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      <FeesForServicesAccounting>
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      <TravelEntrtnmntPublicOfficials>
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        <Explanation>THE HEALTH SYSTEM EVALUATES ITS UNCERTAIN TAX POSITIONS AND DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012 AND 2011. BECAUSE NO UNCERTAIN TAX POSITIONS HAVE BEEN IDENTIFIED, THE FINANCIAL STATEMENTS DID NOT INCLUDE A RELATED FOOTNOTE FOR THE FISCAL YEAR ENDED JUNE 30, 2012.</Explanation>
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        <DirectOffsettingRevenue>3710008</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24690218</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.18450</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>3254066</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1460040</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1794026</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01340</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>34071108</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6450936</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>27620172</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.20640</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>45387079</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8567526</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>36819553</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.27510</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3089109</BadDebtExpenseAmount>
      <AmountAttributableTo>128306</AmountAttributableTo>
      <AmountReimbursedByMedicare>34328223</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>39891836</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5563613</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed />
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Kuakini Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>347 North Kuakini Street</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>968170000</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Kuakini Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <LienOnResidence>X</LienOnResidence>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7</Identifier>
        <Explanation>The costing methodology used was a cost-to-charge ratio derived from the most recent Medicare Cost Report for Worksheet 2-Ratio of Patient Care Cost-to-Charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART II</Identifier>
        <Explanation>KUAKINI MEDICAL CENTER CONDUCTS A YEAR-ROUND PROGRAM OF COMMUNITY HEALTH EVENTS FEATURING HEALTH EDUCATION ACTIVITIES, FREE HEALTH SCREENINGS AND THE DISTRIBUTION OF EDUCATIONAL MATERIALS THROUGH ITS HEALTHFUL LIFESTYLE PROMOTIONS. THE PROGRAM EDUCATES THE COMMUNITY ABOUT HEALTHFUL LIFESTYLES, REINFORCES THE IMPORTANCE OF PRACTICING GOOD HEALTH HABITS, EMPHASIZES AWARENESS OF HEALTH-RELATED ISSUES AND ENCOURAGES THE COMMUNITY TO PARTICIPATE IN EDUCATIONAL OPPORTUNITIES AND FREE HEALTH SCREENINGS. THE ACTIVITIES ENABLE THE COMMUNITY TO BECOME AWARE OF THEIR PERSONAL HEALTH STATUS AND TO TAKE BETTER CARE OF THEMSELVES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4</Identifier>
        <Explanation>Allowance for Doubtful Accounts-Substantially all of the Health System's receivables are related to providing healthcare services to patients. Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. The Health System's estimate for its allowance for doubtful accounts is based upon management's assessment of historical and expected net collections by payor.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 8</Identifier>
        <Explanation>All short fall reported on line 7 should be treated as community benefit. MEDICARE COST REPORT FOR FYE 2012 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 9B</Identifier>
        <Explanation>Patients who do not have medical coverage are referred to an outside vendor who will assist them in applying for Medicaid health coverage. Those individuals who do not qualify for Medicaid are informed of the organizations charity care or financial assistance program and are advised to apply for such assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 2</Identifier>
        <Explanation>Kuakini Medical Center assesses the healthcare needs of the communities by analyzing the availability and accessibility of healthcare services, and the supply and demand for healthcare services in the City and County of Honolulu which encompasses the entire island of Oahu, Hawaii. The healthcare services reviewed are to adult acute hospital, ambulatory care and emergency services. Kuakini participates in the Hawaii State Health Planning and Development Agency and Healthcare Association of Hawaii initiatives to help identify and assess the healthcare needs of the Hawaii communities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 3</Identifier>
        <Explanation>Patients without healthcare coverage are referred to an outside vendor who will assist them in qualifying for Medicaid health coverage. If the patients do not qualify for Medicaid, they are then informed about the organization's charity care policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 4</Identifier>
