KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (EIN 99-0149797)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201821359349314502
Schema version
2016v3.0
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)
Return2018-05-15T20:31:13-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN261659234PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CW ASSOCIATES CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1700 BISHOP STREET SUITE 1040AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990149797EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KOKUA KALIHI VALLEY COMPREHENSIVE FAMILYBusinessNameLine1Txt
Business Name Line2SERVICESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKOKUBusinessNameControlTxt
Phone8087919400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96819ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID DERAUFPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8087919400PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK A HAYESPreparerPersonNm
PTINP00085205PTIN
Phone8085311040PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID DERAUFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96819ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,039,187GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KKV.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionKOKUA KALIHI VALLEY AND AFFILIATE ( THE "CENTER") WERE INCORPORATED IN THE STATE OF HAWAII IN MAY 1972 TO PROMOTE HEALTH AND TO PROVIDE COMPREHENSIVE FAMILY SERVICES IN THE KALIHI VALLEY COMMUNITY IN THE CITY & COUNTY OF HONOLULU,HAWAII. THE CENTER IS A FEDERALLY-QUALIFIED HEALTH CENTER THAT PROVIDES A BROAD RANGE OF HEALTH AND SOCIAL SERVICES TO A LARGELY MEDICALLY-UNDERSERVED IMMIGRANT POPULATION.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee242TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,170,276PYContributionsGrantsAmt
CY Contributions Grants$7,811,340CYContributionsGrantsAmt
PY Program Service Revenue$5,652,145PYProgramServiceRevenueAmt
CY Program Service Revenue$8,079,748CYProgramServiceRevenueAmt
PY Investment Income$6,468PYInvestmentIncomeAmt
CY Investment Income$12,053CYInvestmentIncomeAmt
PY Other Revenue$420,298PYOtherRevenueAmt
CY Other Revenue$122,519CYOtherRevenueAmt
PY Total Revenue$13,249,187PYTotalRevenueAmt
CY Total Revenue$16,025,660CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,099,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,564,006CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,501CYTotalFundraisingExpenseAmt
PY Other Expenses$4,311,797PYOtherExpensesAmt
CY Other Expenses$4,786,997CYOtherExpensesAmt
PY Total Expenses$13,411,761PYTotalExpensesAmt
CY Total Expenses$15,351,003CYTotalExpensesAmt
PY Revenues Less Expenses-$162,574PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$674,657CYRevenuesLessExpensesAmt
Total Assets BOY$16,176,234TotalAssetsBOYAmt
Total Assets EOY$18,880,453TotalAssetsEOYAmt
Total Liabilities BOY$2,104,446TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,161,200TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,071,788NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,719,253NetAssetsOrFundBalancesEOYAmt
MissionTOGETHER WE WORK TOWARD HEALING, RECONCILIATION AND THE ALLEVIATION OF SUFFERING IN KALIHI VALLEY, BY SERVING COMMUNITIES, FAMILIES AND INDIVIDUALS THROUGH STRONG RELATIONSHIPS THAT HONOR CULTURE AND FOSTER HEALTH AND HARMONY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,909,306ExpenseAmt
Revenue$8,158,900RevenueAmt
DescSERVICES PERFORMED TO PROVIDE ACCESS TO MEDICAL, DENTAL AND SOCIAL SERVICES IN THE KALIHI VALLEY COMMUNITY.Desc
Total Program Service Expenses$11,909,306TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document51IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee242EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDALLYS VEGA CHIEF FINANCIAL OFFICEPersonNm
Phone8087919400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96819ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PUA AUYONG
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
RYAN LEONG
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
EDWARD KEMPER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
THOMAS KUSATSU
TREASURER1.00Yes (X)Yes (X)$0$0$0
KAREN KAY FOX
DIRECTOR1.00Yes (X)$0$0$0
SANDRA HARVEY
DIRECTOR1.00Yes (X)$0$0$0
RICKEY MURASHIGE
DIRECTOR1.00Yes (X)$0$0$0
DAVID NAKAMOTO
DIRECTOR1.00Yes (X)$0$0$0
GEOFFREY PANG
DIRECTOR1.00Yes (X)$0$0$0
RASELA UI
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL L WAGNER
DIRECTOR1.00Yes (X)$0$0$0
FALETASI ATONIO
FORMER DIRECTOR1.00Yes (X)$0$0$0
GRACE COBB
FORMER DIRECTOR1.00Yes (X)$0$0$0
DAVID DERAUF
EXECUTIVE DIRECTOR40.00Yes (X)$178,899$0$44,071
DALLYS GLORIBELL VEGA
CHIEF FINANCIAL OFFICER40.00Yes (X)$93,051$0$18,930
JO AYERS
CHIEF OPERATING OFFICER40.00Yes (X)$78,479$0$12,459
LAURA DEVILBISS
CLINICAL DIRECTOR40.00$178,893$0$20,900Yes (X)
