MAUNALANI NURSING AND REHABILITATION CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MAUNALANI NURSING AND REHABILITATION CENTER (EIN 99-0249327)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349306739
Schema version
2010v3.4
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)
Timestamp2012-05-15T16:16:26-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN C STILLWAGGON CPAName
Phone7244587490Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts11168610GrossReceipts
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 Employees155TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13740ContributionsGrantsPriorYear
Contributions Grants Current Year278082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10407341ProgramServiceRevenuePriorYear
Program Service Revenue CY10882784ProgramServiceRevenueCY
Investment Income Prior Year2602InvestmentIncomePriorYear
Investment Income Current Year7744InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10423683TotalRevenuePriorYear
Total Revenue Current Year11168610TotalRevenueCurrentYear
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 Year6509304SalariesEtcPriorYear
Salaries Etc Current Year6212305SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4709562OtherExpensePriorYear
Other Expenses Current Year3513120OtherExpensesCurrentYear
Total Expenses Prior Year11218866TotalExpensesPriorYear
Total Expenses Current Year9725425TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-795183RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1443185RevenuesLessExpensesCY
Total Assets BOY22416295TotalAssetsBOY
Total Assets EOY25690011TotalAssetsEOY
Total Liabilities BOY3589374TotalLiabilitiesBOY
Total Liabilities EOY3205660TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18826921NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22484351NetAssetsOrFundBalancesEOY
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
Expense8717285Expense
Revenue10882784Revenue
DescriptionMAUNALANI NURSING & REHABILITATION CENTER IS A 100-BED FACILITY LICENSED TO PROVIDE SKILLED, INTERMEDIATE, AND REHABILITATIVE CARE SERVICES. DAILY OCCUPANCY RATE FOR 2010/2011 IS 97.33% WITH AN AVERAGE PER DIEM RATE OF $251.16.Description
Total Program Service Expense8717285TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees155NumberOfEmployees
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
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HOWARD H HAMAMOTO
PRESIDENT1.00XX000
JOSEPH H GOLDCAMP
VICE PRES. & TREASURER1.00XX000
SAI CHANTAVY
EXECUTIVE DIRECTOR / SECRE53.00XX167297012575
DAVID DEVENOT
DIRECTOR1.00X000
JAMES WRISTON JR
DIRECTOR0.50X000
SUSAN KOSASA
DIRECTOR0.50X000
JAMES PIETSCH
DIRECTOR0.50X000
BARBARA STANTON
DIRECTOR0.50X000
ROBERT HIDANO
FINANCE DIRECTOR38.0010765406704X
FieldValueIRS element (for citing)
Total Reportable Comp From Org274951TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation19279TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUNDANCE REHABILITATION CORP
6549 PAYSPHERE CIRCLECHICAGOIL60674REHAB SERVICES500024
UNIVERSITY HEALTH ALLIANCE
700 BISHOP STREET SUITE 300HONOLULUHI96813EMPOYEE HEALTH INSURANCE351707
KING & NEEL INC
1164 BISHOP ST 1710HONOLULUHI96819INSURANCE SERVICE347423
HFM FOODSERVICE
716 UMI STREETHONOLULUHI96819FOOD SERVICE293173
PHARMERICA
3375 KOAPAKA STREET SUITE H-435HONOLULUHI96819LONG TERM CARE PHARMACY140706
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions278082AllOtherContributions
Total Contributions278082TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6230001084056210840562
MISCELLANEOUS PATIENT6230004222242222
FieldValueIRS element (for citing)
Total Program Service Revenue10882784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7744TotalRevenueColumn
Exclusion$7,744ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11168610TotalRevenueColumn
Related Or Exempt Function Income10882784RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,744ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total161465Total
Program Services56513ProgramServices
Management And General104952ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4931264Total
Program Services4503754ProgramServices
Management And General427510ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total326225Total
Program Services292117ProgramServices
Management And General34108ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total401696Total
Program Services359697ProgramServices
Management And General41999ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total391655Total
Program Services350706ProgramServices
Management And General40949ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29196Total
Management And General29196ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48900Total
Management And General48900ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total679365Total
Program Services617384ProgramServices
Management And General61981ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total174380Total
Program Services158834ProgramServices
Management And General15546ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total490716Total
Program Services466180ProgramServices
Management And General24536ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11416Total
Management And General11416ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total209245Total
Program Services198783ProgramServices
Management And General10462ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total371993Total
Program Services333100ProgramServices
Management And General38893ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD AND SUPPLIES9269719242172754
GENERAL ADMINISTRATION570938456000114938

