KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (EIN 99-0149797)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-28
- IRS object ID
- 201111189349300006
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-28T08:33:01-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM MCGLADREY INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100362602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990149797 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KOKU | NameControl |
| Phone | 8087919411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 n school street | AddressLine1 |
| City | honolulu | City |
| State | HI | State |
| ZIP Code | 96819 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID D DERAUF MDMPH | Name |
| Title | EXECUTIVE OFFICER | Title |
| Phone | 8087919411 | Phone |
| Date Signed | 2011-04-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2123721000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID D DERAUF MDMPH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 n school street | AddressLine1 |
| City | honolulu | City |
| State | HI | State |
| ZIP Code | 96819 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10211088 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | n/a | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | KOKUA KALIHI VALLEY AND AFFILIATE (THE "CENTER") WERE INCOPORATED IN THE STATE OF HAWAII IN MAY 1972 TO PROMOTE HEALTH AND TO PROVIDE COMPREHENSIVE FAMILY SERVICES IN THE KALIHI VALLEY COMMMUNITY IN THE CITY AND COUNTY OF HONOLULU, HAWAII. THE CENTER IS A FEDERALY 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 Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 177 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3450251 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6164036 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4149577 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3949395 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 101151 | OtherRevenuePriorYear |
| Other Revenue Current Year | 97657 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7700979 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10211088 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6097859 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6463049 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1702559 | OtherExpensePriorYear |
| Other Expenses Current Year | 2272362 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7800418 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8735411 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -99439 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1475677 | RevenuesLessExpensesCY |
| Total Assets BOY | 10350172 | TotalAssetsBOY |
| Total Assets EOY | 11828455 | TotalAssetsEOY |
| Total Liabilities BOY | 724187 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 726887 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9625985 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11101568 | NetAssetsOrFundBalancesEOY |
| Mission Description | TOGETHER 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6879561 | Expense |
| Revenue | 3949395 | Revenue |
| Description | SERVICES PERFORMED TO PROVIDE ACCESS TO MEDICAL, DENTAL AND SOCIAL SERVICES IN THE KALIHI VALLEY COMMUNITY. | Description |
| Total Program Service Expense | 6879561 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 177 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | HI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DALLYS SALAS CHIEF FINANCIAL OFFICer | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8087919411 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 n school street | AddressLine1 |
| City | honolulu | City |
| State | HI | State |
| ZIP Code | 96819 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| EDWARD KEMPER | ||||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | ||
| MARISSAFAY WENGLER | ||||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | ||
| JOVY ARREOLA | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| DAVID NAKAMOTO | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| RICKEY MURASHIGE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| SHARON ROUPPET | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| GRACE COBB | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARYROSE MCCELLAND | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ROSEMARIE SANCHEZ | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| SEKAP ESAH | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN R VAUGHN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| KAREN FOX | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| GEOFFREY PANG | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DR DAVID DERAUF | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 146239 | 0 | 23969 | |||
| Dalys g salas | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 75537 | 0 | 4339 | |||
| CYNTHIA STURDEVANT | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | X | 63348 | 0 | 15003 | |||
| DR LAURA DEVILLBISS | ||||||||
| MEDICAL DIRECTOR | 40.00 | 161390 | 0 | 17208 | X | |||
| DR BRADLEY CHUN | ||||||||
| PROVIDER | 40.00 | 116851 | 0 | 16891 | X | |||
| dR JONAS NAVICKAS | ||||||||
| PROVIDER | 40.00 | 119675 | 0 | 18055 | X | |||
| DR DAVID BREESE | ||||||||
| DENTIST | 40.00 | 107135 | 0 | 13420 | X | |||
| DR JASON HIRAMOTO | ||||||||
| DENTAL DIRECTOR | 40.00 | 107108 | 0 | 13409 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 897283 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 122294 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAINFOREST G CONSTRUCTION LLC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 BETHEL STREET SUITE 303 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | CONSTRUCTION/RENOVATION | DescriptionOfServices |
| Compensation | 410909 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 3634177 | GovernmentGrants |
| All Other Contributions | 2529859 | AllOtherContributions |
| Total Contributions | 6164036 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 900099 | 2935685 | 2935685 |
| PRIVATE INSURANCE | 900099 | 694597 | 694597 |
| MEDICARE | 900099 | 281834 | 281834 |
| SELF-PAY | 900099 | 37279 | 37279 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3949395 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 97657 | TotalRevenueColumn |
| Exclusion | $97,657 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 97657 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10211088 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3949395 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $97,657 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552705 | Total |
| Program Services | 180013 | ProgramServices |
| Management And General | 372692 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4507138 | Total |
| Program Services | 3932242 | ProgramServices |
| Management And General | 574896 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270282 | Total |
| Program Services | 228182 | ProgramServices |
| Management And General | 42100 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 762488 | Total |
| Program Services | 620875 | ProgramServices |
| Management And General | 141613 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370436 | Total |
| Program Services | 293654 | ProgramServices |
| Management And General | 76782 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4157 | Total |
| Program Services | 500 | ProgramServices |
| Management And General | 3657 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70098 | Total |
| Management And General | 70098 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310331 | Total |
| Program Services | 218446 | ProgramServices |
| Management And General | 91885 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 682960 | Total |
| Program Services | 576356 | ProgramServices |
| Management And General | 106604 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114868 | Total |
| Program Services | 102701 | ProgramServices |
| Management And General | 12167 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48440 | Total |
| Program Services | 42899 | ProgramServices |
