Kauai Medical Clinic in Lihue, Hawaii (HI)

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Kauai Medical Clinic
Employer Identification Number (EIN)990326099
Name of OrganizationKauai Medical Clinic
In Care of NameDebra Tuquero
Address3-3420 Kuhio Hwy Ste B, Lihue, HI 96766-1098
ActivitiesHealth clinic, Community health planning, Other health services
SubsectionCharitable Organization
Ruling Date01/1998
DeductibilityContributions are deductible
FoundationOrganization which receives a substantial part of its support from a governmental unit or the general public
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2013
Assets$5,000,000 to $9,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$7,346,338
Amount of Income$33,884,826
Form 990 Revenue Amount$33,884,826
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Health Treatment Facilities, Primarily Outpatient


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Amount of income in 2013: $33,884,826 (it was $34,815,373 in 2012)
Kauai Medical Clinic: 

 $33,884,826
Other organizations performing similar types of work: 

 $2,039,395

Assets in 2013: $7,346,338 (it was $6,928,697 in 2012)
This organization: 

 $7,346,338
Other organizations performing similar types of work: 

 $1,634,161

Expenses in 2013: $48,910,438
Kauai Medical Clinic: 

 $48,910,438
Other organizations performing similar types of work: 

 $1,835,678

Income to expenses ratio in 2013: 0.7
This organization: 

 0.7
Other organizations performing similar types of work: 

 1.3

Number of employees in 2013: 268
This organization: 

 268
Other organizations performing similar types of work: 

 33

Employees paid over $100,000 in 2013: 31.0%
This organization: 

