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Nonprofit · EIN 85-4196430

KAUAI REGION PHARMACY-WEST

Tax-exempt · WAIMEA, HI 96796

Financials

$633K$1.1M2022$681K$1.1M2023
Revenue Expenses · by fiscal year end
Financials of KAUAI REGION PHARMACY-WEST by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2024990$680,756$1,074,954-$394,198$863,242$2,159,167-$1,295,925
June 30, 2023990$632,922$1,120,442-$487,520$618,756$1,520,483-$901,727
Financial details: 990 for the year ended June 30, 2024

Revenue

Contributions, gifts and grants
$0
Program service revenue
$650,000
Investment income
$331
Net income from sales of inventory
$30,425
Other revenue
$30,425

Expenses

Grants and similar amounts paid
$0
Other salaries and wages
$442,101
Salaries, compensation and benefits (total)
$532,558
Professional fundraising fees
$0
Legal fees
$404
Depreciation
$21,554
Program services (functional)
$714,984
Management and general (functional)
$359,970

Balance sheet and other

Total assets, start of year
$618,756
Total assets, end of year
$863,242
Total liabilities, end of year
$2,159,167
Net assets, end of year
-$1,295,925
Land, buildings and equipment
$84,505
Net assets without donor restrictions
-$1,295,925
Gross unrelated business income
$331
Gross receipts
$1,762,014
Employees
6
Volunteers
0
Year formed
2020
State of legal domicile
HI

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2024, highest compensation first.

NameTitleHours / weekCompensationFrom related orgs
RONALD FUJIMOTOVICE PRESIDENT
Trustee or director, Officer
0$0$335,833
CHRISTINE ASATOSECRETARY AND TREASURER
Trustee or director, Officer
0$0$259,243
KENNETH VANDENBUSSCHEPHARMACIST
Highest-paid employee
40$157,403$0
JONI TOMINAGAPHARMACIST
Highest-paid employee
40$141,663$0
990 for the year ended June 30, 2023: 5 people
NameTitleHours / weekCompensationFrom related orgs
LANCE SEGAWAPRESIDENT
Trustee or director, Officer
2$0$485,000
RONALD FUJIMOTOVICE PRESIDENT
Trustee or director, Officer
2$0$334,000
CHRISTINE ASATOSECRETARY AND TREASURER
Trustee or director, Officer
2$0$251,000
KENNETH VANDENBUSSCHEPHARMACIST
Highest-paid employee
40$145,812$0
JONI TOMINAGAPHARMACIST
Highest-paid employee
40$131,669$0

Address and contacts

Address (IRS master file)
4643 WAIMEA CANYON DRIVE, WAIMEA, HI 96796-0000
Principal officer (990 for 2023)
LANCE SEGAWA, 4643 WAIMEA CANYON DRIVE, WAIMEA, HI 96796
Signed the 990
Christine Asato, Treasurer
Phone
(808) 338-9407

Mission

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. In furtherance of HHSC's purposes, and to lessen the burdens of government, the Corporation operates a pharmacy serving rural communities in West Kauai and supporting Kauai Veterans Memorial Hospital, a hospital owned and operated by HHSC.

990 for the year ended June 30, 2024

Program accomplishments

  • The Corporation's primary program service is to operate a pharmacy serving rural communities in West Kauai and supporting Kauai Veterans Memorial Hospital, a hospital owned and operated by Hawaii Health Systems Corporation (HHSC), the 100% owned controlling entity of the Corporation. The Corporation's objective is to continue to be a critical point of access for medication prescription-filling in the West Kauai Region.
    Expenses $714,984 · revenue $710,162

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025Not on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
85-4196430
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Supporting organization, Type I
Donations deductible (Pub 78)
Supporting organization, 50% limit
Exempt since
2021
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E6A)
Assets (IRS master file)
$863,242
Income (IRS master file)
$1,762,014

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2024$680,756$1,074,954$863,242IRS
990June 2023$632,922$1,120,442$618,756XML
990June 2022$699,519$1,057,979$764,647IRS
990June 2021–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 85-4196430).

Questions about KAUAI REGION PHARMACY-WEST

What is the EIN of KAUAI REGION PHARMACY-WEST?
The employer identification number (EIN) of KAUAI REGION PHARMACY-WEST is 85-4196430.
Is KAUAI REGION PHARMACY-WEST tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2021.
Are donations to KAUAI REGION PHARMACY-WEST tax-deductible?
Yes. It is listed in IRS Publication 78 (Supporting organization, 50% limit).
Which annual return does KAUAI REGION PHARMACY-WEST file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of KAUAI REGION PHARMACY-WEST due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did KAUAI REGION PHARMACY-WEST last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2024.
Who is the principal officer of KAUAI REGION PHARMACY-WEST?
The 990 for the year ended June 30, 2024 names LANCE SEGAWA.
Who are the officers and directors of KAUAI REGION PHARMACY-WEST?
The 990 for the year ended June 30, 2024 lists 4 people; 2 received compensation from the organization.
How much revenue does KAUAI REGION PHARMACY-WEST have?
On its 990 for the year ended June 30, 2024 it reported revenue of $680,756, expenses of $1,074,954 and total assets of $863,242 at year end.

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