2026-04-01T11:32:17-05:00 2025-06-30 232108173 RKL LLP PO BOX 8408 LANCASTER PA 176048408 990 2024-07-01 990249327 MAUNALANI NURSING AND REHABILITATION CENTER MAUN 8086952800 5113 MAUNALANI CIRCLE HONOLULU HI 96816 SAI CHANTAVY CEO/SECRETARY 8086952800 2026-03-30 1 1 BETH L T SAUDER CPA P01474324 7173945666 2026-03-30 2024 2025-03-06 01:10:19Z SAI CHANTAVY 5113 MAUNALANI CIRCLE HONOLULU HI 96816 22244706 0 X WWW.MAUNALANINURSING.ORG X 1950 HI CARING FOR PEOPLE AND SHIFTING THE PERCEPTION OF LONG-TERM CARE. 8 7 220 15 0 0 778424 248431 19168195 21789190 218243 196301 8767 10784 20173629 22244706 3000000 0 0 0 10301947 10446383 0 0 0 6463096 8036988 19765043 18483371 408586 3761335 7514243 11869037 1242478 1835937 6271765 10033100 CARING FOR PEOPLE AND SHIFTING THE PERCEPTION OF LONG-TERM CARE. 0 0 16158667 21799974 MAUNALANI NURSING AND REHABILITATION CENTER IS A 100-BED FACILITY LICENSED TO PROVIDE SKILLED, INTERMEDIATE, AND REHABILITATIVE CARE SERVICES. DAILY OCCUPANCY RATE FOR THE CURRENT FISCAL YEAR IS 90.0% WITH AN AVERAGE PER DIEM RATE OF $559.40. 16158667 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 0 0 0 1 10 0 1 220 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X SAI CHANTAVY 8086952801 5113 MAUNALANI CIRCLE HONOLULU HI 968164019 SAI CHANTAVY CEO & SECRETARY 60.00 10.00 X X 267035 0 16263 JEROME FLORES CFO/COO 40.00 0.00 X 198411 0 13964 NAOMI MASUDA DON 40.00 0.00 X 140608 0 11704 ARMI PAZ DON 40.00 0.00 X 135200 0 11984 SUSAN M HINSHAW UNIT MANAGER - 3RD FLOOR 40.00 0.00 X 122554 0 15533 LAUREN JACOBS REGISTERED NURSE 40.00 0.00 X 118082 0 17404 JOSEPH H GOLDCAMP PRESIDENT (LEFT 2/25) 1.00 1.00 X X 0 0 0 MEL CHOY PRESIDENT (START 2/25) 1.00 1.00 X X 0 0 0 LYNN HEIRAKUJI VP AND TREASURER 1.00 0.00 X X 0 0 0 STANLEY LAU DIRECTOR 0.50 0.00 X 0 0 0 RODERICK J PEROFF DIRECTOR 0.50 0.00 X 0 0 0 A JAMES WRISTON JR DIRECTOR 0.50 0.50 X 0 0 0 NEAL YASUDA DIRECTOR 0.50 0.00 X 0 0 0 DEAN LUCAS DIRECTOR 0.50 0.00 X 0 0 0 981890 0 86852 14 0 1 0 STATE DIRECTOR OF FINANCE 1001 KAMOKILA BLVD RM 317 KAPOLEI HI 96707 PROVIDER FEES 1008060 POWERBACK REHABILITATION 101 EAST STATE STREET KENNETT SQUARE PA 19348 THERAPY SERVICE 582130 SOUTH PACIFIC THERAPY SERVICES 16030 VENTURA BLVD STE 450 ENCINO CA 91436 THERAPY SERVICE 539389 3 248431 248431 59869 623000 21756869 21756869 MISCELLANEOUS PATIENT CHARGES 623000 32321 32321 21789190 196301 196301 MISC REVENUE 900099 10784 10784 10784 22244706 21799974 0 196301 X 329500 164750 164750 8365249 7740871 624378 192744 179248 13496 924458 844686 79772 634432 577377 57055 42 42 43000 43000 2336384 2330919 5465 111190 111190 57455 32337 25118 139298 139298 1388381 577650 810731 176817 143720 33097 375806 338225 37581 FOOD AND SUPPLIES 2144431 2144431 SUSTAINABILITY FEE EXPE 1008060 1008060 GENERAL AND ADMINISTRAT 179074 179074 BAD DEBT EXPENSE 76393 76393 657 657 18483371 16158667 2324704 0 1016 1016 1027053 3968661 4047709 4982880 91358 91358 1079786 1132438 6150505 4806201 937941 1344304 329380 348380 7514243 11869037 1064478 1658937 178000 177000 1242478 1835937 X 6271765 10033100 6271765 10033100 