MAUNALANI NURSING AND REHABILITATION CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAUNALANI NURSING AND REHABILITATION CENTER (EIN 99-0249327)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349308450
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T15:55:29-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN274573546EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STILLWAGGON & MCGILL LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110 WOODLAND CENTER DRIVEAddressLine1
CityGROVE CITYCity
StatePAState
ZIP Code16127ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990249327EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAUNALANI NURSING AND REHABILITATION CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAUNNameControl
Phone8087320771Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15113 MAUNALANI CIRCLEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96816ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSAI CHANTAVYName
TitleEXECUTIVE DIRECTORTitle
Phone8087320771Phone
Date Signed2014-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN C STILLWAGGON CPAName
PTINP00158206PTIN
Phone7244587490Phone
Date Prepared2014-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAI CHANTAVYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15113 MAUNALANI CIRCLEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96816ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12335713GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionCOMMITTED TO PROVIDING EXCELLENCE IN NURSING CARE AND REHABILITATION SERVICES BY BEING READY TO MEET THE CHANGING NEEDS OF THE COMMUNITY. MAUNALANI NURSING AND REHABILITATION CENTER IS THE PROVIDER AND EMPLOYER OF CHOICE IN THE INDUSTRY. RESIDENTS AND GUESTS WILL EXPERIENCE A CULTURE OF CARING THAT IS LIFE AFFIRMING, SATISFYING AND MEANINGFUL.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees158TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8738ContributionsGrantsPriorYear
Contributions Grants Current Year156286ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11560416ProgramServiceRevenuePriorYear
Program Service Revenue CY12177012ProgramServiceRevenueCY
Investment Income Prior Year3334InvestmentIncomePriorYear
Investment Income Current Year2415InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11572488TotalRevenuePriorYear
Total Revenue Current Year12335713TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6369052SalariesEtcPriorYear
Salaries Etc Current Year6783352SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3771903OtherExpensePriorYear
Other Expenses Current Year4368026OtherExpensesCurrentYear
Total Expenses Prior Year10140955TotalExpensesPriorYear
Total Expenses Current Year11151378TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1431533RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1184335RevenuesLessExpensesCY
Total Assets BOY26494023TotalAssetsBOY
Total Assets EOY28835374TotalAssetsEOY
Total Liabilities BOY4343374TotalLiabilitiesBOY
Total Liabilities EOY3544725TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22150649NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25290649NetAssetsOrFundBalancesEOY
Mission DescriptionMAUNALANI NURSING AND REHABILITATION CENTER IS A PRIVATE NON-PROFIT HEALTH CARE ORGANIZATION FOUNDED IN 1950. THE ORGANIZATION IS COMMITTED TO PROVIDING EXCELLENCE IN NURSING CARE AND REHABILITATION SERVICES BY BEING READY TO MEET THE CHANGING NEEDS OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10057561Expense
Revenue12177012Revenue
DescriptionMAUNALANI NURSING & REHABILITATION CENTER IS A 100-BED FACILITY LICENSED TO PROVIDE SKILLED, INTERMEDIATE, AND REHABILITATIVE CARE SERVICES. DAILY OCCUPANCY RATE FOR 2012/2013 IS 95.52% WITH AN AVERAGE PER DIEM RATE OF $318.03.Description
Total Program Service Expense10057561TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees158NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8087320771TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15113 MAUNALANI CIRCLEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968164019ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HOWARD H HAMAMOTO
PRESIDENT1.001.00XX000
JOSEPH H GOLDCAMP
VP & TREASURER1.001.00XX000
SAI CHANTAVY
SECRETARY & EXEC. DIRECTOR60.0010.00XX170857013666
DAVID DEVENOT
DIRECTOR0.50X000
A JAMES WRISTON JR
DIRECTOR0.500.50X000
SUSAN KOSASA
DIRECTOR0.50X000
JAMES PIETSCH
DIRECTOR0.500.50X000
BARBARA K STANTON
DIRECTOR0.50X000
ROBERT HIDANO
FINANCE DIRECTOR45.005.0010474707447X
FieldValueIRS element (for citing)
Total Reportable Comp From Org275604TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21113TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GENESIS REHAB SERVICES
6549 PAYSPHERE CIRCLECHICAGOIL60674REHAB SERVICE496945
PHARMERICA
PO BOX 409251ATLANTAGA30384MEDICATION289256
HAWAII FLOUR MILL
PO BOX 855HONOLULUHI96816DIETARY SUPPLIES260805
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions156286AllOtherContributions
Total Contributions156286TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6230001210494512104945
MISCELLANEOUS PATIENT CHARGES6230007206772067
FieldValueIRS element (for citing)
Total Program Service Revenue12177012TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2415TotalRevenueColumn
Exclusion$2,415ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12335713TotalRevenueColumn
Related Or Exempt Function Income12177012RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,415ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total166182Total
Program Services83091ProgramServices
Management And General83091ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5408833Total
Program Services4881262ProgramServices
Management And General527571ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total326359Total
Program Services290611ProgramServices
Management And General35748ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total475250Total
Program Services423193ProgramServices
Management And General52057ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total406728Total
Program Services362177ProgramServices
Management And General44551ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8384Total