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9725425Total
Program Services8717285ProgramServices
Management And General1008140ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1050BOY
EOY1050EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1766202BOY
EOY2504820EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1036546BOY
EOY1928030EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY64875BOY
EOY62912EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125546BOY
EOY176167EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3954294LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2201917LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1942784BOY
EOY1752377EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17479292BOY
EOY19264655EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22416295BOY
EOY25690011EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3060111BOY
EOY2666881EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY464476BOY
EOY461736EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY644BOY
EOY461EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64143BOY
EOY76582EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3589374BOY
EOY3205660EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18826921BOY
EOY22484351EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18826921BOY
EOY22484351EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22416295BOY
EOY25690011EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1443185ReconcilationRevenueExpenses
Reconcilation Other Changes2214245ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years2935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years486402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years484740CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year493740CurrentTaxYearMinus1Year
Current Tax Year278082CurrentTaxYear
Total1745899Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8473145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9043432CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9525758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10407341CurrentTaxYearMinus1Year
Current Tax Year10882784CurrentTaxYear
Total48332460Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8476080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9529834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10010498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10901081CurrentTaxYearMinus1Year
Current Tax Year11160866CurrentTaxYear
Total50078359Total

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 Total50950078359PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2602CurrentTaxYearMinus1Year
Current Tax Year7744CurrentTaxYear
Total169641Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2602CurrentTaxYearMinus1Year
Current Tax Year7744CurrentTaxYear
Total169641Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8545916CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9597828CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10031963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10903683CurrentTaxYearMinus1Year
Current Tax Year11168610CurrentTaxYear
Total50248000Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99660PublicSupportPercentage509
Prior Year Support Percentage0.99550PriorYearSupportPercentage
Investment Income Percentage0.00340InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00450PriorYrInvestIncomePercentage
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 Balance644BeginningBalance
Distributions During Year184DistributionsDuringYear
Ending Balance460EndingBalance
Included On FS1IncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1176102OtherCostOrOtherBasis
Depreciation669640Depreciation
Book Value506462BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2525231OtherCostOrOtherBasis
Depreciation1532277Depreciation
Book Value992954BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis252961OtherCostOrOtherBasis
Book Value252961BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1752377TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN NET ASSETS OF FOUNDATIONDescription
Book Value19264655BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets19264655TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESERVE FOR PROFESSIONAL FEESDescription
Amount$76,582Amount
FieldValueIRS element (for citing)
Total Of Amounts76582TotalOfAmounts
Total Revenue11168610TotalRevenue
Total Expenses9725425TotalExpenses
Excess Or Deficit For Year1443185ExcessOrDeficitForYear
Other$2,214,245OtherAmount
Total Adjustments2214245TotalAdjustments
Excess Or Deficit Per FS3657430ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11168610TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11168610RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011168610TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9725425TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9725425ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909725425TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART III, LINE 4:ALL THE ARTWORKS ARE USED AS DECORATIONS IN THE ORGANIZATION.
PART IV, LINE 1B:THE ORGANIZATION 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 6/30/11, ONE RESIDENT HAD HIS PERSONAL FUNDS ON ACCOUNT. THE RESIDENT TRUST FUNDS IS IN A SEPARATE BANK ACCOUNT AT AMERICAN SAVINGS BANK.
PART X:IN ACCORDANCE WITH ASC NO. 740 AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2011, THE COMPANY HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN YEARS. CURRENTLY, 2009, 2010, AND 2011 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, 2011.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
LOSS ON ITEMS NOT YET RECOGNIZED AS A COMPONENT OF NET PERIODIC PERIODIC PENSION COST 428,882. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF MAUNALANI FOUNDATION 1,785,363.PART XI, LINE 8 - OTHER ADJUSTMENTS:

