2024-04-16T13:34:45-05:00 2023-06-30 421539623 KMH LLP 1003 BISHOP STREET SUITE 2400 HONOLULU HI 96813 990 2022-07-01 843134336 ST FRANCIS KUPUNA COMMUNITIES STFR 8085478066 PO BOX 29700 HONOLULU HI 96820 CRAIG SHANER CFO 8085478066 2024-04-16 1 CRAIG SHANER 999009999 0 DUANE AKAMINE P01498021 8085262255 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHLEEN MORIMOTO PO BOX 29700 HONOLULU HI 96820 4034724 0 X WWW.STFRANCISHAWAII.ORG X 2019 HI SEE SCHEDULE O 2 1 0 0 0 0 0 0 1684600 4034724 0 0 0 0 1684600 4034724 0 0 0 0 991504 2011748 0 0 0 1056113 3422442 2047617 5434190 -363017 -1399466 -3085553 -4733789 1357760 1414814 -4443313 -6148603 SEE SCHEDULE O. 0 0 5377018 4034723 SEE SCHEDULE O. 5377018 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X CRAIG SHANER 8085478066 2228 LILIHA STREET SUITE 300 HONOLULU HI 96817 JERRY CORREA PRESIDENT 2.00 52.00 X X 0 283894 22749 ANNE IW KEAMO CHAIRMAN 2.00 4.00 X X 0 0 0 NELSON MOKU III SECRETARY 2.00 40.00 X X 0 245265 914 MELISSA AH HO-MAUGA PRESIDENT 2.00 52.00 X X 0 177741 18250 CRAIG SHANER TREASURER 2.00 X 0 99760 9100 KEVIN NISHIDA EX-OFFICIO DIRECTOR 2.00 X 0 94011 2997 0 900671 54010 0 1 1 0 0 ELDER ASSISTED LIVING 623000 4034724 4034724 4034724 4034724 4034724 0 0 1932153 1932153 79595 79595 211223 211223 452995 452995 3657 3657 25465 25465 29605 29605 413973 413973 1570835 1570835 6207 6207 15900 15900 240615 240615 MISC EXPENSES FROM ASSI 398452 398452 ADMIN ALLOCATION 53373 53373 BANK FEES 142 142 5434190 5377018 57172 0 24881 24762 -3110434 -4758551 -3085553 -4733789 1357760 1414814 1357760 1414814 X -4443313 -6148603 -4443313 -6148603 -3085553 -4733789 X -1399466 -305824 X 0 1 X 1 0 X X 1 ST FRANCIS HEALTHCARE FOUNDATION OF HAWAII 990240060 7 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SECTION C, LINE 1 AS A TYPE II SUPPORTING ORGANIZATION, THE SAME PERSONS CONTROL BOTH THE SUPPORTING ORGANIZATION (THE ORGANIZATION) AND THE SUPPORTED ORGANIZATION (ST. FRANCIS HEALTHCARE FOUNDATION OF HAWAII). THE PRESIDENT AND DIRECTOR OF THE ORGANIZATION IS ALSO THE PRESIDENT OF ST. FRANCIS HEALTHCARE FOUNDATION OF HAWAII AND ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (THE SOLE MEMBER OF THE FOUNDATION AND THE ORGANIZATION). THIS STRUCTURE OF LEADERSHIP ENSURES THAT THE SAME PERSON CONTROLS NOT ONLY THE SUPPORTED ORGANIZATION AND SUPPORTING ORGANIZATION, BUT ALSO THE SOLE MEMBER OF BOTH. 0 DUE TO AFFILIATES 1414814 1414814 X PART X, LINE 2: THE FOLLOWING IS THE FIN 48 (ASC 740) FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, THE FILING ORGANIZATION'S PARENT: THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX EFFECTS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST AMOUNT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGES IN JUDGMENT OCCURS. ANY INTEREST OR PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS ARE CLASSIFIED AS INCOME TAX EXPENSES. THE SYSTEM DID NOT ACCRUE FOR ANY INTEREST OR PENALTIES ON UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2023 AND 2022. 