2024-05-15T17:02:25-05:00 2023-06-30 421539623 KMH LLP 1003 BISHOP STREET SUITE 2400 HONOLULU HI 96813 990 2022-07-01 300206692 WAHIAWA HOSPITAL FOUNDATION WAHI 8086218411 128 LEHUA STREET WAHIAWA HI 96786 JOHN KAMPFER CHAIRMAN 8086218411 2024-05-15 1 JOHN KAMPFER 999009999 0 CHRISTOPHER CASSIDY P01237316 8085262255 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN KAMPFER 128 LEHUA STREET WAHIAWA HI 96786 575065 0 X N/A X 2000 HI TO BE RESPONSIVE AND TO SUPPORT AND BENEFIT THE ACTIVITIES AND PURPOSE OF WAHIAWA GENERAL HOSPITAL AND ITS AFFILATED ENTITIES AND OTHER HEALTHCARE SERVICES ORGANIZATIONS. 9 9 0 0 0 0 21825 50 0 0 -39706 50476 0 0 -17881 50526 110745 116237 0 0 0 0 0 0 0 27170 24741 137915 140978 -155796 -90452 724182 633730 0 0 724182 633730 X SEE SCHEDULE OORGANIZATION'S MISSIONTO SUPPORT WAHIAWA GENERAL HOSPITAL AND OTHER HIGH QUALITY HEALTHCAREWITHIN THE CENTRAL AND NORTH SHORE REGIONS OF THE ISLAND OF OAHU, THEWAHIAWA HOSPITAL FOUNDATION WILL RAISE AWARENESS OF THEREGION'S HEALTHCARE NEEDS, CULTIVATE RESPONSIBLE, ETHICALLY SOUNDRELATIONSHIPS WITH INDIVIDUALS, CORPORATIONS AND FOUNDATIONS AND WILLFORWARD CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS AND PURPOSES IN THECENTRAL AND NORTH SHORE REGIONS OF OAHU. 0 0 116237 116237 TO BE RESPONSIVE TO AND TO SUPPORT AND BENEFIT THE ACTIVITIES AND PURPOSE OF WAHIAWA GENERAL HOSPITAL AND ITS AFFILIATED ENTITIES AND OTHER HEALTHCARE SERVICES ORGANIZATIONS. FUND TRANSFERS ARE MADE TO THE HOSPITAL ONLY. 116237 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 HI X WENTAO HUANG 8086214288 128 LEHUA STREET WAHIAWA HI 96786 X JOHN KAMPFER CHAIRMAN 0.29 1.37 X X 0 0 0 MARCUS OSHIRO VICE CHAIR 0.15 0.63 X X 0 0 0 ROBERT BUNDA DIRECTOR 0.17 1.00 X 0 0 0 WENDELL ODA TREASURER 0.29 0.20 X X 0 0 0 LAUALEE KAWAMATA SECRETARY 0.08 X 0 0 0 JAY GARCIA DIRECTOR 0.13 X 0 0 0 RYAN LEE MD DIRECTOR 0.29 X 0 0 0 MICHAEL DUICK MD DIRECTOR 0.13 X 0 0 0 LUKE ESTES DIRECTOR 0.29 X 0 0 0 BRIAN CUNNINGHAM CEO 1.00 41.00 X 0 0 0 0 0 0 0 0 0 0 0 50 50 40556 40556 534459 524539 9920 9920 9920 50526 0 0 50476 X 116237 116237 4651 4651 1852 1852 16852 16852 BANK FEES 1386 1386 140978 116237 24741 0 27236 17111 499096 24103 197850 592516 724182 633730 0 0 X 724182 633730 724182 633730 724182 633730 -90452 0 X 0 0 0 X X 1 WAHIAWA GENERAL HOSPITAL 990269825 3 1 115637 0 1 115637 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DUE FROM AFFILIATES 592516 592516 1 WAHIAWA GENERAL HOSPITAL 128 LEHUA STREET WAHIAWA HI 96786 990269825 501(C)(3) 115637 0 N/A N/A GENERAL ASSISTANCE PART I, LINE 2: ALL FUNDS AND TRANSFERS FROM WAHIAWA HOSPITAL FOUNDATION TO WAHIAWA GENERAL HOSPITAL ARE APPROVED BY THE RESPECTIVE BOARD OF DIRECTORS. ALL DISBURSEMENTS MADE BY WAHIAWA GENERAL HOSPITAL ARE FIRST APPROVED BY ITS BOARD OF DIRECTORS. X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS AND RIGHTS WAHIAWA GENERAL HOSPITAL IS THE SOLE MEMBER OF WAHIAWA HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS AS A SOLE MEMBER, WAHIAWA GENERAL HOSPITAL, ELECTS ALL MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPR & VOTING RIGHTS WHILE THE BOARD OF DIRECTORS OF THE FOUNDATION IS GIVEN THE GENERAL AUTHORITY IN THE DIRECTION AND MANAGEMENT OF THE AFFAIRS OF THE FOUNDATION, THE MEMBER RETAINS THE EXCLUSIVE RIGHT TO MAKE OR APPROVE CERTAIN FINANCIAL DECISIONS OF THE FOUNDATION, WHICH ACTIONS, UNLESS OTHERWISE REQUIRED BY LAW (INCLUDING REQUIREMENTS TO OBTAIN OR MAINTAIN TAX EXEMPTION), SHALL BE TAKEN ONLY FOLLOWING CONSULTATION WITH THE BOARD OF DIRECTORS OF THE FOUNDATION. SUCH FINANCIAL DECISIONS OF THE FOUNDATION INCLUDE: A. THE ADOPTION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS AND OTHER EXPENDITURE PLANS OF THE FOUNDATION, RECOGNIZING THAT ANNUAL BUDGETS AND OTHER EXPENDITURE PLANS SHALL