Management And General8384ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67158Total
Management And General67158ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total907836Total
Program Services886286ProgramServices
Management And General21550ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total174443Total
Program Services158359ProgramServices
Management And General16084ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total523743Total
Program Services497556ProgramServices
Management And General26187ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13598Total
Management And General13598ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total315149Total
Program Services299392ProgramServices
Management And General15757ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total281895Total
Program Services251018ProgramServices
Management And General30877ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD AND SUPPLIES108824610847033543
GENERAL ADMINISTRATION566662465106101556
SUSTAINABILITY FEE EXPE42091237480746105

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11151378Total
Program Services10057561ProgramServices
Management And General1093817ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1050BOY
EOY1000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3131154BOY
EOY3995478EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2258825BOY
EOY2360834EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY55484BOY
EOY57898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY131611BOY
EOY209260EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4331763LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2493475LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1641362BOY
EOY1838288EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19274537BOY
EOY20372616EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26494023BOY
EOY28835374EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3854390BOY
EOY3076021EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY440241BOY
EOY466381EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1743BOY
EOY2323EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47000BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4343374BOY
EOY3544725EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22150649BOY
EOY25290649EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22150649BOY
EOY25290649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26494023BOY
EOY28835374EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1184335ReconcilationRevenueExpenses
Reconcilation Other Changes1955665ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years484740CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years493740CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years278082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8738CurrentTaxYearMinus1Year
Current Tax Year156286CurrentTaxYear
Total1421586Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9525758CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10407341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10882784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11560416CurrentTaxYearMinus1Year
Current Tax Year12177012CurrentTaxYear
Total54553311Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10010498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10901081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11160866CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11569154CurrentTaxYearMinus1Year
Current Tax Year12333298CurrentTaxYear
Total55974897Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50955974897PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3334CurrentTaxYearMinus1Year
Current Tax Year2415CurrentTaxYear
Total37560Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3334CurrentTaxYearMinus1Year
Current Tax Year2415CurrentTaxYear
Total37560Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10031963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10903683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11168610CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11572488CurrentTaxYearMinus1Year
Current Tax Year12335713CurrentTaxYear
Total56012457Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99930PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00190PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Collection Used For Other CollectionUsedForOther

FieldValueIRS element (for citing)
Collection Used For Other PurposesXCollectionUsedForOtherPurposes
Description Of Other PurposesDECORATIONSDescriptionOfOtherPurposes
FieldValueIRS element (for citing)
Solicited Assets For Sale0SolicitedAssetsForSale
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance1743BeginningBalance
Additions During Year36121AdditionsDuringYear
Distributions During Year35541DistributionsDuringYear
Ending Balance2323EndingBalance
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1176102OtherCostOrOtherBasis
Depreciation567423Depreciation
Book Value608679BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2926610OtherCostOrOtherBasis
Depreciation1854812Depreciation
Book Value1071798BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis229051OtherCostOrOtherBasis
Depreciation71240Depreciation
Book Value157811BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1838288TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN NET ASSETS OF FOUNDATIONDescription
Book Value20372616BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets20372616TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12335713TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12335713RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012335713TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11151378TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11151378ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011151378TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART III, LINE 4:ALL THE ARTWORKS ARE USED AS DECORATIONS IN THE ORGANIZATION.
PART IV, LINE 1B:THE COMPANY IS TRUSTEE FOR THE RESIDENTS' PERSONAL FUNDS. THE FUNDS ARE RECEIVED FROM THE RESIDENTS FROM VARIOUS SOURCES AND DISBURSED AS THE RESIDENTS' NEEDS WARRANT. THESE FUNDS ARE RESTRICTED AND ARE NOT AVAILABLE FOR OPERATIONS.
