2011-05-09T15:36:00-04:00 2010-06-30 Deloitte Tax LLP 1132 BISHOP STREET SUITE 1200 HONOLULU HI 968132870 990 2009-07-01 990074139 KUAKINI MEDICAL CENTER KUAK 8085479231 347 NORTH KUAKINI STREET HONOLULU HI 96817 QUIN OGAWA 8085479231 2011-05-06 true LORI KS TAIRA 8085430700 2009 2016-02-24 21:20:13Z GARY KAJIWARA 347 N KUAKINI STREET HONOLULU HI 96817 139489609 false X WWW.KUAKINI.ORG X 1983 HI SEE ATTACHMENT 2 12 9 1020 156 872797 222255 22307 1500000 121190426 119576797 -192676 512205 3524879 3170432 124544936 124759434 16000 15000 0 0 68702561 70166600 0 0 0 53485738 54785415 122204299 124967015 2340637 -207581 123327176 128951103 62802926 83449650 60524250 45501453 THE MISSION OF KUAKINI MEDICAL CENTER IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY: PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND PROGRAMS AT REASONABLE COST; CONTINUOUSLY IMPROVING THE QUALITY OF HEALTH CARE SERVICES AND PROGRAMS; ENCOURAGING CLINICAL RESEARCH; SUPPORTING TRAINING AND EDUCATIONAL PROGRAMS FOR HEALTH CARE PERSONNEL; AND OFFERING COMMUNITY SERVICE PROGRAMS. Kuakini Medical Center provides acute hospital services, ambulatory care services, emergency room services, teaching services and biomedical research. false false 88944869 15000 119576797 HOSPITAL CARE SERVICES TO PROVIDE RELIEF TO PEOPLE IN THE STATE OF HAWAII AS A RESULT OF ILLNESS, POVERTY, ACCIDENT OR OTHER CAUSE; PROMOTE THE GENERAL WELFARE; PERFORM ANY CHARITABLE OR BENEVOLENT WORK; ESTABLISH AND MAINTAIN FACILITIES TO PROVIDE MEDICAL SERVICES; PROVIDE AND CONDUCT EDUCATIONAL SERVICES TO RENDER CARE TO THE SICK AND INJURED; PROMOTE SCIENTIFIC RESEARCH RELATING TO THE CARE OF THE SICK AND INJURED. 88944869 true true false false false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false false true true false false true 57 0 true 1020 true true true true false false false false false false false 12 9 false false false false true true true true true false false true true true true true true true true false X X QUIN OGAWA 8085479231 347 N KUAKINI ST HONO HI HONOLULU HI 96817 GARY KAJIWARA 20.0 X X 0 386694 40860 ARTHUR YAMAMOTO 1.25 X 0 0 0 CHUCK GEE 1.25 X 0 0 0 SATORU IZUTSU M D 1.5 X 0 0 0 KAMAL MASAKI M D 0.5 X 0 0 0 WESLEY HIYANE 0.5 X 0 0 0 JAMES YASUDA 0.5 X 0 0 0 WAYNE ARAKAKI 0.5 X 0 0 0 Michael Nagoshi 0.5 X 38400 0 0 AMY HIRANO 0.5 X 0 0 0 ALAN ARIZUMI 0.5 X 0 0 0 GLENN INOUYE 2.0 X 0 0 0 NOBUYUKI MIKI M D 32.0 X 146931 0 31486 JUNE DRUMELLER 60.0 X 146740 0 33308 GREGG OISHI 30.0 X 0 178215 41653 Quin Ogawa 20.0 X 0 19778 3538 Roger Rodwell 43.75 X 142298 0 29661 Janette Sebastian 55.53 X 141103 0 28568 Reynaldo Palma 46.26 X 129369 0 15540 Traci Yoshii 43.3 X 130929 0 26174 Lilian Macaraig 45.46 X 129599 0 24297 1005369 584687 275085 77 false true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 CONSULTING 4405824 PACIFIC HEALTH RESEARCH INSTITUTE 700 BISHOP STREET 900 HONOLULU HI 96813 CONSULTING 2736616 HAWAII RESIDENCY PROGRAMS 1356 LUSITANA STREET 510 HONOLULU HI 96813 MEDICAL SERVICES 1914978 UNIVERSITY OF HAWAII 1960 EAST-WEST ROAD T107 HONOLULU HI 96822 MEDICAL SERVICES 1401010 The CJs Group Architects Ltd 1188 Fort Street 200 HONOLULU HI 96813 Consulting 856284 37 1500000 1500000 HEALTH CARE SVCS 117077992 117077992 RESEARCH PROGRAMS 2498805 2498805 119576797 217549 217549 0 0 50204 50204 50204 50204 15024831 0 14715824 14351 309007 -14351 294656 294656 0 0 0 PARKING 900099 1544454 870214 674240 PRINTING 561499 193049 2583 190466 CAFETERIA 722210 753109 753109 629616 503428 126188 3120228 124759434 120080225 