| Management And General | 5541 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225751 | Total |
| Program Services | 26442 | ProgramServices |
| Management And General | 199309 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51012 | Total |
| Program Services | 7772 | ProgramServices |
| Management And General | 43240 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 478553 | 478553 | |
| REFERRAL EXPENSES | 82385 | 82385 | |
| EQUIPMENT RENTAL | 60141 | 11389 | 48752 |
| REPAIR & MAINTENANCE | 48546 | 31031 | 17515 |
| STAFF TRAINING | 39233 | 37529 | 1704 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55887 | Total |
| Program Services | 8592 | ProgramServices |
| Management And General | 47295 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8735411 | Total |
| Program Services | 6879561 | ProgramServices |
| Management And General | 1855850 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1825848 | BOY |
| EOY | 3094967 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885265 | BOY |
| EOY | 795111 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 524526 | BOY |
| EOY | 942985 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1139489 | BOY |
| EOY | 750468 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15559 | BOY |
| EOY | 20029 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9148339 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2923444 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5943402 | BOY |
| EOY | 6224895 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16083 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10350172 | BOY |
| EOY | 11828455 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392818 | BOY |
| EOY | 485114 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331369 | BOY |
| EOY | 241773 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 724187 | BOY |
| EOY | 726887 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9497146 | BOY |
| EOY | 9194722 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128839 | BOY |
| EOY | 1906846 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9625985 | BOY |
| EOY | 11101568 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10350172 | BOY |
| EOY | 11828455 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3330479 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3601971 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3630049 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3450251 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6146036 | CurrentTaxYear |
| Total | 20158786 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3330479 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3601971 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3630049 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3450251 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6146036 | CurrentTaxYear |
| Total | 20158786 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 20158786 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 74344 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96172 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87876 | CurrentTaxYearMinus2Years |
| Total | 258392 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44157 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18688 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 107463 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 101151 | CurrentTaxYearMinus1Year |
| Current Tax Year | 97657 | CurrentTaxYear |
| Total | 369116 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 20786294 | TotalSupport |
| Gross Receipts From Admissions Etc | 18845012 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96980 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95570 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2288000 | OtherCostOrOtherBasis |
| Book Value | 2288000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4932795 | OtherCostOrOtherBasis |
| Depreciation | 1990885 | Depreciation |
| Book Value | 2941910 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17500 | OtherCostOrOtherBasis |
| Depreciation | 15807 | Depreciation |
| Book Value | 1693 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 142388 | OtherCostOrOtherBasis |
| Depreciation | 65463 | Depreciation |
| Book Value | 76925 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1767656 | OtherCostOrOtherBasis |
| Depreciation | 851289 | Depreciation |
| Book Value | 916367 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6224895 | TotalOfBookValueLandBuildings |
| Total Revenue | 10211088 | TotalRevenue |
| Total Expenses | 8735411 | TotalExpenses |
| Excess Or Deficit For Year | 1475677 | ExcessOrDeficitForYear |
| Prior Period Adjustments | -94 | PriorPeriodAdjustments |
| Total Adjustments | -94 | TotalAdjustments |
| Excess Or Deficit Per FS | 1475583 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10389863 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 178740 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 35 | OtherRevenues |
| Revenue Not Rptd F990 | 178775 | RevenueNotRptdF990 |
| Revenue Subtotal | 10211088 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10211088 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8914433 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 178740 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 282 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 179022 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8735411 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8735411 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | THE CENTER ADOPTED ACCOUNTING GUIDANCE RELATED TO THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ON JULY 1, 2009. THE CENTER FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES). WHEN THE RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH CENTERS INCLUDE SUCH MATTERS AS THE FOLLOWING: TAX-EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED BY THE ORGANIZATION, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). UBIT IS REPORTED ON INTERNAL REVENUE SERVICE FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH THE TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AT JUNE 30, 2010, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. |
| Part XII, Line 2d - Other Adjustments: | KOKUA KALIHI VALLEY COMMUNITY FOUND. INCLUDED IN CONSOLIDATED FINANCIAL STMT: 35. | |
| Part XIII, Line 2d - Other Adjustments: | KOKUA KALIHI VALLEY COMMUNITY FOUND. INCLUDED IN CONSOLIDATED FINANCIAL STMT: 282. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR DAVID DERAUF | |||||||||||||
| 146239 | 0 | 0 | 0 | 0 | 0 | 12976 | 0 | 10993 | 0 | 170208 | 0 | 0 | 0 |
| DR LAURA DEVILLBISS | |||||||||||||
| 161390 | 0 | 0 | 0 | 0 | 0 | 12869 | 0 | 4339 | 0 | 178598 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | HARD COPY WAS PROVIDED AT THE BOARD OF DIRECTORS MEETING. THE EXECUTIVE DIRECTOR REVIEWS THE QUESTIONNAIRE IN CONJUNCTION WITH THE CFO BEFORE PRESENTING TO THE FINANCE COMMITTEE FOR REVIEW. AFTER THE FINANCE COMMITTEE REVIEWS THE 990 QUESTIONNAIRE AN ELECTRONIC COPY IS SENT TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL. |
| Form 990, Part VI, Section B, line 12c | A 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 15 | THE 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 COMEPENSATION 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 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 2C | the process for overseeing the audit of the financial statements and selection of an independent accountant that audited the financial statements has been consistent with prior years. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOKUA KALIHI VALLEY COMMUNITY FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 N SCHOOL STREET | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96819 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990329894 | EIN |
| Primary Activities | TO PROVIDE FINANCIAL SUPPORT TO CENTER | PrimaryActivities |
| Legal Domicile State | HI | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 7 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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