7514243 11869037 3761335 0 X X 0 1 X 1 0 X 880545 376266 410744 778424 248431 2694410 14299833 14593146 16213361 19168195 21789190 86063725 15180378 14969412 16624105 19946619 22037621 88758135 0 0 0 88758135 14961 28697 74855 218243 196301 533057 14961 28697 74855 218243 196301 533057 1217 1557 1390 8767 10784 23715 15196556 14999666 16700350 20173629 22244706 89314907 0.99380 0.99550 0.00600 0.00440 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 1,217. 2021 AMOUNT: $ 1,557. 2022 AMOUNT: $ 1,390. 2023 AMOUNT: $ 8,767. 2024 AMOUNT: $ 10,784. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2009310 1152914 856396 3998176 3614879 383297 143019 38408 104611 1344304 X PART X, LINE 2: THE ORGANIZATION FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION, INCLUDING WHETHER THE ENTITIES ARE EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2022. X X X 0 0 0 0 0 0 0 0 0 SAI CHANTAVY CEO & SECRETARY 237035 0 30000 0 0 0 8011 0 8252 0 283298 0 0 0 JEROME FLORES CFO/COO 191728 0 6683 0 0 0 6056 0 7908 0 212375 0 0 0 NAOMI MASUDA DON 137717 0 2891 0 0 0 3805 0 7899 0 152312 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS, AND AGREED TO COMPLY WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE SALARY AND PREREQUISITES OF THE EXECUTIVE DIRECTOR WILL BE BASED ON HIS/HER PERFORMANCE AND REVIEWED ANNUALLY. IN APPROVING OR RECOMMENDING ANY SALARY OR PREREQUISITE ADJUSTMENT, THE COMMITTEE WILL CONSIDER THE RESPONSIBILITY, QUALIFICATIONS, EXPERIENCE, PERFORMANCE RECORD OF THE INDIVIDUAL, AND THE SALARY RANGES PAID TO A SIMILAR POSITION IN THE MARKETPLACE. THE COMPENSATION WILL BE REASONABLE AND IN ACCORDANCE WITH THE RULES OF THE IRS. THE SALARY AND PREREQUISITES OF SENIOR MANAGEMENT STAFF WILL BE BASED ON HIS/HER PERFORMANCE AND REVIEWED ANNUALLY. IN APPROVING OR RECOMMENDING ANY SALARY OR PREREQUISITE ADJUSTMENT, THE COMMITTEE WILL CONSIDER THE RESPONSIBILITY, QUALIFICATIONS, EXPERIENCE, PERFORMANCE RECORD OF THE INDIVIDUAL, AND THE SALARY RANGES PAID TO A SIMILAR POSITION IN THE MARKETPLACE. THE COMPENSATION WILL BE REASONABLE AND IN ACCORDANCE WITH THE RULES OF THE IRS. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A PERIOD OF THREE YEARS FROM THE DATE FILED. IT IS AVAILABLE IN THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 A PERSON MUST SUBMIT A REQUEST IN WRITING TO THE EXECUTIVE DIRECTOR. COPYING FEES MAY APPLY. FINANCIAL STATEMENTS ARE FOR INTERNAL USE ONLY. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 123,508. MANAGEMENT AND GENERAL EXPENSES 5,465. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,973. CONTRACT NURSING: PROGRAM SERVICE EXPENSES 1,084,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,084,995. CONSULTING: PROGRAM SERVICE EXPENSES 1,122,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,122,416. FORM 990, PART XII, LINE 2C: THE BOARD FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MAUNALANI FOUNDATION 5113 MAUNALANI CIRCLE HONOLULU HI 96816 990075234 ACTIVITIES WHICH INCLUDE LEASING LAND AND A BUILDING HI 501(C)(3) 12B N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0