PART IV, LINE 2B:THE ORGANIZATION MAINTAINS RESIDENTS' PERSONAL FUNDS WHEN REQUESTED BY THE RESIDENTS. AT 6/30/13, ONE RESIDENT HAD HIS PERSONAL FUNDS ON ACCOUNT. THE RESIDENT TRUST FUNDS IS IN A SEPARATE BANK ACCOUNT AT AMERICAN SAVINGS BANK.
PART X, LINE 2:IN ACCORDANCE WITH ASC NO. 740 AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2013, THE COMPANY HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN YEARS. CURRENTLY, 2010, 2011, AND 2012 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE COMPANY IS NOT CURRENTLY UNDER AUDIT NOR HAS THE COMPANY BEEN CONTACTED BY THE INTERNAL REVENUE SERVICE. BASED ON THE EVALUATION OF THE COMPANY'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER EXAMINATION. THEREFORE, NO ASSET OR LIABILITY FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2013.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSAI CHANTAVYNamePerson
TitleSECRETARY & EXEC. DIRECTORTitle
Base Compensation Filing Org162857BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org8000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5254DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org8412NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org184523TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org88846CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS, AND AGREED TO COMPLY WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE SALARY AND PERQUISITES OF THE EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT STAFF WILL BE BASED ON HIS/HER PERFORMANCE AND REVIEWED ANNUALLY. IN APPROVING OR RECOMMENDING ANY SALARY OR PERQUISITE ADJUSTMENT, THE COMMITTEE WILL CONSIDER THE RESPONSIBILITY, QUALIFICATIONS, EXPERIENCE, PERFORMANCE RECORD OF THE INDIVIDUAL, AND THE SALARY RANGES PAID TO A SIMILAR POSITION IN THE MARKETPLACE. THE COMPENSATION WILL BE REASONABLE AND IN ACCORDANCE WITH THE RULES OF IRS.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A PERIOD OF THREE YEARS FROM THE DATE FILED.IT IS AVAILABLE IN THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19A PERSON MUST SUBMIT A REQUEST IN WRITING TO THE EXECUTIVE DIRECTOR. COPYING FEES MAY APPLY. FINANCIAL STATEMENTS ARE FOR INTERNAL USE ONLY.
FORM 990, PART XI, LINE 9:LOSS ON ITEMS NOT YET RECOGNIZED AS A COMPONENT OF NET PERIODIC PENSION COST. 673,821. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF MAUNALANI FOUNDATION. 1,098,079. REDUCTION OF ACCUMULATED DEPRECIATION BECAUSE DEPRECIATION WAS OVERSTATED IN PREVIOUS YEARS IN ASSOCIATION WITH BUILDING IMPROVEMENTS. 183,765.CHANGES IN NET ASSETS OR FUND BALANCES:
THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MAUNALANI FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15113 MAUNALANI CIRCLEAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96816ZIPCode
FieldValueIRS element (for citing)
EIN990075234EIN
Primary ActivitiesNON-HEALTHCARE ACTIVITIES WHICH INCLUDE LEASING LAND AND A BUILDINGPrimaryActivities
Legal Domicile StateHILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAUNALANI NURSING AND REHABILITATION CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAUNALANI FOUNDATION
K480000COST
MAUNALANI FOUNDATION
O23740SEE SCHEDULE R, PART VII
MAUNALANI FOUNDATION
O10271SEE SCHEDULE R, PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHOD OF DETERMINING AMOUNT INVOLVEDSCHEDULE R, PART V, LINE 2(2)(D)SAI CHANTAVY WORKS 70 HOURS A WEEK. SHE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 60 HOURS PER WEEK ARE SPENT PERFORMING HER DUTIES AS THE ADMINISTRATOR OF THE CENTER. FOR THE REMAINING 10 HOURS PER WEEK, SHE ASSISTS THE MAUNALANI FOUNDATION PRIMARILY IN REGARDS TO OVERSIGHT AND MANAGEMENT OF THE INVESTMENTS HELD BY THE FOUNDATION. $23,740 IS 1/7 OF HER 2012-2013 SALARY ALLOCATED TO THE FOUNDATION.
METHOD OF DETERMINING AMOUNT INVOLVEDSCHEDULE R, PART V, LINE 2(3)(D)ROBERT HIDANO WORKS 50 HOURS A WEEK. HE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 45 HOURS PER WEEK ARE SPENT PERFORMING HIS DUTIES AS THE FINANCE DIRECTOR OF THE CENTER. FOR THE REMAINING 5 HOURS PER WEEK, HE ASSISTS THE MAUNALANI FOUNDATION. $10,271 IS 1/10 OF HIS 2012-2013 SALARY ALLOCATED TO THE FOUNDATION.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.