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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SYSTEM HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH IT OPERATES. CERTAIN SUBSIDIARIES ARE SUBJECT TO INCOME TAXES; SUCH AMOUNTS ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. AT JUNE 30, 2023 AND 2022, MANAGEMENT BELIEVES THERE WERE NO SIGNIFICANT UNCERTAIN TAX POSITIONS. THE 2020 THROUGH 2022 TAX YEARS REMAIN OPEN FOR FEDERAL AND STATE PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE FROM SUBSIDIARIES 153,263. PENSION ADJUSTMENT 11,933,610.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES RECLASSED FROM EXPENSE -184,874.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES FROM SUBSIDIARIES 76,922. RENTAL EXPENSES RECLASSED FROM EXPENSE 184,874.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <WebsiteAddressTxt>WWW.KUAKINI.ORG</WebsiteAddressTxt>
        <StateLicenseNum>13-H</StateLicenseNum>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
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        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.KUAKINI.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
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        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
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        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
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        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KUAKINI MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY THROUGH COLLABORATIVE WORK ADMINISTERED BY A CONTRACTED CONSULTANT FOR HAWAII HOSPITALS DEVELOPED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WHICH INCLUDES INPUTS FROM PERSONS WHO REPRESENT THE COMMUNITY. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA (OVER 300 SECONDARY INDICATORS) AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII STATE DEPARTMENT OF HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS WITH UNMET HEALTH NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KUAKINI MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: CASTLE MEDICAL CENTER, KAHI MOHALA BEHAVIORAL HEALTH, KAHUKU MEDICAL CENTER, KAISER PERMANENTE MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN, LEAHI HOSPITAL, PALI MOMI MEDICAL CENTER, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN-HONOLULU, STRAUB CLINIC &amp; HOSPITAL, THE QUEEN'S MEDICAL CENTER, WAHIAWA GENERAL HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KUAKINI MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: HEALTHCARE ASSOCIATION OF HAWAII AND ISLANDER INSTITUTE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KUAKINI MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: REFER TO THE IMPLEMENTATION STRATEGY REFERENCED ON LINE 10A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KUAKINI MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.KUAKINI.ORG/WPS/PORTAL/PUBLIC/HEALTH-WELLNESS/COMMUNITY-HEALTHNEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.KUAKINI.ORG/WPS/PORTAL/PUBLIC/HEALTH-WELLNESS/COMMUNITY-HEALTHNEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF BAD DEBT INCLUDED ON FORM 990 PART IX LINE 25, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THE PART I LINE 7 TABLE COLUMN F, WAS 5,130,657.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SHORT FALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE COST REPORT FOR FYE 2023 WAS USED TO DETERMINE AMOUNT REPORTED ON LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO DO NOT HAVE MEDICAL COVERAGE ARE REFERRED TO AN OUTSIDEVENDOR WHO WILL ASSIST THEM IN APPLYING FOR MEDICAID HEALTH COVERAGE.THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID ARE INFORMED OF THEORGANIZATION'S CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAM AND AREADVISED TO APPLY FOR SUCH ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI MEDICAL CENTER ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY 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 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 COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WITHOUT HEALTH CARE COVERAGE ARE REFERRED TO AN OUTSIDE VENDOR WHO WILL ASSIST THEM IN QUALIFYING FOR MEDCAID HEALTH COVERAGE. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEY ARE THEN INFORMED ABOUT THE ORGANIZATION'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>KUAKINI MEDICAL CENTER PROVIDES ACUTE HOSPITAL SERVICES, AMBULATORY CARE SERVICES, EMERGENCY ROOM SERVICES, AND GRADUATE MEDICAID TEACHING SERVICES TO THE 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>HI</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>199547</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERISA GARRETT</PersonNm>
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        <BaseCompensationFilingOrgAmt>172650</BaseCompensationFilingOrgAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3577</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32171</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208398</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BONAFE LAO</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>209191</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4286</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>32162</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245639</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANETTE SEBASTIAN</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>207680</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4255</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>244044</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SALLY RETUTA</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190712</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3820</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>5882</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200414</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY