $109,820,236 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 117 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 881 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM HANSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8085479231 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 347 NORTH KUAKINI STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GARY KAJIWARA | ||||||||
| PRESIDENT & CEO | 20.00 | 60.00 | Yes (X) | Yes (X) | $0 | $413,201 | $21,956 | |
| JAMES YASUDA | ||||||||
| CHAIRPERSON | 1.25 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SATORU IZUTSU | ||||||||
| VICE CHAIR | 1.25 | 1.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MYRON SHIRASU | ||||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHUCK GEE | ||||||||
| SECRETARY | 1.25 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBIN TAKATA | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE ARAKAKI | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN ARIZUMI | ||||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ROCHELLE LEE GREGSON | ||||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| AMY HIRANO | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WESLEY HIYANE | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN INOUYE | ||||||||
| DIRECTOR | 0.50 | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| GREGG OISHI | ||||||||
| SR VP, CAO & CFO | 30.00 | 30.00 | Yes (X) | $0 | $240,991 | $35,810 | ||
| JUNE DRUMELLER | ||||||||
| SR VP, CCO | 50.00 | 10.00 | Yes (X) | $0 | $235,753 | $30,146 | ||
| NOBUYUKI MIKI | ||||||||
| VP MED SVCS & CMO | 32.00 | 0.00 | Yes (X) | $166,211 | $0 | $30,324 | ||
| VIRGINIA WALKER | ||||||||
| VP NURS SVCS & CNO | 50.00 | 0.00 | Yes (X) | $177,189 | $0 | $22,745 | ||
| BONAFE LAO | ||||||||
| RN | 50.00 | 0.00 | $187,732 | $0 | $34,037 | Yes (X) | ||
| JANETTE SEBASTIAN | ||||||||
| RN | 50.00 | 0.00 | $186,380 | $0 | $31,487 | Yes (X) | ||
| RUBY ANDERSON | ||||||||
| RN | 40.00 | 0.00 | $159,747 | $0 | $14,373 | Yes (X) | ||
| TRACY-LEIGH KANESHIRO | ||||||||
| RN | 40.00 | 0.00 | $154,372 | $0 | $14,158 | Yes (X) | ||
| SALLY RETUTA | ||||||||
| RN | 40.00 | 0.00 | $154,073 | $0 | $7,338 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,185,704 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $889,945 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $242,374 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 149 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| METRUS ENERGY-ALOHA LLC | |||||
| AMALGAMATED BANK 10 E 14TH ST | NEW YORK | NY | 10003 | ENERGY SERVICES | $987,489 |
| XTEND HEALTHCARE LLC | |||||
| 90 VOLUNTEER DRIVE SUITE 150 | HENDERSONVILLE | TN | 37075 | REVENUE CYCLE CONSULTING | $850,842 |
| MEDICAL SPECIALISTS OF HAWAII LLC | |||||
| PO BOX 22626 | HONOLULU | HI | 96823 | PHYSICIAN SERVICES | $698,642 |
| KMH LLP | |||||
| 1003 BISHOP STREET SUITE 2400 | HONOLULU | HI | 96813 | ACCOUNTING SERVICES | $360,237 |
| CRITICAL CARE HAWAII LLC | |||||
| PO BOX 23330 | HONOLULU | HI | 96823 | MEDICAL SERVICES | $359,558 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,001,589 | RelatedOrganizationsAmt |
| Government Grants | $2,912,627 | GovernmentGrantsAmt |
| All Other Contributions | $3,223,438 | AllOtherContributionsAmt |
| Total Contributions | $11,137,654 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH CARE SERVICES | 621400 | $115,785,279 | $115,785,279 |
| RESEARCH PROGRAMS | 900099 | $1,168,586 | $1,168,586 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $116,953,865 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $797,174 | TotalRevenueColumnAmt |
| Exclusion | $797,174 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $555,089 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $171,889 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $383,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $383,200 | TotalRevenueColumnAmt |
| Exclusion | $383,200 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,584,480 | SecuritiesAmt |
| Other | $1,264 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,682,392 | SecuritiesAmt |
| Other | $176,551 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $902,088 | SecuritiesAmt |
| Other | -$175,287 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $726,801 | TotalRevenueColumnAmt |
| Exclusion | $726,801 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PARKING | 900099 | $1,580,650 | $953,011 | $627,639 |
| PRINTING | 561499 | $162,092 | $2,378 | $159,714 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,258,884 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $658,066 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,813 | UnrelatedBusinessRevenueAmt |
