KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (EIN 99-0149797)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349308252
Schema version
2011v1.5
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)
Timestamp2013-05-14T21:26:52-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN261659234EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CW ASSOCIATES CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1700 BISHOP STREET SUITE 1040AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990149797EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKOKUNameControl
Phone8087919411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96819ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID DERAUFName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8087919411Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK A HAYESName
PTINP00085205PTIN
Phone8085311040Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID DERAUFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96819ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13863594GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KKV.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionKOKUA 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees189TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4968434ContributionsGrantsPriorYear
Contributions Grants Current Year9824923ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3888859ProgramServiceRevenuePriorYear
Program Service Revenue CY4006498ProgramServiceRevenueCY
Investment Income Prior Year10489InvestmentIncomePriorYear
Investment Income Current Year6859InvestmentIncomeCurrentYear
Other Revenue Prior Year51959OtherRevenuePriorYear
Other Revenue Current Year25314OtherRevenueCurrentYear
Total Revenue Prior Year8919741TotalRevenuePriorYear
Total Revenue Current Year13863594TotalRevenueCurrentYear
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 Year7030483SalariesEtcPriorYear
Salaries Etc Current Year7632834SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year91171TotalFundrsngExpCurrentYear
Other Expense Prior Year2360767OtherExpensePriorYear
Other Expenses Current Year2295272OtherExpensesCurrentYear
Total Expenses Prior Year9391250TotalExpensesPriorYear
Total Expenses Current Year9928106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-471509RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3935488RevenuesLessExpensesCY
Total Assets BOY11268361TotalAssetsBOY
Total Assets EOY16721919TotalAssetsEOY
Total Liabilities BOY638302TotalLiabilitiesBOY
Total Liabilities EOY2156372TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10630059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14565547NetAssetsOrFundBalancesEOY
Mission DescriptionTOGETHER 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7797902Expense
Revenue4031812Revenue
DescriptionSERVICES PERFORMED TO PROVIDE ACCESS TO MEDICAL, DENTAL AND SOCIAL SERVICES IN THE KALIHI VALLEY COMMUNITY.Description
Total Program Service Expense7797902TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees189NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 Chapters0LocalChapters
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDALLYS SALAS CHIEF FINANCIAL OFFICNamePerson
Telephone Number8087919411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96819ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICKEY MURASHIGE
PRESIDENT/DIRECTOR1.00XX000
KAREN FOX
VICE PRESIDENT/DIRECTOR1.00XX000
DAVID NAKAMOTO
TREASURER/DIRECTOR1.00XX000
SHARON ROUPPET
SECRETARY/DIRECTOR1.00XX000
EDWARD KEMPER
DIRECTOR/FORMER PRESIDENT1.00XX000
GRACE COBB
DIRECTOR1.00X000
GEOFFREY PANG
DIRECTOR1.00X000
MARYROSE MCCLELLAND
DIRECTOR1.00X000
MARISSA FAY WENGLER
DIRECTOR/FORMER VP1.00XX000
JOVY WOOLSEY
DIRECTOR/FORMER SECRETARY1.00XX000
JOHN R VAUGHN
DIRECTOR1.00X000
DAVID DERAUF
CHIEF EXECUTIVE OFFICER40.00X149592027239
CYNTHIA STURDEVANT
CHIEF OPERATING OFFICER40.00X62129016693
DALLYS SALAS
CHIEF FINANCIAL OFFICER40.00X76951014148
LAURA DEVILBISS
CLINICAL DIRECTOR40.00162231018141X
DAVID R BREESE
DENTIST40.00108780014697X
BRADLEY CHUN
PHYSICIAN40.00119257022429X
JASON Y HIRAMOTO
DENTIST40.00109276013994X
JONAS NAVICKAS
PHYSICIAN40.00122770021443X
MYA M HLA
DOCTOR OF PSYCHOLOGY40.00102167016786X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1013153TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation165570TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants7541559GovernmentGrants
All Other Contributions2283364AllOtherContributions
Noncash Contributions50041NoncashContributions
Total Contributions9824923TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID62411029348002934800
PRIVATE INSURANCE624110629142629142
MEDICARE624110347971347971
SELF-PAY6241109270692706
CAPITATION FEES62411018791879
FieldValueIRS element (for citing)
Total Program Service Revenue4006498TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6859TotalRevenueColumn
Exclusion$6,859ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL RECORD CHARGES6241102440424404
CARETAKER HOUSING900099910910
FieldValueIRS element (for citing)
Total Other Revenue25314TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13863594TotalRevenueColumn
Related Or Exempt Function Income4031812RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,859ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total507886Total
Program Services417276ProgramServices
Management And General84681ManagementAndGeneral
Fundraising5929Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4762081Total
Program Services3935442ProgramServices
Management And General761626ManagementAndGeneral
Fundraising65013Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total651835Total
Program Services524334ProgramServices
Management And General127501ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1207536Total
Program Services943484ProgramServices
Management And General264052ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total503496Total
Program Services416172ProgramServices
Management And General87324ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1270Total
Management And General1270ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50312Total
Management And General50312ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total595933Total
Program Services398313ProgramServices
Management And General197620ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total765172Total
Program Services624550ProgramServices
Management And General135914ManagementAndGeneral
Fundraising4708Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total275083Total
Program Services211043ProgramServices
Management And General60271ManagementAndGeneral
Fundraising3769Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total62362Total
Program Services58170ProgramServices
Management And General4192ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total250929Total
Program Services64939ProgramServices
Management And General175584ManagementAndGeneral
Fundraising10406Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total69217Total
Program Services53103ProgramServices
Management And General15166ManagementAndGeneral
Fundraising948Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TRAINING70071621147957
REPAIRS AND MAINTENANCE620053233729668
MISCELLANEOUS32392240338359
DUES AND SUBSCRIPTIONS314621029421168