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
Base Compensation Filing Org142500BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org7500BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org17297OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org4784DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org7791NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org179872TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org79754CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
EACH 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 12C
THE 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 B, LINE 15A
THE 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 18
PERSON MUST SUBMIT REQUEST IN WRITING TO THE EXECUTIVE DIRECTOR. COPYING FEES MAY APPLY. FINANCIAL STATEMENTS ARE FOR INTERNAL USE ONLY.FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEK (DESCRIBE HOURS FOR RELATED ORGANIZATIONS IN SCH. O)SAI CHANTAVY WORKS 55 HOURS A WEEK. SHE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 53 HOURS PER WEEK ARE SPENT PERFORMING HER DUTIES AS THE ADMINISTRATOR OF THE CENTER. FOR THE REMAINING 2 HOURS PER WEEK, SHE ASSISTS THE MAUNALANI FOUNDATION PRIMARILY IN REGARDS TO OVERSIGHT AND MANAGEMENT OF THE INVESTMENTS HELD BY THE FOUNDATION. ROBERT HIDANO WORKS 40 HOURS A WEEK. HE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 38 HOURS PER WEEK ARE SPENT PERFORMING HIS DUTIES AS THE FINANCE DIRECTOR OF THE CENTER. FOR THE REMAINING 2 HOURS PER WEEK, HE ASSISTS THE MAUNALANI FOUNDATION.FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)
CHANGES IN NET ASSETS OR FUND BALANCES:LOSS ON ITEMS NOT YET RECOGNIZED AS A COMPONENT OF NET PERIODIC PERIODIC PENSION COST 428,882. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF MAUNALANI FOUNDATION 1,785,363. TOTAL TO FORM 990, PART XI, LINE 5: 2,214,245.FORM 990, PART XI, LINE 5:
METHOD OF DETERMING AMOUNT INVOLVED IN SHARING OF PAID EMPLOYEES.SAI CHANTAVY WORKS 55 HOURS A WEEK. SHE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 53 HOURS PER WEEK ARE SPENT PERFORMING HER DUTIES AS THE ADMINISTRATOR OF THE CENTER. FOR THE REMAINING 2 HOURS PER WEEK, SHE ASSISTS THE MAUNALANI FOUNDATION PRIMARILY IN REGARDS TO OVERSIGHT AND MANAGEMENT OF THE INVESTMENTS HELD BY THE FOUNDATION. THEREFORE, THE AMOUNT AMOUNT WAS DETERMINED BY TAKING THE TOTAL SALARY OF $161,465 AND ALLOCATING 53/55TH TO THE CENTER = $155,594. ROBERT HIDANO WORKS 40 HOURS A WEEK. HE IS CONSIDERED AN EMPLOYEE OF THE MAUNALANI NURSING AND REHABILITATION CENTER. APPROXIMATELY, 38 HOURS PER WEEK ARE SPENT PERFORMING HIS DUTIES AS THE FINANCE DIRECTOR OF THE CENTER. FOR THE REMAINING 2 HOURS PER WEEK, HE ASSISTS THE MAUNALANI FOUNDATION. THEREFORE, THE AMOUNT AMOUNT WAS DETERMINED BY TAKING THE TOTAL SALARY OF $107,065 AND ALLOCATING 38/40TH TO THE CENTER = $ 101,712.FORM 990, SCHEDULE R, PART V, LINE 2, COLUMN (D)

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
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 Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAUNALANI FOUNDATION
P136502CONSTRUCTION COST
MAUNALANI FOUNDATION
J480000COST
MAUNALANI FOUNDATION
N155594SEE SCHEDULE O
MAUNALANI FOUNDATION
N101712SEE SCHEDULE O

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