872797 2306412 15000 15000 0 0 0 377702 49233 328469 0 56817455 44885789 11931666 0 12971443 10247440 2724003 0 0 0 0 0 0 0 0 0 0 0 0 4587 4587 0 0 0 1507963 1507963 0 7701929 7701929 1121532 1121532 OTHER PROFESSIONAL 21015336 16602115 4413221 0 GENERAL SERVICES 12220409 9654123 2566286 ADMINISTRATIVE & FISCAL 5337955 4216984 1120971 RESEARCH AND EDUCATION PROGRAM 2397602 2397602 PROVISION FOR BAD DEBT 2601519 2601519 876583 876583 0 124967015 88944869 36022146 0 5487 5087 3598684 1797966 17340229 20377682 2483356 2644273 1800389 1384533 180371460 119508852 61198272 60862608 5115280 5805159 7007078 9591585 24778401 26482210 123327176 128951103 7910692 7524858 0 2580000 28140000 27610000 26752234 45734792 62802926 83449650 X 60524250 45501453 0 0 60524250 45501453 123327176 128951103 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3225118 3225118 60550311 41486687 19063624 84290594 54250730 30039864 32305437 23771435 8534002 60862608 ASSETS HELD BY TRUSTEE 9591585 9591585 DUE FROM AFFILIATES 17834768 INVESTMENTS IN AFFILIATES 7461905 DEFERRED LOAN FEES 739546 OTHER NONCURRENT ASSETS 445991 26482210 0 ACCRUED PAYROLL 1671476 ACCRUED VACATION 3278220 ACCRUED PENSION 33251602 EST.THIRD PARTY PAYOR SETTLMNT 2844026 CAPITAL LEASE OBLIG. - CURRENT 397859 CAPITAL LEASE OBLIG. - NON-CUR 865130 INTEREST PAYABLE 863388 OTHER LONG-TERM LIABILITIES 513091 OTHER 2050000 45734792 124759434 124967015 -207581 219366 -15039205 -14819839 -15027420 126165389 3661097 3661097 122504292 2255142 2255142 124759434 128391665 3544734 3544734 124846931 120084 120084 124967015 PART XI, LINE 8 SCHEDULE D EQUITY IN EARNINGS OF AFFILIATES = $ 861,527 GIFT SHOP NET INCOME/(LOSS) = $ < 1,679 > MINIMUM PENSION LIABILITY ADJUSTMENT = $ < 15,896,115 > EJE FOR SUBSIDIARY = $ < 2,941 > ROUNDING = 3 ------------------ TOTAL TO PART XI, LN 8 = $ < 15,039,205 > ------------------ PART XII, LINE 2d SCHEDULE D REVERSE KDC REVENUE < 3,646,699> REVERSE PAT REVENUE < 47> LOSS ON SALE OF FIXED ASSETS < 14,351> ------------- TOTAL TO PART XI, LN 8 < 3,661,097> ------------- PART XII, LINE 4b SCHEDULE D INTEREST & DIVIDENDS INCLUDED IN NONOPERRATING REV = $ 324,372 GIFT SHOP REVENUE = $ 121,763 REALIZED LOSS ON INVESTMENT-INCL IN NONOPER - KMC = $ < 37,399> REALIZED GAIN ON INVESTMENTINCL IN NONOPER - PARKING = $ 346,406 TRANSFERS INCLUDED IN THE TEMPORARILY RESTRICTED -NET ASSETS = $ 1,500,000 ------------- TOTAL TO PART XII, LINE 2b = $ 2,255,142 ------------- PART XIII, LINE 2d SCHEDULE D REVERSE KDC EXPENSES = $ < 3,527,893> REVERSE PAT EXPENSES = $ < 2,490> LOSS ON SALE OF FIXED ASSETS = $ < 14,351> ---------------- TOTAL TO PART XIII, LIND 2d = $ < 3,544,734> ---------------- PART XIII, LINE 4b SCHEDULE D GIFT SHOP EXPENSES = $ 105,084 TRANSFERS TO KSS = $ 15,000 ------------- TOTAL TO PART XIII, LINE 4b = $ 120,084 ------------- true true true X true X true false false 15710 15710 0.00010 7467057 1695285 5771772 0.04620 7482767 1695285 5787482 0.04630 15000 5000 10000 0.00010 1729449 737407 992042 0.00790 24932714 3584808 21347906 0.17080 3248751 2930784 317967 0.00250 15000 5000 10000 0.00010 29940914 7262999 22677915 0.18140 37423681 8958284 28465397 0.22770 false 2601519 15710 33234569 39851950 -6617381 X true true Kuakini Medical Center

347 N Kuakini Street Honolulu HI 968170000