JASON HIRAMOTO
CO - DENTAL DIRECTOR40.00$128,744$0$16,637Yes (X)
MYA HLA
PSYCHIATRIST, DIR OF BH40.00$118,963$0$38,513Yes (X)
NATHAN TAN
PHYSICIAN40.00$118,329$0$21,079Yes (X)
STEPHANIE BRANDLI
PEDIATRIC DENTIST40.00$108,623$0$26,303Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,003,981TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$198,892TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON CORP
80 SAND ISLAND ACCESS ROADHONOLULUHI96819PHARMACY SUPPLIES$513,732
CVS PHARMACY
ONE CVS DRIVEWOONSOCKETRI02895PHARMACY DISPENSING FEE$276,290
JJS CONSTRUCTION INC
660 AIPO STREETHONOLULUHI96825CONSTRUCTION PROJECT$258,450
E-MDS
PO BOX 2889CEDAR PARKTX78630MEDICAL BILLING$244,241
5 MINUTES PHARMACY
1824 DILLINGHAM BLVD SUITE BHONOLULUHI96819PHARMACY DISPENSING FEE$201,326
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$354,695FederatedCampaignsAmt
Government Grants$6,037,578GovernmentGrantsAmt
All Other Contributions$1,419,067AllOtherContributionsAmt
Total Contributions$7,811,340TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID624110$4,667,300$4,667,300
PHARMACY624110$1,596,075$1,596,075
PRIVATE INSURANCE624110$1,172,537$1,172,537
MEDICARE624110$422,248$422,248
CAPITATION FEES624110$259,954$259,954

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$38,366TotalRevenueColumnAmt
Related Or Exempt Func Income-$38,366RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,079,748TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,053TotalRevenueColumnAmt
Exclusion$12,053ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,444RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,444RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,444TotalRevenueColumnAmt
Exclusion$32,444ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,450FundraisingGrossIncomeAmt
Fundraising Direct Expenses$13,527FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,923TotalRevenueColumnAmt
Exclusion$10,923ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$79,152GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,152TotalRevenueColumnAmt
Related Or Exempt Func Income$79,152RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,025,660TotalRevenueColumnAmt
Related Or Exempt Func Income$8,158,900RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55,420ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$634,000TotalAmt
Program Services$207,557ProgramServicesAmt
Management And General$426,443ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,732,402TotalAmt
Program Services$5,916,938ProgramServicesAmt
Management And General$814,716ManagementAndGeneralAmt
Fundraising$748FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$431,001TotalAmt
Program Services$371,368ProgramServicesAmt
Management And General$59,566ManagementAndGeneralAmt
Fundraising$67FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,155,110TotalAmt
Program Services$1,810,129ProgramServicesAmt
Management And General$344,770ManagementAndGeneralAmt
Fundraising$211FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$611,493TotalAmt
Program Services$515,069ProgramServicesAmt
Management And General$96,363ManagementAndGeneralAmt
Fundraising$61FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,811TotalAmt
Management And General$57,811ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,645,794TotalAmt
Program Services$1,228,558ProgramServicesAmt
Management And General$417,236ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,665,596TotalAmt
Program Services$1,509,335ProgramServicesAmt
Management And General$153,847ManagementAndGeneralAmt
Fundraising$2,414FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$180,356TotalAmt
Program Services$39,332ProgramServicesAmt
Management And General$141,024ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$73,796TotalAmt
Program Services$71,035ProgramServicesAmt
Management And General$2,761ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$849,510TotalAmt
Program Services$94,223ProgramServicesAmt
Management And General$755,287ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$63,932TotalAmt
Program Services$10,113ProgramServicesAmt
Management And General$53,819ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$79,799$37,356$42,443
TRAINING$61,801$47,609$14,192
DUES AND SUBSCRIPTIONS$51,803$29,041$22,762
RENTAL EQUIPMENT$32,223$14,563$17,660

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,576TotalAmt
Program Services$7,080ProgramServicesAmt
Management And General$17,496ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,351,003TotalAmt
Program Services$11,909,306ProgramServicesAmt
Management And General$3,438,196ManagementAndGeneralAmt
Fundraising$3,501FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$598,386BOYAmt
EOY$1,031,987EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,221,590BOYAmt
EOY$3,655,033EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$986,942BOYAmt
