2024-11-13T07:57:54-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 990290103 KAHALA SENIOR LIVING COMMUNITY INC KAHA 8082187000 4389 MALIA STREET HONOLULU HI 96821 AUDREY MORABITO VICE PRESIDENT & CFO 8082187000 2024-11-11 1 1 KURT BENNION CPA P01469618 4252506100 2024-11-11 2023 2024-10-15 13:58:12Z CRAIG R COURTS 4389 MALIA STREET HONOLULU HI 96821 48537371 0 X WWW.KAHALANUI.COM X 1989 HI TO PROVIDE A CONTINUUM OF HIGH QUALITY RESIDENTIAL AND HEALTH CARE SERVICES TO RESIDENTS. 13 12 454 12 6318 2136 1082630 6836 32170276 35342051 131667 2812354 341786 422375 33726359 38583616 309496 2252500 0 0 15062912 15178102 0 0 0 22406060 23164150 37778468 40594752 -4052109 -2011136 283004284 302647917 338782532 342714066 -55778248 -40066149 X IN THE SPIRIT OF OHANA, KAHALA SENIOR LIVING COMMUNITY AND ITS ASSOCIATES ARE DEDICATED TO SERVING THE UNMET NEEDS OF SENIORS IN HAWAII. WE ARE A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES A CONTINUUM OF HIGH QUALITY RESIDENTIAL AND HEALTH CARE SERVICES ENABLING OUR RESIDENTS TO LIVE A GRACIOUS HAWAIIAN LIFESTYLE IN AN ENVIRONMENT OF DIGNITY, RESPECT, TRUST, AND FRIENDSHIP. 0 0 31271833 2252500 35342051 KAHALA NUI IS A SENIOR LIVING COMMUNITY LOCATED IN HONOLULU, HAWAII THAT PROVIDES A CONTINUUM OF RESIDENTIAL AND HEALTHCARE SERVICES TO SENIORS. FOUR DISTINCT LEVELS OF CARE ARE OFFERED: INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT, AND SKILLED NURSING. KAHALA NUI HAS 270 INDEPENDENT LIVING UNITS FOR SENIORS WHO DON'T REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. HI'OLANI IS KAHALA NUI'S HEALTHCARE CENTER THAT PROVIDES ASSISTED LIVING SERVICES, MEMORY SUPPORT, AND SKILLED NURSING TO RESIDENTS WHO TRANSFER FROM INDEPENDENT LIVING AND TO INDIVIDUALS FROM THE COMMUNITY. HI'OLANI IS LICENSED FOR 69 ASSISTED LIVING BEDS (INCLUDING MEMORY SUPPORT) AND 60 SKILLED NURSING BEDS. IN ADDITION TO HEALTHCARE SERVICES, KAHALA NUI OFFERS A VARIETY OF SERVICES THAT INCLUDE CASUAL AND FORMAL IN-HOUSE DINING, WELLNESS PROGRAMS, RECREATIONAL EVENTS, HOUSEKEEPING AND LINEN SERVICES, SCHEDULED TRANSPORTATION TO ALL MAJOR SHOPPING MALLS AND VARIOUS RELIGIOUS AND MEDICAL FACILITIES, BUILDING AND GROUNDS MAINTENANCE, 24-HOUR SECURITY, AND BUSINESS SERVICES. 31271833 1 0 0 1 0 1 0 0 1 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 99 0 454 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X AUDREY MORABITO 8082187000 4389 MALIA STREET HONOLULU HI 96821 CRAIG R COURTS PRESIDENT/CEO 25.00 25.00 X X 0 512299 26131 MARIA KINSLER VICE PRESIDENT & COO 40.00 10.00 X 0 249670 29168 CHRISTINE CAGUIOA DIRECTOR OF NURSING 40.00 0.00 X 164629 0 29186 HUILAN KAMITA CFO (THROUGH JULY 2023) 25.00 25.00 X 0 171729 15504 DARYN MURAI SENIOR LIVING COUNSELOR 40.00 0.00 X 150037 0 20163 TODD CONSTANTINO DIRECTOR OF DINING (THROUGH DECEMBER 2023) 40.00 0.00 X 136729 0 27537 SHIRLEY MORCA NURSE 40.00 0.00 X 136338 0 19003 ELIZABETH BETTENCOURT ASSISTANT DIRECTOR OF NURSING 40.00 0.00 X 136675 0 7880 AUDREY MORABITO VICE PRESIDENT & CFO 25.00 25.00 X 0 5288 0 CHUCK KELLEY CHAIR 3.00 4.50 X X 0 0 0 ROSS MURAKAMI VICE CHAIR 3.00 4.00 X X 0 0 0 JON MCKENNA SECRETERY 3.00 4.00 X X 0 0 0 FRANK TOKIOKA II TREASURER 3.00 4.00 X X 0 0 0 CHRISTINE CAMP DIRECTOR 3.00 4.00 X 0 0 0 SHEILA CHONG DIRECTOR 2.00 1.00 X 0 0 0 KAMAL MASAKI MD DIRECTOR 2.00 1.00 X 0 0 