BE DEVELOPED AND ADOPTED BY THE BOARD OF DIRECTORS OF THE FOUNDATION AND SUBMITTED TO THE MEMBER FOR APPROVAL; B. THE SALE, LEASE, ASSIGNMENT OR EXCHANGE OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE FOUNDATION; C. THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; D. THE DISSOLUTION OF THE FOUNDATION; E. THE INCURRING OF ANY FINANCIAL OBLIGATION OR MAKING OF EXPENDITURE WHICH IS NOT BUDGETED OR WHICH DEVIATES FROM THE FOUNDATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IF THE AMOUNT OF SUCH FINANCIAL OBLIGATION EXPENDITURE EXCEEDS $2,000; F. THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, GRANT OF SECURITY INTEREST, OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF: (I) ANY OF THE REAL PROPERTY OR FIXTURES OF THE FOUNDATION; (II) ANY OF THE PERSONAL PROPERTY AND ASSETS OF THE FOUNDATION, IF THE AMOUNT OF VALUE OF ANY SUCH TRANSFER EXCEEDS $5,000; G. THE BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; AND H. THE GIVING OR APPROVAL OF GRANTS OR CONTRIBUTIONS TO ANY PARTY OTHER THAN THE HOSPITAL IN EXCESS OF $10,000; I. THE ENGAGEMENT OF ANY MANAGEMENT COMPANY OR OTHER ENTITY OR INDIVIDUAL FOR THE PURPOSE OF DIRECTING OR MANAGING ALL OR SUBSTANTIALLY ALL OF THE PROPERTIES OR BUSINESS AFFAIRS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 - THE FORM 990 WAS APPROVED BY THE BOARD BEFORE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTION OF CONFLICT OF INTEREST BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST FORM ANNUALLY AND SUBMIT IT TO ADMINISTRATION. ANY CONFLICTS ARE DISCLOSED TO THE BOARD. FOUNDATION CURRENTLY DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC - THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ITS GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,852. FORM 990 - GOOD FAITH STATEMENT THE ORGANIZATION HAS MADE ITS BEST EFFORTS TO COMPLY WITH TAX LAWS BASED UPON THE INFORMATION AVAILABLE AT THE TIME OF FILING. RATHER THAN FILE A DELINQUENT TAX RETURN, THE ORGANIZATION AND TAX PROFESSIONALS MADE THEIR BEST EFFORTS TO DETERMINE THE PROPER TAX TREATMENT AND REPORTING OF VARIOUS ITEMS BASED ON THE ORGANIZATION'S UNAUDITED FINANCIALS. THE ORGANIZATION WILL AMEND THIS RETURN IF IT'S DETERMINED THAT THE INFORMATION REPORTED ON THIS RETURN IS MATERIALLY INCORRECT OR INACCURATE. WAHIAWA GENERAL HOSPITAL 128 LEHUA STREET WAHIAWA HI 96786 990269825 HEALTHCARE HI 501(C)(3) LINE 3 WAHIAWA HOSPITAL ASSOCIATION INC 1 WAHIAWA HOSPITAL ASSOCIATION INC 128 LEHUA STREET WAHIAWA HI 96786 990073529 HEALTHCARE HI 501(C)(3) LINE 12B, II N/A 0 WAHIAWA GENERAL HOSPITAL AUXILIARY 128 LEHUA STREET WAHIAWA HI 96786 996009028 HEALTHCARE HI 501(C)(3) LINE 10 N/A 0 WAHIAWA HOSPITAL SERVICES CORPORATION 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC ADOLESCENT CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC HEALTH CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 WAHIAWA-PACIFIC HEALTH CENTER 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC HEALTH COMMUNITY INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 WAHIAWA-CENTRAL OAHU HEALTH CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC WOMEN'S CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC WELLNESS CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC BIOTECH INSTITUTE INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC SPORTS MEDICINE & RESEARCH CTR 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC SAGING CENTER INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC COMMUNITY HEALTH & WELLNESS 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 PACIFIC CARDIAC INSTITUTE INC 128 LEHUA STREET WAHIAWA HI 96786 INACTIVE HI WHA C 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 WAHIAWA GENERAL HOSPITAL B 115637 FMV WAHIAWA GENERAL HOSPITAL D 394666 FMV