| Exclusion | $602,631 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,001,626 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $133,000,320 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,611,931 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $953,576 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,297,159 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,468 | TotalAmt |
| Management And General | $396,468 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,454,965 | TotalAmt |
| Program Services | $43,715,200 | ProgramServicesAmt |
| Management And General | $11,739,765 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,108,689 | TotalAmt |
| Program Services | $867,777 | ProgramServicesAmt |
| Management And General | $240,912 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,092,762 | TotalAmt |
| Program Services | $11,813,181 | ProgramServicesAmt |
| Management And General | $3,279,581 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,127,564 | TotalAmt |
| Program Services | $6,116,224 | ProgramServicesAmt |
| Management And General | $10,011,340 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,924 | TotalAmt |
| Program Services | $33,673 | ProgramServicesAmt |
| Management And General | $16,251 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,586,198 | TotalAmt |
| Management And General | $1,586,198 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,737,403 | TotalAmt |
| Program Services | $7,737,403 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,026,325 | TotalAmt |
| Management And General | $1,026,325 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL RELATED SUPPLIE | $28,148,212 | $28,148,212 | |
| PROVIDER TAX | $3,159,471 | $3,159,471 | |
| PROVISION FOR BAD DEBT | $2,600,751 | $2,600,751 | |
| ADMINISTRATIVE & FISCAL | $996,637 | $787,343 | $209,294 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,841,001 | TotalAmt |
| Program Services | $4,841,001 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,326,370 | TotalAmt |
| Program Services | $109,820,236 | ProgramServicesAmt |
| Management And General | $28,506,134 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,916,669 | BOYAmt |
| EOY | $17,621,675 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,238,191 | BOYAmt |
| EOY | $20,096,801 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,520,446 | BOYAmt |
| EOY | $4,048,189 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,394,557 | BOYAmt |
| EOY | $911,691 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $183,276,149 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $151,680,025 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,610,109 | BOYAmt |
| EOY | $31,596,124 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,412,189 | BOYAmt |
| EOY | $20,047 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,923,794 | BOYAmt |
| EOY | $5,722,277 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,885,035 | BOYAmt |
| EOY | $79,312,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,900,990 | BOYAmt |
| EOY | $159,329,744 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,334,712 | BOYAmt |
| EOY | $28,601,365 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,653 | BOYAmt |
| EOY | $1,745,349 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,656,380 | BOYAmt |
| EOY | $21,240,368 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,049,513 | BOYAmt |
| EOY | $116,624,245 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,309,258 | BOYAmt |
| EOY | $168,211,327 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,732 | BOYAmt |
| EOY | -$8,881,583 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,732 | BOYAmt |
| EOY | -$8,881,583 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,900,990 | BOYAmt |
| EOY | $159,329,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,326,050 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$744,304 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,402,961 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,507,014 | OtherCostOrOtherBasisAmt |
| Book Value | $3,507,014 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,602,943 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,709,765 | DepreciationAmt |
| Book Value | $13,893,178 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,463,588 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,269,149 | DepreciationAmt |
| Book Value | $10,194,439 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,702,604 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,701,111 | DepreciationAmt |