        <Explanation>Kuakini Medical Center provides acute hospital services, ambulatory care services, emergency room services, and graduate Medicaid teaching services to general metropolitan area of the City and County of Honolulu. Approximately 75% of the patients utilizing Kuakini's services are 60+ years of age and of Pacific Island/Asian ancestry. Kuakini also serves the community by participating in health fairs, providing literature on healthy life style, holding open house tours for elementary school classes, and sponsoring various research efforts through the Honolulu-Asian Aging Study, Japan-Hawaii Cancer Study and Honolulu Heart Program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 5</Identifier>
        <Explanation>Kuakini Medical Center supports an open medical staff, with over 500 participating physicians and over 200 active practicing physicians, and has a majority of external community members serving on the Medical Center Board of Directors. The external Medical Center Board of Director members are not compensated and all surplus funds are directed for the continuing operations of the Medical Center and funding for capital improvement projects and capital equipment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 21</Identifier>
        <Explanation>THE HOSPITAL CHARGES EACH OF ITS PATIENTS THE GROSS CHARGES, BUT FINAL AMOUNTS ARE ADJUSTED IN ACCORDANCE WITH THE CONTRACTUAL AGREEMENTS AND/OR FINANCIAL ASSISTANCE POLICIES FOR THOSE QUALIFIED PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KUAKINI SUPPORT SERVICES INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>347 NORTH KUAKINI STREET</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EINOfRecipient>990225148</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9181</AmountOfCashGrant>
        <PurposeOfGrant>OPERATING GRANT TO AFFILIATE AFFILIATE</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>PART I, LINE 2</Identifier>
        <Explanation>FUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
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      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>GARY KAJIWARA</NamePerson>
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        <OtherCompensationRelatedOrgs>6000</OtherCompensationRelatedOrgs>
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        <NamePerson>NOBUYUKI MIKI</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LON WHITE</NamePerson>
        <BaseCompensationFilingOrg>140946</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>QUIN OGAWA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>123810</CompBasedOnRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>TESSIE HUNTER</NamePerson>
        <BaseCompensationFilingOrg>157345</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <TotalCompensationFilingOrg>157345</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDGAR RABANG</NamePerson>
        <BaseCompensationFilingOrg>146720</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>146720</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHRYN TAKARA</NamePerson>
        <BaseCompensationFilingOrg>141170</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, PART VII</Identifier>
        <Explanation>Gary Kajiwara serves as the President and Chief Executive Officer of Kuakini Health System. He is also an officer of various organizations related to Kuakini Health System. The compensation paid by Kuakini Health System is for his services as the President and Chief Executive Officer of Kuakini Health System, as well as for his services as an officer of various organizations related to Kuakini Health System. He does not receive compensation from the organizations related to Kuakini Health System (KMC, KGC, KF, KSS, KDC, PAR, and KPC). Gregg Oishi serves as the Senior Vice President and Chief Operating Officer of Kuakini Health System. He is also an officer of various organizations related to Kuakini Health System. The compensation paid by Kuakini Health System is for his services as the Senior Vice President and Chief Operating Officer of Kuakini Health System, as well as for his services as an officer of various organizations related to Kuakini Health System. He does not receive compensation from the organizations related to Kuakini Health System (KMC, KGC, KF, KSS, KDC, PAR, and KPC). Quin Ogawa serves as the Vice President and Chief Financial Officer of Kuakini Health System. He is also an officer of various organizations related to Kuakini Health System. The compensation paid by Kuakini Health System is for his services as the Vice President and Chief Financial Officer of Kuakini Health System, as well as for his services as an officer of various organizations related to Kuakini Health System. He does not receive compensation from the organizations related to Kuakini Health System (KMC, KGC, KF, KSS, KDC, PAR, and KPC). KAMAL MASAKI SERVES AS A DIRECTOR OF KUAKINI MEDICAL CENTER. SHE IS A VOLUNTEER DIRECTOR AND IS NOT COMPENSATED FOR THOSE SERVICES. COMPENSATION PAID TO DR. MASAKI IS FOR HER SERVICES AS A RESEARCH INVESTIGATOR FOR KUAKINI MEDICAL CENTER. MICHAEL NAGOSHI SERVES AS A DIRECTOR OF KUAKINI MEDICAL CENTER. HE IS A VOLUNTEER DIRECTOR AND IS NOT COMPENSATED FOR THOSE SERVICES. COMPENSATION PAID TO DR. NAGOSHI IS FOR HIS SERVICES AS CHIEF OF STAFF FOR KUAKINI MEDICAL CENTER.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Alan Arizumi</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>director of KMC</Relationship>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>PART IV, (D) - DESCRIPTION OF TRANSACTION:</Identifier>