X X X X X 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. 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. All short fall reported on line 7 should be treated as community benefit. 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. 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. Patients without health care 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. 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. 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. 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. true KUAKINI SUPPORT SERVICES 347 NORTH KUAKINI STREET Honolulu HI 96817 990225148 501(C)(3) 15000 OPERATING GRANT TO AFFILIATE AFFILIATE 1 PART I, LINE 2 FUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST THEM IN CARRYING OUT THEIR EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM. X X false false false false false false false false false GARY KAJIWARA 0 380694 0 0 0 6000 0 35211 0 5649 0 427554 0 0 NOBUYUKI MIKI M D 146931 0 0 0 0 0 18977 0 12509 0 178417 0 0 0 JUNE DRUMELLER 146740 0 0 0 0 0 23901 0 9407 0 180048 0 0 0 GREGG OISHI 0 178215 0 0 0 0 0 30186 0 11467 0 219868 0 0 Roger Rodwell 142298 0 0 0 0 0 25372 0 4289 0 171959 0 0 0 Janette Sebastian 141103 0 0 0 0 0 16386 0 12182 0 169671 0 0 0 Traci Yoshii 130929 0 0 0 0 0 13992 0 12182 0 157103 0 0 0 Lilian Macaraig 129599 0 0 0 0 0 13578 0 10719 0 153896 0 0 0 SCHEDULE J, PART III 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. 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. Alan Arizumi director of KMC 0 SEE SCHEDULE O false FORM 990 PART VI, SECTION A, LINE 6 The organization has one sole member, Kuakini Health System which, through its Board of Directors, approves the Board of Directors. FORM 990 PART VI, SECTION A, LINE 7a 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. FORM 990 PART VI, SECTION A, LINE 7b Decisions of the governing body are subject to approval by members. FORM 990 PART VI, SECTION B, LINE 11 Form 990 is reviewed by the CFO and other management personnel, and a copy is provided to the Board before filing. FORM 990 PART VI, SECTION B, LINE 12c The organization regularly and consistently monitor and enforce compliance with the policy through communications with the Directors, officers and key employees. FORM 990 PART VI, SECTION B, LINE 15 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. FORM 990 PART V, LINE 4B The organization had an interest in, or a signature or other authority over, financial accounts in various foreign countries. SCHEDULE L, PART IV Alan Arizumi is an officer of the lending institution with which the organization has a banking relationship. Kuakini Health System 347 N Kuakini Street Honolulu HI 96817 990225140 ADMIN SRVCS HI 501(c)(3) BOX 9 N/A Kuakini Geriatric Care Inc 347 N Kuakini Street HONOLULU HI 96817 990225065 MED CARE HI 501(c)(3) BOX 3 KHS Kuakini Foundation 347 N Kuakini Street HONOLULU HI 96817 990225067 FUNDRAISING HI 501(c)(3) BOX 7 KHS Kuakini Support Services Inc 347 N Kuakini Street HONOLULU HI 96817 990225148 SUPPORTIN ORG HI 501(c)(3) BOXII TYPEI KHS Kuakini Development Corp 347 N Kuakini Street HONOLULU HI 968170000 990171854 DEVEL. & PHAR HI KMC C CORP 1052602 4903548 1.00000 PACIFIC ASIAN RESOURCES 347 N KUAKINI STREET HONOLULU HI 968170000 990257899 HEALTHCARE HI KMC C CORP 47 37940 1.00000 KUAKINI PACIFIC CORPORATION 347 N KUAKINI STREET HONOLULU HI 968170000 990328954 HEALTH PROGRA HI N/A C CORP false true true false false false false false true true false false false false true true false false KUAKINI HEALTH SYSTEM O 1260928 Kuakini Geriatric Care Inc P 4283465 Kuakini Foundation P 40983 KUAKINI DEVELOPMENT CORP P 120789 KUAKINI SUPPORT SERVICES B 15000 KUAKINI FOUNDATION C 1500000 KUAKINI DEVELOPMENT CORP I 4403 KUAKINI FOUNDATION J 4587