| Book Value | $4,001,493 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,596,124 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $75,280,241 |
| INVESTMENTS IN AFFILIATES | $4,032,699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $79,312,940 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAYROLL | $1,424,592 |
| ACCRUED VACATION | $3,476,122 |
| ACCRUED PENSION | $49,387,931 |
| CAPITAL LEASE OBLIGATION - CURRENT | $949,769 |
| CAPITAL LEASE OBLIGATION - NONCURRENT | $1,686,225 |
| OTHER LONG-TERM LIABILITIES | $15,988,684 |
| DUE TO AFFILIATES | $43,710,922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $116,624,245 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $125,610,023 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$744,304 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$6,819,695 | OtherRevenueAmt |
| Revenue Not Reported | -$7,563,999 | RevenueNotReportedAmt |
| Revenue Subtotal | $133,174,022 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$173,702 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$173,702 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $133,000,320 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $138,568,520 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $242,150 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $242,150 | ExpensesNotReportedAmt |
| Expenses Subtotal | $138,326,370 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $138,326,370 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HEALTH SYSTEM HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH IT OPERATES. CERTAIN SUBSIDIEARIES ARE SUBJECT TO INCOME TAXES; SUCH AMOUNTS ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. AT JUNE 30, 2020 AND 2019, MANAGEMENT BELIEVES THERE WERE NO SIGNIFICANT UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE FROM SUBSIDIARIES 92,798. PENSION ADJUSTMENT -6,912,493. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES RECLASSED FROM EXPENSE -171,889. INCOME FROM UNITED HOLDINGS LLC SCHEDULE K-1 -1,813. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES FROM SUBSIDIARIES 70,261. RENTAL EXPENSES RECLASSED FROM EXPENSE 171,889. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,239,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,239,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,690,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,147,666 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,542,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,929,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,147,666 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,782,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,371,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $967,322 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,403,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,409,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,803,235 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,605,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21400 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,573,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,573,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,354,157 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,770,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,583,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,284,046 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,918,223 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,365,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.44350 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,600,751 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $215,409 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,019,835 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,747,296 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,727,461 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUAKINI MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 347 NORTH KUAKINI STREET | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96817 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KUAKINI.ORG | WebsiteAddressTxt |
| State License | 13-H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUAKINI MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.KUAKINI.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.KUAKINI.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.KUAKINI.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KUAKINI MEDICAL CENTER | PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY THROUGH COLLABORATIVE WORK ADMINISTERED BY A CONTRACTED CONSULTANT FOR HAWAII HOSPITALS DEVELOPED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WHICH INCLUDES INPUTS FROM PERSONS WHO REPRESENT THE COMMUNITY. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA (OVER 300 SECONDARY INDICATORS) AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII STATE DEPARTMENT OF HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS WITH UNMET HEALTH NEEDS. |