CARNATE</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>185081</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3741</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14419</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203241</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OFELIA BAXA</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>184472</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2499</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14378</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION UTILIZES THE FOLLOWING METHODS OF A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VII: 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 ADMINISTRATIVE OFFICER/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 SENIOR VICE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER/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). JUNE DRUMELLER SERVES AS THE SENIOR VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM. SHE IS ALSO AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. THE COMPENSATION PAID BY KUAKINI HEALTH SYSTEM IS FOR HER SERVICES AS THE VICE PRESIDENT AND CHIEF CLINICAL OFFICER OF KUAKINI HEALTH SYSTEM, AS WELL AS FOR HER SERVICES AS AN OFFICER OF VARIOUS ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI HEALTH SYSTEM (KMC, KGC, KF, KSS, KDC, PAR, AND KPC). NOBUYUKI MIKI SERVES AS THE VICE PRESIDENT, MEDICAL SERVICES AND CHIEF MEDICAL OFFICER OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HIS SERVICES AS THE VICE PRESIDENT MEDICAL SERVICES AND CHIEF MEDICAL OFFICER OF KUAKINI MEDICAL CENTER. HE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC). TERISA GARRETT SERVES AS THE ASSISTANT VICE PRESIDENT CLINICAL SERVICES OF KUAKINI MEDICAL CENTER. THE COMPENSATION PAID BY KUAKINI MEDICAL CENTER IS FOR HER SERVICES AS THE ASSISTANT VICE PRESIDENT CLINICAL SERVICES OF KUAKINI MEDICAL CENTER. SHE DOES NOT RECEIVE COMPENSATION FROM THE ORGANIZATIONS RELATED TO KUAKINI MEDICAL CENTER (KHS, KGC, KF, KSS, KDC, PAR, AND KPC).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION IS KUAKINI HEALTH SYSTEM, A HAWAII NONPROFIT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE RIGHT TO ELECT THE DIRECTORS OF THE ORGANIZATION AND TO REMOVE ANY DIRECTOR FROM OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE FOLLOWING RIGHTS: I. TO REPEAL OR CHANGE AT ANY TIME THE BYLAWS THAT HAVE BEEN ADOPTED, ALTERED, AMENDED OR REPEALED BY THE BOARD OF DIRECTORS II. TO VOTE ON ALL MATTERS WHERE THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE CHARTER/ARTICLES OF INCORPORATION, BYLAWS OR THE LAWS OF THE STATE OF HAWAII</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CFO AND OTHER MANAGEMENT PERSONNEL AND A COPY IS PROVIDED TO THE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, EMPLOYEES, AND MEMBERS OF THE BOARDS OF DIRECTORS OF KUAKINI HEALTH SYSTEM AND ITS SUBSIDIARIES ARE COVERED BY KUAKINI HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY. REVIEW/INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST IS DONE BY A DESIGNEE OF THE PRESIDENT AND CEO. INDIVIDUALS ARE ASKED TO RECUSE THEMSELVES FROM PARTICIPATING IN THE GOVERNING BODY'S DISCUSSION AND DECISION-MAKING REGARDING BUSINESS ACTIVITIES AND TRANSACTIONS IN ORDER TO AVOID CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY KUAKINI HEALTH SYSTEM'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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, FORM 990 AND RELATED DOCUMENTS ARE MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,428,521. MANAGEMENT AND GENERAL EXPENSES 3,502,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,930,751. GENERAL SERVICES: PROGRAM SERVICE EXPENSES 2,642,775. MANAGEMENT AND GENERAL EXPENSES 9,864,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,507,723.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENT YEAR MINIMUM PENSION LIABILITY ADJUSTMENT 11,933,610. OTHER ADJUSTMENTS TO NET ASSETS 699,654.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI GERIATRIC CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <PrimaryActivitiesTxt>MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI HEALTH SYSTEM</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <EIN>990225140</EIN>
        <PrimaryActivitiesTxt>ADMINISTRATIVE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KUAKINI SUPPORT SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
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        <EIN>990225148</EIN>
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        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>KHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>KUAKINI DEVELOPMENT CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
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        <EIN>990171854</EIN>
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        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>KMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>357448</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2001748</ShareOfEOYAssetsAmt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PACIFIC ASIAN RESOURCES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>990257899</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>3</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>18668</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI PACIFIC CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>EDUCATION/RESEARCH</PrimaryActivitiesTxt>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>325618</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KUAKINI PHO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>347 NORTH KUAKINI STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <EIN>943256790</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>68295</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>367744</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.50000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KUAKINI DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>109030</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