EOY$848,995EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$418,519BOYAmt
EOY$1,017,292EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$746BOYAmt
EOY$1,314EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,471,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,145,391LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,950,051BOYAmt
EOY$12,325,832EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,176,234BOYAmt
EOY$18,880,453EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,099,336BOYAmt
EOY$1,149,141EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,005,110BOYAmt
EOY$1,012,059EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,104,446BOYAmt
EOY$2,161,200EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,880,544BOYAmt
EOY$14,566,449EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,244BOYAmt
EOY$2,152,804EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,071,788BOYAmt
EOY$16,719,253EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,176,234BOYAmt
EOY$18,880,453EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$674,657ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,972,808OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,493,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,445,476CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,884,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,170,276CurrentTaxYearMinus1YearAmt
Current Tax Year$7,811,340CurrentTaxYearAmt
Total$32,804,408TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,493,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,445,476CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,884,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,170,276CurrentTaxYearMinus1YearAmt
Current Tax Year$7,811,340CurrentTaxYearAmt
Total$32,804,408TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$32,804,408PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,053CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,157CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,468CurrentTaxYearMinus1YearAmt
Current Tax Year$44,497CurrentTaxYearAmt
Total$68,959TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$187,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$240,687CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$399,306CurrentTaxYearMinus1YearAmt
Total$914,585TotalAmt
FieldValueIRS element (for citing)
Total Support$33,787,952TotalSupportAmt
Gross Receipts Rltd Activities$29,364,421GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97090PublicSupportCY170Pct
Public Support PY1700.97230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME AND FEES - 2012 AMOUNT: $ 40,577. 2013 AMOUNT: $ 112,686. 2014 AMOUNT: $ 119,653. 2015 AMOUNT: $ 266,076. MEDICAL RECORD CHARGES - 2013 AMOUNT: $ 73,501. CARETAKER HOUSING - 2012 AMOUNT: $ 873. 2013 AMOUNT: $ 873. 2014 AMOUNT: $ 873. 2015 AMOUNT: $ 873. INCENTIVE PAYMENTS - 2012 AMOUNT: $ 46,082. 2014 AMOUNT: $ 120,161. 2015 AMOUNT: $ 132,357.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,288,000OtherCostOrOtherBasisAmt
Book Value$2,288,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,603,236OtherCostOrOtherBasisAmt
Depreciation$5,199,760DepreciationAmt
Book Value$7,403,476BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,950OtherCostOrOtherBasisAmt
Depreciation$25,253DepreciationAmt
Book Value$250,697BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,155,018OtherCostOrOtherBasisAmt
Depreciation$1,806,961DepreciationAmt
Book Value$348,057BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,149,019OtherCostOrOtherBasisAmt
Depreciation$3,113,417DepreciationAmt
Book Value$2,035,602BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,325,832TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$16,553,500TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$410,752DonatedServicesAndUseFcltsAmt
Other Revenue$3,597OtherRevenueAmt
Revenue Not Reported$414,349RevenueNotReportedAmt
Revenue Subtotal$16,139,151RevenueSubtotalAmt
Other Revenues Not Included-$113,491OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$113,491RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,025,660TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,869,766TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$503,229DonatedServicesUseFcltsAmt
Other Expenses Included$15,534OtherExpensesIncludedAmt
Expenses Not Reported$518,763ExpensesNotReportedAmt
Expenses Subtotal$15,351,003ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,351,003TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED KKV AND AFFILIATE'S TAX POSITIONS AS OF JUNE 30, 2017 AND 2016 AND FOR THE YEARS THEN ENDED BY REVIEWEING THEIR INCOME TAX RETURNS AND CONFERRING WITH THEIR TAX ADVISORS, AND DETERMINED THAT KKV AND AFFILIATE HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. KKV AND AFFILIATE ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REVENUE FROM KKV FOUNDATION (REPORTED SEPARATELY) 3,597.