| KUAKINI MEDICAL CENTER | PART V, SECTION B, LINE 6A: 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 |
| KUAKINI MEDICAL CENTER | PART V, SECTION B, LINE 6B: HEALTHCARE ASSOCIATION OF HAWAII AND HEALTHY COMMUNITIES INSTITUTE |
| KUAKINI MEDICAL CENTER | PART V, SECTION B, LINE 11: REFER TO THE IMPLEMENTATION STRATEGY REFERENCED ON LINE 10A |
| KUAKINI MEDICAL CENTER | PART V, SECTION B, LINE 24: 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 V, SECTION B, LINE 7A | HTTP://WWW.KUAKINI.ORG/WPS/PORTAL/PUBLIC/HEALTH-WELLNESS/COMMUNITY-HEALTHNEEDS-ASSESSMENT |
| PART V, SECTION B, LINE 10 | HTTP://WWW.KUAKINI.ORG/WPS/PORTAL/PUBLIC/HEALTH-WELLNESS/COMMUNITY-HEALTHNEEDS-ASSESSMENT |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 I, LN 7 COL(F): | THE AMOUNT OF BAD DEBT INCLUDED ON FORM 990 PART IX LINE 25, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THE PART I LINE 7 TABLE COLUMN F, WAS 2,600,751. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | KUAKINI MEDICAL CENTER CONDUCTS A YEAR-ROUND PROGRAM OF COMMUNITY HEALTH EVENTS FEATURING HEALTH EDUCATION ACTIVTIES, FREE HEALTH SCREENINGS AND THE DISTRIBUTION OF EDUCATIONAL MATERIALS THROUGH 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. |
| PART III, LINE 8: | ALL SHORT FALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE COST REPORT FOR FYE 2019 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6. |
| PART III, LINE 9B: | PATIENTS WHO DO NOT HAVE MEDICAL COVERAGE ARE REFERRED TO AN OUTSIDEVENDOR WHO WILL ASSIST THEM IN APPLYING FOR MEDICAID HEALTH COVERAGE.THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID ARE INFORMED OF THEORGANIZATION'S CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAM AND AREADVISED TO APPLY FOR SUCH ASSISTANCE. |
| PART VI, LINE 2: | KUAKINI MEDICAL CENTER ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY 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 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 COMMUNITY. |
| 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 THE 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | HI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY KAJIWARA | ||||||||||||||
| PRESIDENT & CEO | $0 | $413,201 | $0 | $0 | $0 | $0 | $0 | $5,248 | $0 | $16,708 | $0 | $435,157 | $0 | $0 |
| GREGG OISHI | ||||||||||||||
| SR VP, CAO & CFO | $0 | $240,991 | $0 | $0 | $0 | $0 | $0 | $4,935 | $0 | $30,875 | $0 | $276,801 | $0 | $0 |
| JUNE DRUMELLER | ||||||||||||||
| SR VP, CCO | $0 | $235,753 | $0 | $0 | $0 | $0 | $0 | $4,832 | $0 | $25,314 | $0 | $265,899 | $0 | $0 |
| NOBUYUKI MIKI | ||||||||||||||
| VP MED SVCS & CMO | $166,211 | $0 | $0 | $0 | $0 | $0 | $2,220 | $0 | $28,104 | $0 | $196,535 | $0 | $0 | $0 |
| VIRGINIA WALKER | ||||||||||||||
| VP NURS SVCS & CNO | $177,189 | $0 | $0 | $0 | $0 | $0 | $1,355 | $0 | $21,390 | $0 | $199,934 | $0 | $0 | $0 |
| BONAFE LAO | ||||||||||||||
| RN | $187,732 | $0 | $0 | $0 | $0 | $0 | $3,899 | $0 | $30,138 | $0 | $221,769 | $0 | $0 | $0 |
| JANETTE SEBASTIAN | ||||||||||||||
| RN | $186,380 | $0 | $0 | $0 | $0 | $0 | $3,824 | $0 | $27,663 | $0 | $217,867 | $0 | $0 | $0 |
| RUBY ANDERSON | ||||||||||||||
| RN | $159,747 | $0 | $0 | $0 | $0 | $0 | $3,210 | $0 | $11,163 | $0 | $174,120 | $0 | $0 | $0 |
| TRACY-LEIGH KANESHIRO | ||||||||||||||
| RN | $154,372 | $0 | $0 | $0 | $0 | $0 | $3,103 | $0 | $11,055 | $0 | $168,530 | $0 | $0 | $0 |
| SALLY RETUTA | ||||||||||||||
| RN | $154,073 | $0 | $0 | $0 | $0 | $0 | $3,087 | $0 | $4,251 | $0 | $161,411 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION UTILIZES THE FOLLOWING METHODS OF A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VII: GARY KAJIWARA SERVES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF KUAKINI HEALTH SYSTEM. HE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HIS SERVICES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HIS SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). GREGG OISHI SERVES AS THE SENIOR VICE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER/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 SENIOR VICE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER/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). JUNE DRUMELLER SERVES AS THE SENIOR VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM. SHE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HER SERVICES AS THE VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HER SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). VIRGNIA WALKER SERVES THE VICE PRESIDENT NURSING SERVICES AND CHIEF NURSING OFFICER OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HER SERVICES AS THE VICE PRESIDENT NURSING SERVICES AND CHIEF NURSING OFFICER OF KUAKINI MEDICAL CENTER. