2024-03-13T21:04:37-07:00 2023-06-30 990 2022-07-01 851039176 KAUAI REGION MEDICAL GROUP KAUA 8083389407 4643 WAIMEA CANYON DRIVE WAIMEA HI 96796 Christine Asato Treasurer 8083389407 2024-03-13 Christine Asato 999009999 1 1 11 0 AAL2 X 2022 2023-04-26 12:10:37Z LANCE SEGAWA 4643 WAIMEA CANYON DRIVE WAIMEA HI 96796 6572541 0 X X 2020 HI The Corporation operates as a supporting organization to the Hawaii Health Systems Corporation (HHSC), which is an agency and instrumentality of the State of Hawaii. HHSC operates public health facilities in the State of Hawaii. The Corporation lessens the burdens of HHSC by providing medical services and employing specialty physicians, that HHSC would otherwise need to employ itself, to rural areas of the island of Kauai. 4 1 30 0 35 0 0 0 0 0 26 35 4898701 6572506 4898727 6572541 0 0 0 0 3967943 6297260 0 0 0 895714 1060505 4863657 7357765 35070 -785224 1546014 1057968 1480609 1777787 65405 -719819 The Corporation operates as a supporting organization to the Hawaii Health Systems Corporation (HHSC), which is an agency and instrumentality of the State of Hawaii. HHSC operates public health facilities in the State of Hawaii. The Corporation lessens the burdens of HHSC by providing medical services and employing specialty physicians, that HHSC would otherwise need to employ itself, to rural areas of the island of Kauai. 0 0 6898079 0 6572506 The Corporation's primary program service is to employ physicians and supporting staff to provide medical services and desired specialty care services to rural areas of the island of Kauai. The Corporation's objective is to continue to employ and recruit physicians that will be able to serve and meet the many different areas of public health needs. 0 0 0 6898079 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 30 1 0 0 0 0 0 0 0 0 X 4 1 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 HI X CHRISTINE ASATO 8083389407 4643 WAIMEA CANYON DRIVE WAIMEA HI 96796 LANCE SEGAWA PRESIDENT 2 40 X X 0 485000 0 JENNIFER WEYMOUTH SURGEON 40 X 376708 0 0 HEIDI PURCELL OB/GYN 40 X 350863 0 0 ELISABETH BIUK-AGHAI SURGEON 40 X 350400 0 0 RONALD FUJIMOTO VICE PRESIDENT 2 40 X X 0 334000 0 GRAHAM CHELIUS FAMILY MEDICINE PHYSICIAN 40 X 323573 0 0 SURACHAT CHATKUPT OB/GYN 40 X 320788 0 0 TERESA LANIER HOSPITALIST 40 X 320000 0 0 CHRISTINE ASATO SECRETARY AND TREASURER 2 40 X X 0 251000 0 SANJAY RAISONI HOSPITALIST 40 X 142433 0 0 2184765 1070000 0 19 1 1 0 0 0 0 35 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 CONTRACTED PHYSICIAN SERVICES 541900 6572506 6572506 0 0 0 0 0 0 6572506 6572541 6572506 35 0 5651898 5651898 285624 285624 359738 359738 450000 450000 3054 3054 332354 332354 5833 4375 1458 5483 5483 270 270 195161 195161 BANK AND MERCHANT FEES 86 0 86 0 EMPLOYEE RECRUITMENT & RECOGNITION 10176 5088 5088 0 STAFF CME & ACCREDITATION 58088 58088 0 0 7357765 6898079 459686 0 1459161 1055258 83447 1500 3406 1210 1546014 1057968 0 1480609 1777787 1480609 1777787 X 65405 -719819 0 0 65405 -719819 1546014 1057968 -785224 0 0 0 0 0 X 0 1 X 1 0 X X X 1 HAWAII HEALTH SYSTEMS CORPORATION 943270595 6 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 ACCRUED PAYROLL 182744 ACCRUED PAYROLL TAXES 141497 ACCRUED VACATION 362566 RELATED PARTY PAYABLES 1090980 1777787 0 0 0 0 0 0 0 0 0 LANCE SEGAWA PRESIDENT 0 485000 0 0 0 0 0 0 0 0 0 485000 0 0 RONALD FUJIMOTO VICE PRESIDENT 0 334000 0 0 0 0 0 0 0 0 0 334000 0 0 CHRISTINE ASATO SECRETARY AND TREASURER 0 251000 0 0 0 0 0 0 0 0 0 251000 0 0 Form 990, Part VI, Section A, Line 2 The directors of the Corporation: Lance Segawa, Ronald Fujimoto, and Christine Asato, are all employees to the Hawaii Health Systems Corporation (HHSC), Kauai Region, and maintain professional business relationships among each other. Form 990, Part VI, Section A, Line 3 The Corporation is contracted with Hawaii Health Systems Corporation (HHSC) to provide comprehensive management, operational and administrative services related to the business and operations of the Corporation. These service areas include: policies and procedures, bookkeeping and accounting, recordkeeping, recruitment, insurance, planning and budgeting, contracting, day-to-day operations, and compensation of Corporation employees, premises, standard of care, subcontractors, and other ventures. Form 990, Part VI, Section B, Line 11b Form 990 was fully reviewed by the finance department of the Corporation's 100% controlling entity, Hawaii Health Systems Corporation (HHSC), and reviewed by the Treasurer of the Corporation, Christine Asato. Form 990, Part VI, Section B, Line 12c The Corporation conducts periodic reviews of each director, principal officer, and member with governing board delegated powers to ensure the Corporation operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status. Form 990, Part VI, Section C, Line 19 The Corporation's governing documents, conflicts of interest policy, and financial statements can be made available to the public upon request and approval. KAUAI REGION PHARMACY-WEST 4643 WAIMEA CANYON DRIVE WAIMEA HI 96796 854196430 RETAIL PHARMACY HI 501(c)(3) 509(a)(3) HAWAII HEALTH SYSTEMS CORPORATION 0 KAUAI REGION RECOVERY SERVICES PO BOX 669 WAIMEA HI 96796 863982630 MENTAL HEALTH TREATMENT CENTER HI 501(c)(3) 509(a)(3) HAWAII HEALTH SYSTEMS CORPORATION 0 HAWAII HEALTH SYSTEMS CORPORATION 3675 KILAUEA AVENUE HONOLULU HI 96816 943270595 OPERATE PUBLIC HEALTH FACILITIES HI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 HAWAII HEALTH SYSTEMS CORPORATION l 6572506 AUDITED TRIAL BALANCE FOR THE PERIOD ENDING JUNE 30, 2023. HAWAII HEALTH SYSTEMS CORPORATION m 450000 AUDITED TRIAL BALANCE FOR THE PERIOD ENDING JUNE 30, 2023. KAUAI REGION PHARMACY-WEST r 79813 AUDITED TRIAL BALANCE FOR THE PERIOD ENDING JUNE 30, 2023. HAWAII HEALTH SYSTEMS CORPORATION s 63600 AUDITED TRIAL BALANCE FOR THE PERIOD ENDING JUNE 30, 2023.