 31.0%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 79.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoNo
Is the organization required to complete Schedule B, Schedule of Contributors?NoNo
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?YesYes
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?YesYes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10963024
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return252268
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNo
Has it filed a Form 990-T for this year?NoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$3,975,570$3,811,118
Total reportable compensation from related organizations$9,146,277$10,106,972
Total estimated amount of other compensation from the organization and related organizations$2,692,747$2,261,563
Total number of individuals who received more than $100,000 of reportable compensation from the organization879
Total number of independent contractors who received more than $100,000 of compensation from the organization104
Statement of Revenue
201120122013
Total revenue$34,331,522$34,814,908$33,884,826
Contributions, Gifts, Grants and Other Similar Amounts$0$0$0
Program Service Revenue$34,237,416$34,714,831$33,877,496
General Medical and Surgical Hospitals $29,556,782$28,933,014
General Medical and Surgical Hospitals $4,491,439$4,357,263
900099$87,634$92,791
General Medical and Surgical Hospitals $578,976$416,211
900099$0$78,217
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$268$582$2,194
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$0$11,795$0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$93,838$87,700$5,136
900099$87,700$5,136
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$48,239,514$47,627,726$48,910,438
Grants and other assistance to domestic organizations and domestic governments$0$0
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$1,284,426$961,345$1,323,803
Compensation not included above, to disqualified persons$133,000$270,489
Other salaries and wages$26,556,998$27,566,028$27,346,974
Pension plan accruals and contributions$725,976$782,336
Other employee benefits$2,061,791$2,240,783
Payroll taxes$1,274,830$1,361,470$1,379,992
Fees for services (non-employees)
Management$0$0
Legal$0$0
Accounting$222,506$195,711
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$4,465,283$4,927,932
Advertising and promotion$38,636$83,231
Office expenses$2,208,033$2,252,005
Information technology$804,481$865,384
Royalties$0$0
Occupancy$1,458,130$2,081,153
Travel$174,664$156,077
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$0$0
Interest$0$0
Payments to affiliates$0$0
Depreciation, depletion, and amortization$644,360$557,645
Insurance$883,099$1,764,705
Other expenses$1,090,873$2,444,520
Other expenses$2,510,640$154,155
Other expenses$173,428$83,543
Balance Sheet
201120122013
Total assets$6,715,966$6,928,697$7,346,338
Cash - non-interest-bearing$-15,728$17,014
Savings and temporary cash investments$22$17
Pledges and grants receivable, net$0$0
Accounts receivable, net$2,182,428$2,424,705
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$0$0
Prepaid expenses and deferred charges$0$0
Land, buildings, and equipment: cost or other basis$3,322,325$3,246,397
Investments - publicly traded securities$0$0
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$1,439,650$1,658,205
Total liabilities$5,075,064$4,627,877$5,770,578
Accounts payable and accrued expenses$3,642,629$4,098,776
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$985,248$1,671,802
Total net assets or fund balances$1,640,902$2,300,820$1,575,760
Unrestricted net assets$2,300,820$1,575,760
Temporarily restricted net assets$0$0
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$5,627$0$5,627
Gross receipts or sales less returns and allowances$6,367$0$0
Cost of goods sold$740$0$0
Gross profit$5,627$0$5,627
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$0$0$0
Rent income$0$0$0
Unrelated debt-financed income$0$0$0
Interest, annuities, royalties, and rents from controlled organizations$0$0$0
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$0$0$0
Deductions Not Taken Elsewhere (for 2008)
Total deductions$6,427
Compensation of officers, directors, and trustees$0
Salaries and wages$946
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$0
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$501
Excess exempt expenses$0
Excess readership costs$0
Other deductions$4,980
Unrelated business taxable income$-800
Unrelated business taxable income before net operating loss deduction$-800
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$-800
Specific deduction$1,000
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Community Clinic Of Maui Inc48 Lono Ave, Kahului, HI 96732-1614HI1993-09$9,085,021
2Kauai Medical Clinic3-3420 Kuhio Hwy Ste B, Lihue, HI 96766-1098HI1998-01$33,884,826
3Sun Life Family Health Center Inc865 N Arizola Rd, Casa Grande, AZ 85122-6011AZ1977-01$29,925,685
4University Of Nevada School Of, Intergrated Clinical Services Corp2040 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2249NV1998-11$25,243,736
5Yakima Neighborhood Health Services12 S 8th St, Yakima, WA 98901-3020WA1976-04$20,250,141
6Unison Behavioral Health Group Inc1425 Starr Ave, Toledo, OH 43605-2456OH1972-09$17,412,827
7Upmc, Mercy Primary Care Inc600 Grant St Fl 58, Pittsburgh, PA 15219-2739PA1983-01$12,886,726
8Western Baptist Medical Ventures Inc2701 Eastpoint Pkwy, Louisville, KY 40223-4166KY1997-01$12,189,868
9Southwest General Medical Group Inc18697 Bagley Rd, Cleveland, OH 44130-3417OH1997-09$11,902,537
10Valley Health Team Inc, San Joaquin Health Center21890 West Colorado Ave, San Joaquin, CA 93660CA1973-09$9,267,917
11Tri-Hospital Mri Center1221 Pine Grove Ave, Port Huron, MI 48060-3511MI1998-09$6,348,452
12Usc Family Medicine Inc1975 Zonal Ave Kam B10, Los Angeles, CA 90033CA1998-01$6,218,621
13Lgh Physician Associates Inc1 Hospital Dr, Lowell, MA 01852-1311MA1994-12$5,658,399
14Wood River Health Services Inc823 Main St, Hope Valley, RI 02832-1920RI1979-04$4,761,915
15Southwest Louisiana Primary Health Care Center Inc8762 Highway 182, Opelousas, LA 70570-5603LA1992-07$4,261,679
16Tri County Medical Center Inc316 S Main St, Evergreen, AL 36401-3325AL1992-07$4,135,859
17Wallowa Valley Center For WellnessPO BOX 268, Enterprise, OR 97828-0268OR1995-10$3,590,183
18Southwest Psychiatric Physicians8535 Tom Slick, San Antonio, TX 78229-3367TX1996-10$3,541,128
19Riddle Health Care Services950 E Haverford Rd Ste 110, Bryn Mawr, PA 19010-3851PA1986-05$3,087,334
20Surgical Education IncPo Box 11484, Honolulu, HI 96828HI1998-04$0
Number of organizations performing similar types of work
Alaska1
Alabama1
Arizona5
California26
Colorado4
Connecticut7
District of Columbia2
Delaware1
Florida17
Georgia3
Hawaii3
Iowa5
Idaho1
Illinois8
Indiana5
Kansas3
Kentucky6
Louisiana6
Massachusetts9
Maryland7
Maine4
Michigan8
Minnesota6
Missouri2
Mississippi4
Montana3
North Carolina8
North Dakota1
Nebraska2
New Hampshire4
New Jersey5
New Mexico1
Nevada4
New York18
Ohio5
Oklahoma4
Oregon5
Pennsylvania18
Rhode Island3
South Carolina5
Tennessee7
Texas16
Utah2
Virginia6
Vermont2
Washington8
Wisconsin8
West Virginia1
International2
Total282

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