2024-05-15T13:50:02-05:00 2023-06-30 990169131 N&K CPAS INC 999 BISHOP ST STE 2200 HONOLULU HI 96813 990 2022-07-01 990225148 KUAKINI SUPPORT SERVICES INC KUAK 8085479231 347 NORTH KUAKINI STREET HONOLULU HI 96817 GREGG OISHI PRESIDENT & CEO 8085479231 2024-05-09 1 GREGG OISHI 999009999 1 MICHAEL I TANAKA P00412914 8085242255 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREGG OISHI 347 NORTH KUAKINI STREET HONOLULU HI 96817 2956448 0 X WWW.KUAKINI.ORG X 1983 HI THE MISSION OF KUAKINI SUPPORT SERVICES, INC. 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 SUPPORT SERVICES, INC. IS RESPONSIBLE FOR THE DEVELOPMENT OF ALTERNATIVE SOURCES OF REVENUE AND FOR THE DEVELOPMENT, CONSTRUCTION OF A SECOND MEDICAL OFFICE BUILDING AND SECOND PARKING STRUCTURE ON KUAKINI PROPERTY, AND SUPPORT SERVICES FOR RESEARCH SPONSORED BY KUAKINI. 3 2 8 14 213602 0 26600 27940 0 0 975 4119 2601415 2716434 2628990 2748493 26599 27939 0 0 0 0 0 0 0 2320723 3297763 2347322 3325702 281668 -577209 12125963 12436080 30196771 31084097 -18070808 -18648017 X THE MISSION OF KUAKINI SUPPORT SERVICES, INC. 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 SUPPORT SERVICES, INC. IS RESPONSIBLE FOR THE DEVELOPMENT OF ALTERNATIVE SOURCES OF REVENUE AND FOR THE DEVELOPMENT, CONSTRUCTION OF A SECOND MEDICAL OFFICE BUILDING AND SECOND PARKING STRUCTURE ON KUAKINI PROPERTY, AND SUPPORT SERVICES FOR RESEARCH SPONSORED BY KUAKINI. 0 0 3273949 27939 1166184 KUAKINI SUPPORT SERVICES, INC. PROVIDES SUPPORT TO KUAKINI HEALTH SYSTEM AND ITS AFFILIATES, WHICH INCLUDES HOLDING AND MANAGING CERTAIN REAL PROPERTY FOR THE BENEFIT OF KUAKINI HEALTH SYSTEM AND ITS AFFILIATES AND PROVIDING RESEARCH SUPPORT SERVICES TO KUAKINI HEALTH SYSTEM AND ITS AFFILIATES IN CONDUCTING KUAKINI SPONSORED RESEARCH PROJECTS AND PROVIDING REQUIRED REVIEWS BY THE INSTITUTIONAL REVIEW BOARD FOR PROTECTION OF HUMAN SUBJECTS. 3273949 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 8 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X KIM HANSON 8085479231 347 NORTH KUAKINI STREET HONOLULU HI 96817 GARY KAJIWARA PRESIDENT & CEO 20.00 60.00 X X 0 413396 23195 DON KIM CHAIR 0.25 0.50 X X 0 0 0 GLENN SUEYOSHI SECRETARY/TREASURER 0.15 0.00 X X 0 0 0 0 413396 23195 0 0 1 0 CHEYNIE NAKANO MD LLC 405 N KUAKINI ST SUITE 1009 HONOLULU HI 96817 PHYSICIAN SERVICES 232500 1 27940 27940 4119 4119 1146446 207955 938491 938491 938491 CLINIC REVENUE 621110 1151780 1151780 PARKING 900099 611759 213602 398157 EARNINGS FROM JOINT VENTURES 621110 11922 11922 2482 2482 1777943 2748493 1166184 213602 1340767 X 27939 27939 42000 42000 9753 9753 578632 578632 43571 43571 90464 90464 536812 536812 PAYROLL ALLOCATED FROM 979892 979892 UTILITIES 547518 547518 REPAIRS & MAINTENANCE 336585 336585 SUPPLIES - MEDICAL 21361 21361 111175 111175 3325702 3273949 51753 0 268731 1040912 815288 652291 292103 344034 8484117 5599346 3038145 2884771 1967333 1979256 5744363 5534816 12125963 12436080 1016305 885051 238933 0 28941533 30199046 30196771 31084097 X -18070808 -18648017 -18070808 -18648017 12125963 12436080 -577209 0 X X 0 1 X 1 0 X X 4 KUAKINI HEALTH SYSTEM 990225140 10 1 0 0 KUAKINI FOUNDATION 990225067 7 1 0 0 KUAKINI MEDICAL CENTER 990074139 3 1 27939 2760951 KUAKINI GERIATRIC CARE 990225065 3 1 0 0 4 27939 2760951 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 12(G), COLUMN VI KUAKINI SUPPORT SERVICES, INC. PROVIDED OR PURCHASED FOR THE BENEFIT OF THE SUPPORTED ORGANIZATIONS LISTED BELOW, VARIOUS SERVICES, FACILITIES, AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. 