0 SON-JAI PAIK DIRECTOR 3.00 4.00 X 0 0 0 RAYMOND PHILIPS DIRECTOR (THROUGH DECEMBER 2023) 1.00 2.00 X 0 0 0 SUSAN PRICE MD DIRECTOR 2.00 1.00 X 0 0 0 STEVE ROBERTSON DIRECTOR 2.00 1.00 X 0 0 0 KENT TSUKAMOTO DIRECTOR 2.00 1.00 X 0 0 0 ADRIENNE YOSHIHARA DIRECTOR 2.00 1.00 X 0 0 0 724408 938986 174572 23 0 1 0 KAHALA NUI SENIOR LIVING 4389 MALIA STREET HONOLULU HI 96821 MANAGEMENT SERVICES 3111803 GUO ZHANG CHEN 1039 WILIKI DRIVE HONOLULU HI 96818 CONSTRUCTION 1003642 TRAVEL CARE HAWAII PO BOX 26462 HONOLULU HI 96825 NURSING SERVCIES 187537 TODD T JONES 826 OLOKELE AVENUE UNIT B HONOLULU HI 96816 CONSTRUCTION 183589 HI QUALITY LANDSCAPES & MAINTENANCE 94-527 LAENUI STREET HONOLULU HI 96797 LANSCAPING 147780 5 6836 6836 MONTHLY SERVICE FEES 623000 32036995 32036995 ENTRANCE FEES 623000 1905149 1905149 SKILLED NURSING ANCILL 623000 1399907 1399907 35342051 3168053 6317 3161736 69812 0 69812 69812 69812 9598056 9953755 -355699 -355699 1 -355700 MISCELLANEOUS REVENUE 900099 352563 352563 352563 38583616 35342051 6318 3228411 2252500 2252500 11347930 8828801 2519129 374564 325023 49541 2335446 1695039 640407 1120162 856606 263556 3327723 3327723 99516 99516 87682 87682 284843 284843 2655027 1813880 841147 360225 3594 356631 63382 12558 50824 4163242 4147222 16020 73215 19060 54155 1093638 1093638 5781104 5781104 552685 497368 55317 UBI TAXES 595 595 FOOD 2999146 2982709 16437 EQUIPMENT & SUPPLIES 846141 610428 235713 REPAIRS & MAINTENANCE 200349 29071 171278 575637 323232 252405 40594752 31271833 9322919 0 9244716 12164937 3270943 3789536 758496 597155 1633139 2185571 129202 122782 602678 610895 176864278 85116806 94075157 91747472 67521419 81642043 63011237 68126912 42757297 41660614 283004284 302647917 2364261 2436545 42633928 39791871 2938537 3480000 290845806 297005650 338782532 342714066 X -65682675 -51131064 9904427 11064915 -55778248 -40066149 283004284 302647917 -2011136 17723235 0 X X 0 1 X 1 0 X 908201 1789469 3624400 1082630 6836 7411536 29561778 29261862 30872797 32170276 35342051 157208764 30469979 31051331 34497197 33252906 35348887 164620300 0 0 0 164620300 6333195 2221922 6602762 705683 3231548 19095110 6333195 2221922 6602762 705683 3231548 19095110 73982 3650 77632 269781 241161 862617 272508 352563 1998630 37072955 33514414 41962576 34305079 38936648 185791672 0.88600 0.88920 0.10280 0.09940 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME 0 0 0 0 0 0 0 0 1 2703 2703 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE HEALTHCARE ASSOCIATION OF HAWAII WAS USED BY THE ASSOCIATION TO LOBBY ON BEHALF OF KAHALA NUI AND OTHER HEALTHCARE PROVIDERS IN HAWAII. 3 0 0 658069 1 1 0 1 X 9094873 6836 1322846 169194 10255361 10505666 113696 -1518595 5894 9094873 6989207 2438160 1111265 32966 10505666 4677693 1608209 717070 13765 6989207 3352449 624687 760978 60421 4677693 0.00000 0.80000 0.20000 0 0 148494763 70034633 78460130 18547425 8046461 10500964 9155504 7035712 2119792 666586 666586 91747472 ALTERNATIVE INVESTMENTS 68126912 F 68126912 PREPAID GROUND RENT 827646 DUE FROM RELATED ORGANIZATIONS 311208 RIGHT-OF-USE LEASE ASSETS 40521760 41660614 ENTRANCE FEE LIABILITY 253368402 ACCRUED BOND INTEREST 74852 RESIDENT LIABILITIES 290419 DUE TO RELATED ORGANIZATIONS 249647 RIGHT-OF-USE LEASE LIABILITY 43022330 297005650 X 35933620 650770 524893 1175663 34757957 284843 3540816 