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29064Total
Program Services22298ProgramServices
Management And General6368ManagementAndGeneral
Fundraising398Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9928106Total
Program Services7797902ProgramServices
Management And General2039033ManagementAndGeneral
Fundraising91171Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY942579BOY
EOY962953EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2536042BOY
EOY1820652EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY865922BOY
EOY1130847EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY592171BOY
EOY959063EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16186BOY
EOY18928EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15221632LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3392156LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6315461BOY
EOY11829476EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11268361BOY
EOY16721919EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY638302BOY
EOY1906372EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY250000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY638302BOY
EOY2156372EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8795925BOY
EOY13977830EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1834134BOY
EOY587717EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10630059BOY
EOY14565547EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11268361BOY
EOY16721919EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3935488ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3630049CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3450251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6146036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4968434CurrentTaxYearMinus1Year
Current Tax Year9824923CurrentTaxYear
Total28019693Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3630049CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3450251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6146036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4968434CurrentTaxYearMinus1Year
Current Tax Year9824923CurrentTaxYear
Total28019693Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total983412AmountsSubstContributorsTotal
Public Support Total17027036281PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years87876CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year10489CurrentTaxYearMinus1Year
Current Tax Year6859CurrentTaxYear
Total105224Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101151CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51959CurrentTaxYearMinus1Year
Current Tax Year25314CurrentTaxYear
Total383544Total
FieldValueIRS element (for citing)
Total Support28508461TotalSupport
Gross Receipts From Admissions Etc20051887GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94840PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92740PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOMEGeneralExplanation

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2288000OtherCostOrOtherBasis
Book Value2288000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4950295OtherCostOrOtherBasis
Depreciation2388647Depreciation
Book Value2561648BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1522632OtherCostOrOtherBasis
Depreciation1003509Depreciation
Book Value519123BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6460705OtherCostOrOtherBasis
Book Value6460705BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11829476TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING 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 THE TAX POSITIONS OF KKV AND AFFILIATE AS OF JUNE 30, 2012 AND 2011 AND FOR THE YEARS THEN ENDED BY REVIEWING THEIR INCOME TAX RETURNS AND CONFERRING WITH THEIR TAX ADVISORS, AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. SUCH RETURNS ARE OPEN FOR EXAMINATION UNTIL THE STATUTE OF LIMITATIONS EXPIRES.Explanation

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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID DERAUF
14959200000129330143060176831000
LAURA DEVILBISS
1622310000013784043570180372000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990
XWATER BOTTLES11016
XMICROSOFT SOFTWARE LICENSE148350
XSTUFFED ANIMALS1675
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4CHANGES TO THE ORGANIZATION'S BYLAWS AS FOLLOWS: ARTICLES 1, 2, AND 5: THE NAME OF THE ORGANIZATION SHALL BE "KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES". ARTICLE 4, SECTION 4: "ACTION BY WRITTEN CONSENT OR EMAIL."
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE DIRECTOR REVIEWS THE REPORT IN CONJUNCTION WITH THE CFO BEFORE PRESENTING TO THE FINANCE COMMITTEE FOR REVIEW. AFTER THE FINANCE COMMITTEE REVIEWS THE 990 REPORT, AN ELECTRONIC COPY IS SENT TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL; A HARD COPY IS ALSO PROVIDED AT THE FOLLOWING BOARD OF DIRECTORS MEETING.
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 COMPENSATION COMMITTEE USES SALARY GRADE AND RANGE TO MAKE SURE OUR SALARIES ARE COMPARABLE WITH COMMUNITY STANDARDS. THE HAWAII PRIMARY CARE ASSOCIATION DOES REGULAR ASSESSMENTS OF THE COMMUNITY HEALTH CENTERS SO WE CAN MAKE SURE OUR SALARIES ARE COMPARABLE WITH OTHER HEALTH CENTERS. THE SALARY RANGE FOR EACH INDIVIDUAL IS DEPENDENT ON EXPERIENCE AND EDUCATION. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RECOMMENDS THE SALARY RANGES TO THE EXECUTIVE DIRECTOR, WHO APPROVES THE SALARIES FOR OFFICERS AND KEY MANAGEMENT EMPLOYEES.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KALIHI VALLEY COMMUNITY FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12239 NORTH SCHOOL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96819ZIPCode
FieldValueIRS element (for citing)
EIN990329894EIN
Primary ActivitiesPROVIDE FINANCIAL SUPPORT TO CENTERPrimaryActivities
Legal Domicile StateHILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KOKUA KALIHI VALLEY COMP FAMILY SVCSBusinessNameLine1
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
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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