6613760 4198830 2414930 1668570 1265276 403294 201787 135240 66547 2884771 INVESTMENT IN AFFILIATES 1979256 C 1979256 PROPERTY HELD FOR SALE 5534816 5534816 DUE TO AFFILIATES 30199046 30199046 X 2956448 207955 207955 2748493 0 2748493 3533657 207955 207955 3325702 0 3325702 PART X, LINE 2: 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSED FROM EXPENSE 207,955. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECLASSED TO REVENUE 207,955. 0 KUAKINI MEDICAL CENTER 347 NORTH KUAKINI STREET HONOLULU HI 96817 990074139 501(C)(3) 27939 0 OPERATING GRANT TO AFFILIATE 1 PART I, LINE 2: FUNDS ARE TRANSFERRED TO AFFILIATES TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSES AND THE EXEMPT PURPOSES OF KUAKINI HEALTH SYSTEM. 0 0 0 0 0 0 0 0 0 GARY KAJIWARA PRESIDENT & CEO 0 413396 0 0 0 0 0 5395 0 17800 0 436591 0 0 SCHEDULE J PART I LINE 3 THE INDIVIDUALS LISTED IN PART II ARE COMPENSATED BY KUAKINI HEALTH SYSTEM (KHS). KHS 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 (KSS, KMC, KGC, KF, KDC, PAR, AND KPC). FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS KUAKINI HEALTH SYSTEM, A HAWAII NONPROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO ELECT THE DIRECTORS OF THE ORGANIZATION AND TO REMOVE ANY DIRECTOR FROM OFFICE. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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 ALL KUAKINI HEALTH SYSTEM AND ITS SUBSIDIARIES OFFICERS; EMPLOYEES; AND MEMBERS OF THE BOARDS OF DIRECTORS ARE COVERED BY KUAKINI'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. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE FORM 990 AND RELATED DOCUMENTS ARE MADE AVAILABLE FOR VIEWING AT THE ADMINISTRATIVE OFFICES. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 578,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,632. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. KUAKINI HEALTH SYSTEM 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225140 ADMIN SERVICES HI 501(C)(3) LINE 12B, II N/A 0 KUAKINI MEDICAL CENTER 347 NORTH KUAKINI STREET HONOLULU HI 96817 990074139 HOSPITAL SERVICES HI 501(C)(3) LINE 3 KUAKINI HEALTH SYSTEM 0 KUAKINI GERIATRIC CARE INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225065 MEDICAL CARE HI 501(C)(3) LINE 10 KUAKINI HEALTH SYSTEM 0 KUAKINI FOUNDATION 347 NORTH KUAKINI STREET HONOLULU HI 96817 990225067 FUNDRAISING HI 501(C)(3) LINE 7 KUAKINI HEALTH SYSTEM 0 KUAKINI DEVELOPMENT CORP 347 NORTH KUAKINI STREET HONOLULU HI 96817 990171854 PHARMACY/DEVELOPMENT HI N/A C 0 PACIFIC ASIAN RESOURCES INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 990257899 HEALTH SERVICES HI N/A C 0 KUAKINI PACIFIC CORPORATION 347 NORTH KUAKINI STREET HONOLULU HI 96817 990328954 EDUCATION/RESEARCH HI N/A C 0 KUAKINI PHO 347 NORTH KUAKINI STREET HONOLULU HI 96817 943256790 HEALTH SERVICES HI N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 HAWAII DIALYSIS PARTNERS AT KUAKINI LLC 300 SANTANA ROW STE 300 SAN JOSE CA 95128 850725350 MEDICAL SERVICES CA EXCLUDED 0 3716 894033 0 0 0.10000