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC). NOBUYUKI MIKI SERVES AS THE VICE PRESIDENT, MEDICAL SERVICES AND CHIEF MEDICAL OFFICER OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HIS SERVICES AS THE VICE PRESIDENT MEDICAL SERVICES AND CHIEF MEDICAL OFFICER OF KUAKINI MEDICAL CENTER. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS KUAKINI HEALTH SYSTEM, A HAWAII NONPROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS THE RIGHT TO ELECT THE DIRECTORS OF THE ORGANIZATION AND TO REMOVE ANY DIRECTOR FROM OFFICE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE FOLLOWING RIGHTS: I. TO REPEAL OR CHANGE AT ANY TIME THE BYLAWS THAT HAVE BEEN ADOPTED, ALTERED, AMENDED OR REPEALED BY THE BOARD OF DIRECTORS II. TO VOTE ON ALL MATTERS WHERE THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE CHARTER/ARTICLES OF INCORPORATION, BYLAWS OR THE LAWS OF THE STATE OF HAWAII |
| 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 | ALL OFFICERS, EMPLOYEES, AND MEMBERS OF THE BOARDS OF DIRECTORS OF KUAKINI HEALTH SYSTEM AND ITS SUBSIDIARIES ARE COVERED BY KUAKINI HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY. REVIEW/INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST IS DONE BY A DESIGNEE OF THE PRESIDENT AND CEO. INDIVIDUALS ARE ASKED TO RECUSE THEMSELVES FROM PARTICIPATING IN THE GOVERNING BODY'S DISCUSSION AND DECISION-MAKING REGARDING BUSINESS ACTIVITIES AND TRANSACTIONS IN ORDER TO AVOID CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY KUAKINI HEALTH SYSTEM'S COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS THE CEO'S PERFORMANCE IN RELATIONSHIP TO THE GOALS AGREED UPON BY THE CEO AND COMPENSATION COMMITTEE. THE COMMITTEE ESTABLISHES THE CEO'S COMPENSATION BASED ON AN ANNUAL REVIEW OF COMPARATIVE BASE SALARIES OF NOT-FOR-PROFIT HOSPITAL CEOS IN THE U.S. AND HAWAII, AND COMPARATIVE BASE SALARIES OF HEALTH-RELATED AND NON-HEALTHCARE COMPANIES' CEOS IN HAWAII. THE CEO REVIEWS THE PERFORMANCE OF THE MEMBERS OF THE ADMINISTRATIVE TEAM AND ESTABLISHES THEIR COMPENSATION BASED ON AN ANNUAL REVIEW OF COMPARATIVE BASE SALARIES OF COMPARABLE POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, FORM 990 AND RELATED DOCUMENTS ARE MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,246,688. MANAGEMENT AND GENERAL EXPENSES 3,048,585. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,295,273. GENERAL SERVICES: PROGRAM SERVICE EXPENSES 1,869,536. MANAGEMENT AND GENERAL EXPENSES 6,962,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,832,291. |
| FORM 990, PART XI, LINE 9: | CURRENT YEAR MINIMUM PENSION LIABILITY ADJUSTMENT -6,912,493. UNITED HOLDINGS LLC K-1 INCOME ADJUSTMENT 1,813. OTHER ADJUSTMENTS TO NET ASSETS 507,719. |
| FORM 990, PART IV LINE 2C | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KUAKINI FOUNDATION | |||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990225067 | FUNDRAISING | HI | 501(C)(3) | LINE 7 | KHS | 0 | |
| KUAKINI GERIATRIC CARE INC | |||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990225065 | MEDICAL CARE | HI | 501(C)(3) | LINE 3 | KHS | 0 | |
| KUAKINI HEALTH SYSTEM | |||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990225140 | ADMINISTRATIVE SERVICES | HI | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| KUAKINI SUPPORT SERVICES INC | |||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990225148 | SUPPORT ORGANIZATION | HI | 501(C)(3) | LINE 12A, I | KHS | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KUAKINI DEVELOPMENT CORP | |||||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990171854 | PHARMACY/DEVELOPMENT | HI | KMC | C | $424,974 | $3,362,495 | 1.00000 | Yes (1) | |
| PACIFIC ASIAN RESOURCES INC | |||||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990257899 | HEALTH SERVICES | HI | KMC | C | $8 | $18,239 | 1.00000 | Yes (1) | |
| KUAKINI PACIFIC CORPORATION | |||||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 990328954 | EDUCATION/RESEARCH | HI | C | 0 | N/A | ||||
| KUAKINI PHO | |||||||||||||
| 347 NORTH KUAKINI STREET | HONOLULU | HI | 96817 | 943256790 | HEALTH SERVICES | HI | C | $126,971 | $393,622 | 0.50000 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUAKINI DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $117,002 | InvolvedAmt |
Comments