PART XI, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NOT RECORDED NET WITH FUNDRAISING EVENT INCOME -13,527. DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -99,964.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM KKV FOUNDATION (REPORTED SEPARATELY) 2,007. EXPENSES NOT RECORDED NET WITH FUNDRAISING EVENT INCOME 13,527.
PART XI, LINE 2B - DONATED SERVICES AND USE OF FACILITIESCONTRIBUTED MEDICAL SERVICES: $374,265 CONTRIBUTED RENT: $36,487
PART XII, LINE 2A - DONATED SERVICES AND USE OF FACILITIESCONTRIBUTED MEDICAL SERVICES: $374,265 CONTRIBUTED RENT: $36,487 CONTRIBUTED RENT RELATED TO CAPITALIZED LEASEHOLD INTEREST: $92,477

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1KALIHI AHUPUAA RIDEEvent1Nm
Gross Receipts Event1$24,450GrossReceiptsEvent1Amt
Gross Revenue Event1$24,450GrossRevenueEvent1Amt
Food And Beverage Event1$213FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$13,314OtherDirectExpensesEvent1Amt
Gross Receipts Total$24,450GrossReceiptsTotalAmt
Gross Revenue Total Events$24,450GrossRevenueTotalEventsAmt
Food And Beverage Total Events$213FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$13,314OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$13,527DirectExpenseSummaryEventsAmt
Net Income Summary$10,923NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID DERAUF
EXECUTIVE DIRECTOR$170,845$0$8,054$0$0$0$15,478$0$28,593$0$222,970$0$0$0
LAURA DEVILBISS
CLINICAL DIRECTOR$170,783$0$8,110$0$0$0$15,206$0$5,694$0$199,793$0$0$0
MYA HLA
PSYCHIATRIST, DIR OF BH$112,991$0$5,972$0$0$0$11,326$0$27,187$0$157,476$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 IN CONJUNCTION WITH THE CFO BEFORE PRESENTING TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CA COPY OF THIS POLICY IS GIVEN TO ALL BOARD MEMBERS UPON COMMENCEMENT OF SUCH PERSON'S RELATIONSHIP WITH THE ORGANIZATION. EACH BOARD MEMBER SIGNS AND DATES THE POLICY AT THE BEGINNING OF HER/HIS TERM OF SERVICE OR EMPLOYMENT AND EACH YEAR THEREAFTER. FAILURE TO SIGN DOES NOT NULLIFY THE POLICY. THE POLICY AND DISCLOSURE FORM MUST BE FILED ANNUALLY BY ALL SPECIFIED PARTIES.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS. ALL OTHER STAFF COMPENSATION IS DETERMINED BY THE SALARY COMMITTEE AND APPROVED BY THE EXECUTIVE DIRECTOR. THE BOARD OF DIRECTORS APPROVES THE STAFF SALARY SCALE. COMPARABLE DATA IS OBTAINED FROM HAWAII PRIMARY CARE ASSOCIATION AND HAWAII ALLIANCE OF NONPROFIT ORGANIZATIONS (HANO). THIS PROCESS IS DOCUMENTED IN THE SALARY COMMITTEE MINUTES AND HR RECORDS. THIS WAS LAST UNDERTAKEN IN NOVEMBER 2017.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 1,228,558. MANAGEMENT AND GENERAL EXPENSES 417,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,645,794.
FORM 990, PART XI, LINE 9:CAPITALIZED LEASEHOLD INTEREST - NET 1,972,808.
FORM 990, PART XII, LINE 2C:EXPLANATION: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1KALIHI VALLEY COMMUNITY FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96819ZIPCd
FieldValueIRS element (for citing)
EIN990329894EIN
Primary ActivitiesPROVIDE FINANCIAL SUPPORT TO CENTERPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KOKUA KALIHI VALLEY COMP FAMILY SVCSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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