3825659 38583616 38309909 0 38309909 284843 2000000 2284843 40594752 PART IV, LINE 2B: ESCROW ACCOUNTS ARE RELATED TO A $5,000 DEPOSIT RECEIVED FROM INTERESTED INDIVIDUALS WHO HAVE DEPOSITED MONEY IN ORDER TO HOLD A SPOT ON THE CCRC WAIT LIST. ASSISTED LIVING NON-LIFE CARE RESIDENTS HAVE A SECURITY DEPOSIT EQUAL TO ONE MONTH'S FEES. THESE AMOUNTS ARE HELD IN A NON-INTEREST-BEARING CHECKING ACCOUNT. RESIDENTS GET A REFUND WHEN THEY MOVE OUT OR PASS AWAY. PART V, LINE 4: THE ENDOWEMENT FUNDS SUPPORT VARIOUS PROGRAMS INCLUDING: 1. SUPPORTING RESIDENTS THAT HAVE EXHAUSTED THEIR FINANCIAL RESOURCES 2. TRAINING OF PERSONNEL 3. GENERAL SUPPORT 4. SCHOLARSHIPS 5. SUPPORTING PROGRAMS AND SERVICES IN THE HEALTH CENTER 6. SUPPORTING VARIOUS PROGRAMS IN INDEPENDENT LIVING, TRAINING IN THE HEALTH CENTER, COMMUNITY OUTREACH, AND GENERAL SUPPORT PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION, EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 169,194. REALIZED LOSS ON INVESTMENTS 355,699. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 6,836. GAIN ON ENDOWMENTS 1,322,846. NET INVESTMENT INCOME 2,211,134. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS TO RELATED ORGANIZATIONS 2,000,000. 1 KAHALA NUI SENIOR LIVING 4389 MALIA STREET HONOLULU HI 96821 814797420 501(C)(3) 2000000 0 GENERAL OPERATING SUPPORT HAWAII COMMUNITY FOUNDATION 827 FORT STREET MALL HONOLULU HI 96813 990261283 501(C)(3) 25000 0 SCHOLARSHIPS ALZHEIMER'S ASSOCIATION 677 ALA MOANA BOULEVARD SUITE 301 HONOLULU HI 96813 133039601 501(C)(3) 7500 0 SPONSORSHIP KAHALA NUI SENIOR LIVING FOUNDATION 4389 MALIA STREET HONOLULU HI 96821 814851343 501(C)(3) 220000 0 GENERAL OPERATING SUPPORT 4 0 PART I, LINE 2: GRANTS TO RELATED ORGANIZATIONS ARE MONITORED THROUGH COMMON MANAGEMENT AND BOARD OVERSIGHT. EACH GRANT TO AN UNRELATED ORGANIZATION IS APPROVED AND INCLUDED IN THE BUDGET; ALL EXPENDITURES ARE PRESENTED TO THE BOARD OF DIRECTORS. X X X X X 0 0 0 1 1 0 0 0 0 CRAIG R COURTS PRESIDENT/CEO 0 405769 0 106530 0 0 0 9900 0 16231 0 538430 0 0 MARIA KINSLER VICE PRESIDENT & COO 0 202897 0 46773 0 0 0 4960 0 24208 0 278838 0 0 CHRISTINE CAGUIOA DIRECTOR OF NURSING 139562 0 25067 0 0 0 5043 0 24143 0 193815 0 0 0 HUILAN KAMITA CFO (THROUGH JULY 2023) 0 120582 0 51147 0 0 0 7629 0 7875 0 187233 0 0 DARYN MURAI SENIOR LIVING COUNSELOR 150037 0 0 0 0 0 4345 0 15818 0 170200 0 0 0 TODD CONSTANTINO DIRECTOR OF DINING (THROUGH DECEMBER 2023) 115462 0 21267 0 0 0 3464 0 24073 0 164266 0 0 0 SHIRLEY MORCA NURSE 136338 0 0 0 0 0 4066 0 14937 0 155341 0 0 0 PART I, LINE 5 THE MANAGEMENT TEAM CAN RECEIVE BONUSES FROM KAHALA NUI SENIOR LIVING THAT ARE BASED ON SEVERAL VARIABLES INCLUDING FINANCIAL PERFORMANCE, RESIDENT SATISFACTION, AND GROWTH. A DEPARTMENT OF BUDGET AND FINANCE OF THE STATE OF HAWAII 990266961 2022-11-18 43000000 REFUND SERIES 2012 BONDS 0 0 0 A 2866667 43000000 43000000 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A KAHALA SENIOR LIVING COMMUNITY HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THREE OTHER VOTING BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE ORGANIZATION; PROVIDED, HOWEVER, THAT IT DOES NOT HAVE THE AUTHORITY TO (A) AMEND, ALTER OR REPEAL THE BYLAWS; (B) ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE ORGANIZATION; (C) AMEND OR RESTATE THE ARTICLES OF INCORPORATION; (D) ADOPT