        <Explanation>ALAN ARIZUMI IS AN OFFICER OF THE LENDING INSTITUTION WITH WHICH THE ORGANIZATION HAS A BANKING RELATIONSHIP.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE ORGANIZATION HAS ONE SOLE MEMBER, KUAKINI HEALTH SYSTEM WHICH, THROUGH ITS BOARD OF DIRECTORS, APPROVES THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>The Organization has members who may elect one or more members of the governing body indirectly through the requirement that a portion of the board of directors on the subsidiaries of Kuakini Health System be directors of Kuakini Health System, which selects the directors of the subsidiaries.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>Decisions of the governing body are subject to approval by members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11B</Identifier>
        <Explanation>FORM 990 IS REVIEWED BY THE CFO AND OTHER MANAGEMENT PERSONNEL AND A COPY IS PROVIDED TO THE BOARD BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 12C</Identifier>
        <Explanation>The organization regulary and consistently monitors and enforces compliance with the policy through communications with the Directors, officers and key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 15A &amp; B</Identifier>
        <Explanation>The compensation of the Organization's CEO is determined by the governing body's compensation committee. The committee reviews the CEO's performance in relationship to the goals agreed upon by the CEO and compensation committee. The committee establishes the CEO's compensation based on an annual review of comparative base salaries of not-for-profit hospital CEOs in the U.S. and Hawaii, and comparative base salaries of health-related and non-healthcare companies' CEOs in Hawaii. The CEO reviews the performance of the members of the administrative team and establishes their compensation based on an annual review of comparative base salaries of comparable positions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, LINE 18 &amp; 19</Identifier>
        <Explanation>UPON REQUEST, FORM 990 IS MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE. EXCEPT FOR FORM 990, NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 5</Identifier>
        <Explanation>EQUITY IN EARNINGS OF AFFILIATES 1,129,536. MINIMUM PENSION LIABILITY ADJUSTMENT -20,247,452. UNREALIZED LOSS PARKING -84,332. PRIOR PERIOD ADJUSTMENT -2,399. LEASE RENTAL INCOME -55,601. TOTAL TO PART XI, LINE 5 -19,260,248.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kuakini Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>347 N Kuakini Street</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990225140</EIN>
        <PrimaryActivities>ADMIN SVCS</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <PublicCharityStatus>BOX 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kuakini Geriatric Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>347 N Kuakini Street</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990225065</EIN>
        <PrimaryActivities>MEDICAL CARE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <PublicCharityStatus>BOX 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kuakini Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>347 N Kuakini Street</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990225067</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <PublicCharityStatus>BOX 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kuakini Support Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>347 N Kuakini Street</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990225148</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <PublicCharityStatus>BOXII TYPEI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Kuakini Development Corp</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>347 N Kuakini Street</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990171854</EIN>
        <PrimaryActivity>PHARMACY/DEVELOP</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>854435</ShareOfTotalIncome>
        <ShareOfEOYAssets>4786087</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>KUAKINI PACIFIC CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>347 N KUAKINI STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990328954</EIN>
        <PrimaryActivity>EDUC/RESEARCH</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PACIFIC ASIAN RESOURCES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>347 N KUAKINI STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990257899</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>11</ShareOfTotalIncome>
        <ShareOfEOYAssets>31781</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1256454</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI GERIATRIC CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4296027</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>30915</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>101334</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI SUPPORT SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>9181</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>2003000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>4403</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KUAKINI FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>1668</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>