0 0 0 0 0 0 0 0 0 JERRY CORREA PRESIDENT 0 283894 0 0 0 0 0 8406 0 14343 0 306643 0 0 NELSON MOKU III SECRETARY 0 245265 0 0 0 0 0 0 0 914 0 246179 0 0 MELISSA AH HO-MAUGA PRESIDENT 0 177741 0 0 0 0 0 887 0 17363 0 195991 0 0 KEVIN NISHIDA EX-OFFICIO DIRECTOR 0 94011 0 0 0 0 0 2568 0 429 0 97008 0 0 PART I, LINE 3 JERRY CORREA, OFFICER, IS COMPENSATED BY A RELATED ORGANIZATION, ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (SFHS), IN THE CURRENT YEAR, HIS COMPENSATION IS DETERMINED AND APPROVED BY THE GOVERNANCE COMMITTEE, WHICH IS A SUB-COMMITTEE OF SFHS BOARD OF DIRECTORS. FORM 990, PART I, LINE I, PART III, LINE I, AND PART III, LINE 4A ST. FRANCIS KUPUNA COMMUNITIES WAS FORMED FOR THE PURPOSE TO SUPPORT THE EXISTENCE, ACTIVITIES AND OPERATIONS OF OTHER RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS, NAMELY ST. FRANCIS HEALTHCARE FOUNDATION OF HAWAII. IN ADDITION, THROUGH JOINT VENTURE HO'OKAHI HEALTH LLC, ST. FRANCIS KUPUNA COMMUNITIES IS CREATING HEALTHY COMMUNITIES AND FURTHERING THE HEALTH AND GENERAL WELFARE OF THE ELDERLY BY PROVIDING HOUSING, HEALTHCARE AND ACTIVITIES OF DAILY LIVING. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF ST. FRANCIS KUPUNA COMMUNITIES IS ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII. FORM 990, PART VI, SECTION A, LINE 7A ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, AS THE SOLE CORPORATE MEMBER, APPROVES THE APPOINTMENT OF THE BOARD OF DIRECTORS OF ST. FRANCIS KUPUNA COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7B ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, AS THE SOLE CORPORATE MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING: A) APPROVE ANY CHANGE IN THE PHILOSOPHY, MISSION, AND/OR PURPOSE OF THE CORPORATION; B) APPROVE THE ADOPTION AND/OR AMENDMENT OF THE ARTICLES OF INCORPORATION; C) APPROVE THE ADOPTION AND/OR AMENDMENT OF THE BYLAWS; D) APPROVE THE APPOINTMENT OF DIRECTORS TO THE BOARD OF DIRECTORS, AND REMOVAL OF DIRECTORS WITH OR WITHOUT CAUSE; E) APPROVE OR DISAPPROVE ANY SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND/OR SERVICES, OR ANY MERGER, CONSOLIDATION, REORGANIZATION, DIVESTING TRANSACTION OR ANY SIMILAR TRANSACTION REGARDING THE SAME, PLUS ALL OTHER ANCILLARY TRANSACTIONS NECESSARY OR APPROPRIATE TO CONSUMMATE THE SAME; F) APPROVE THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS; G) APPROVE THE PURCHASE, SALE, LEASE OR MORTGAGE OF REAL PROPERTY; H) APPROVE THE PURCHASE, SALE, OR GIFT OF CAPITAL ASSETS THAT (I) ARE NOT WITHIN THE CORPORATION'S ANNUAL BUDGET, OR (II) ARE ABOVE $50,000.00 OR FOR COMMITMENTS GREATER THAN ONE (1) YEAR; AND I) APPROVE THE CORPORATION'S ANNUAL BUDGET, INCLUDING BUDGETS FOR OPERATIONS, CAPITAL EXPENDITURES, AND CASH FLOW. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND SUPPORTING WORKPAPERS WERE REVIEWED BY THE CHIEF FINANCIAL OFFICER OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (SOLE CORPORATE MEMBER) AND THE COMPANY'S TAX ADVISORS, KMH LLP. A COPY OF FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED PRIOR TO EMPLOYMENT FOR ALL EMPLOYEES AND DIRECTORS. CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY HR PERSONNEL AND UPDATED ON AN ANNUAL BASIS. AFTER REVIEW BY HR PERSONNEL, POTENTIAL CONCERNS ARE REFERRED TO MANAGEMENT PERSONNEL AND RECOMMENDATIONS FOR RESOLUTIONS OF CONFLICTS ARE REFERRED TO THE CORPORATE COMPLIANCE STEERING COMMITTEE. IF A POTENTIAL OR IDENTIFIED CONFLICT OF INTEREST CANNOT BE RESOLVED BY THE AFOREMENTIONED COMMITTEE, THE MATTER WILL BE REFERRED TO THE ORGANIZATIONAL ETHICS COMMITTEE FOR ADVICE AND RECOMMENDATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EXPENSES NOT ON BOOKS, DEDUCTED ON RETURN FROM HOOKAHI HEALTH LLC 1,342,295. LOSS FROM EQUITY METHOD INVESTMENTS IN HO'OKAHI HEALTH LLC -1,648,118. ROUNDING -1. FRANCISCAN CARE SERVICES PO BOX 29700 HONOLULU HI 96820 274348363 ADULT DAYCARE HI 501(C)(3) LINE 10 SFHS 0 OUR LADY OF KEA'AU PO BOX 29700 HONOLULU HI 96820 680613210 REL. RETREAT HI 501(C)(3) LINE 7 SFHS 0 PARTNERS IN FRANCISCAN MINISTRIES INC 960 JAMES STREET 2ND FL SYRACUSE NY 13203 452279986 RELIGIOUS ORG NY 501(C)(3) LINE 1 SSFNC 0 SISTERS OF ST FRANCIS OF THE NEUMANN CO 960 JAMES STREET 2ND FL SYRACUSE NY 13203 204292535 RELIGIOUS ORG NY 501(C)(3) LINE 1 N/A 0 ST FRANCIS COMMUNITY HEALTH SERVICES PO BOX 29700 HONOLULU HI 96820 990325194 HEALTHCARE HI 501(C)(3) LINE 10 SFHS 0 ST FRANCIS DEVELOPMENT CORP PO BOX 29700 HONOLULU HI 96820 203154399 SUPPORTING HI 501(C)(3) LINE 12A, I SFRCC 0 ST FRANCIS HEALTHCARE FOUNDATION OF HAWAII PO BOX 29700 HONOLULU HI 96820 990240060 FOUNDATION HI 501(C)(3) LINE 7 SFHS 0 ST FRANCIS HOSPITALS HAWAII PO BOX 29700 HONOLULU HI 96820 272409865 INACTIVE HI 501(C)(3) LINE 10 SFHS 0 ST FRANCIS HEALTHCARE SYSTEM OF HAWAII PO BOX 29700 HONOLULU HI 96820 990240059 HEALTHCARE HI 501(C)(3) LINE 12A, I PFM 0 ST FRANCIS RESIDENTIAL CARE COMMUNITY PO BOX 29700 HONOLULU HI 96820 752986938 HEALTHCARE HI 501(C)(3) LINE 7 SFHS 0 ST FRANCIS MEDICAL CENTER PO BOX 29700 HONOLULU HI 96820 990073526 HEALTHCARE HI 501(C)(3) LINE 12B, II SFHS 0 HOOKAHI HEALTH LLC PO BOX 29700 HONOLULU HI 96820 843124094 HEALTHCARE HI ST FRANCIS KUPUNA COMMUNITIES RELATED -1342295 12388753 0 1 0.55000 ST FRANCIS HEALTHCARE ENTERPRISES INC PO BOX 29700 HONOLULU HI 96820 990244110 HEALTHCARE SERVICES HI SFHS C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0