A PLAN OF MERGER; (E) ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER ORGANIZATION; (F) AUTHORIZE THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE ORGANIZATION; (G) AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION OR ANY PETITION TO OR APPLICATION FOR RELIEF FROM ANY BANKRUPTCY COURT, OR REVOKE PROCEEDINGS THEREFOR; (H) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE ORGANIZATION; OR (I) AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 MOST EMPLOYEE SERVICES, INCLUDING MANAGEMENT SERVICES, ARE PROVIDED BY KAHALA NUI SENIOR LIVING, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS KAHALA NUI SENIOR LIVING. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY KAHALA NUI SENIOR LIVING, THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, KAHALA NUI SENIOR LIVING, HAS THE POWER TO AMEND THE ORGANIZATION'S ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO AND CEO PRIOR TO BOARD REVIEW. UPON THEIR APPROVAL, THE FORM WAS SUBMITTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. AFTER THE AUDIT COMMITTEE'S REVIEW, THE FORM 990 WAS REVIEWED BY THE BOARD OF DIRECTORS WITH A RECOMMENDATION FROM THE AUDIT COMMITTEE TO APPROVE THE FORM 990. IF THE BOARD OF DIRECTORS HAD ANY COMMENTS, QUESTIONS, OR SUGGESTIONS, THESE WERE CONSIDERED PRIOR TO FILING. AFTER ALL ISSUES WERE ADDRESSED, THE DRAFT WAS FINALIZED AND FILED BY THE ORGANIZATION'S ACCOUNTANTS. FORM 990, PART VI, SECTION B, LINE 12C BY SIGNING AN ANNUAL CONFLICT OF INTEREST STATEMENT, ALL OFFICERS, DIRECTORS, OR TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE WHETHER THEY HAVE CONFLICTS OF INTEREST IN REGARDS TO THE ORGANIZATION. NO MEMBER OF THE BOARD OF DIRECTORS SHALL PARTICIPATE IN ANY DISCUSSION OR VOTE ON ANY MATTER IN WHICH HE OR SHE OR A MEMBER OF HIS OR HER IMMDIATE FAMILY HAS A POTENTIAL CONFLICT OF INTEREST DUE TO HAVING MATERIAL ECONOMIC INVOLVEMENT REGARDING THE MATTER BEING DISCUSSED. WHEN SUCH A SITUATION PRESENTS ITSELF, THE DIRECTOR MUST ANNOUNCE HIS OR HER POTENTIAL CONFLICT, DISQUALIFY HIMSELF OR HERSELF, AND BE EXCUSED FROM THE MEETING UNTIL DISCUSSION IS OVER ON THE MATTER INVOLVED. FORM 990, PART VI, SECTION B, LINE 15A IN THE ORGANIZATION'S DETERMINATION OF THE PRESIDENT/CEO'S COMPENSATION, ITS EXECUTIVE COMMITTEE REVIEWED THE QUALIFICATIONS OF THE PRESIDENT/CEO USING INDUSTRY-RELATED INFORMATION GATHERED BY AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT AND INTERNAL SALARIES MANAGEMENT PERSONNEL. IN 2022, THE PROCESS INCLUDED COMPARABILITY DATA, REVIEW AND APPROVAL BY INDEPENDENT PERSONS, AND CONTEMPORANEOUS SUBSTANTIATION. THE COMPENSATION OF OTHER OFFICERS IS REVIEWED AND APPROVED BY THE PRESIDENT/CEO, USING INDUSTRY-RELATED INFORMATION PROVIDED BY AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT. IN 2022, THE PROCESS INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. KAHALA NUI SENIOR LIVING INC 4389 MALIA STREET HONOLULU HI 96821 814797420 SUPPORT SUBSIDIARY ORGANIZATIONS HI 501(C)(3) LINE 12C, III-FI N/A 0 LIVE WELL INC 4389 MALIA STREET HONOLULU HI 96821 814868431 ADULT DAY CARE HI 501(C)(3) LINE 10 KAHALA NUI SENIOR LIVING 0 KAHALA NUI SENIOR LIVING FOUNDATION INC 4389 MALIA STREET HONOLULU HI 96821 814851343 FUNDRAISING HI 501(C)(3) LINE 10 KAHALA NUI SENIOR LIVING 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0