Kauai Region Pharmacy-West
- Assets
- $258.0k
- Revenue
- $325.0k
- Investments
- $0.0
- Employees
- 5
- Location
- Waimea, HI
- Founding
- Data as of
- 06/2021
- EIN
- 85-4196430
Organization Overview
Kauai Region Pharmacy-West is located in Waimea, HI. According to its NTEE Classification (E6A) the organization is classified as: Pharmacies and drug stores, under the broad grouping of Health Care and related organizations. As of 06/2021, Kauai Region Pharmacy-West employed 5 individuals. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Kauai Region Pharmacy-West is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
THE CORPORATION OPERATES AS A SUPPORTING ORGANIZATION TO THE HAWAII HEALTH SYSTEMS CORPORATION (HHSC), WHICH IS AN AGENCY AND INSTRUMENTALITY OF THE STATE OF HAWAII. HHSC OPERATES PUBLIC HEALTH FACILITIES IN THE STATE OF HAWAII. IN FURTHERANCE OF HHSC'S PURPOSES, AND TO LESSEN THE BURDENS OF GOVERNMENT, THE CORPORATION OPERATES A PHARMACY SERVING RURAL COMMUNITIES IN WEST KAUAI AND SUPPORTING KAUAI VETERANS MEMORIAL HOSPITAL, A HOSPITAL OWNED AND OPERATED BY HHSC.
Describe the Organization's Program Activity:
Part 3 - Line 4a
THE CORPORATION'S PRIMARY PROGRAM SERVICE IS TO OPERATE A PHARMACY SERVING RURAL COMMUNITIES IN WEST KAUAI AND SUPPORTING KAUAI VETERANS MEMORIAL HOSPITAL, A HOSPITAL OWNED AND OPERATED BY HAWAII HEALTH SYSTEMS CORPORATION (HHSC), THE 100% OWNED CONTROLLING ENTITY OF THE CORPORATION. THE OPERATION'S PHARMACY OPENED IN NOVEMBER 2021 AND THEREFORE ALL OF THE REVENUE AND EXPENSES INCURRED DURING THE FISCAL YEAR ENDING JUNE 30, 2021 WAS DERIVED FROM SERVICE CONTRACTS, START-UP PHARMACY COSTS AND EMPLOYMENT COSTS FOR PHARMACY TECHNICIANS AND PHARMACY ASSISTANTS. THE CORPORATION'S FUTURE OBJECTIVE IS TO BECOME A CRITICAL POINT OF ACCESS FOR MEDICATION PRESCRIPTION-FILLING IN THE WEST KAUAI REGION. THE CORPORATION WILL ALSO BE FOCUSED ON PERSONALIZING THE CUSTOMER EXPERIENCE AND DEVELOPING DEEPER PHARMACIST-TO-PATIENT RELATIONSHIPS.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Lance Segawa President | OfficerTrustee | 8 | $0 |
Ronald Fujimoto Vice President | OfficerTrustee | 2 | $0 |
Christine Asato Secretary And Treasurer | OfficerTrustee | 8 | $0 |
Kristie Canavan Director | Trustee | 2 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $0 |
| Investment income | $2 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $325,002 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $119,938 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $9,052 |
| Payroll taxes | $11,329 |
| Fees for services: Management | $210,000 |
| Fees for services: Legal | $13,162 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $2,190 |
| Advertising and promotion | $31 |
| Office expenses | $8,744 |
| Information technology | $654 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $380,749 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $97,787 |
| Savings and temporary cash investments | $21,502 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $14,208 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $124,530 |
| Total assets | $258,027 |
| Accounts payable and accrued expenses | $1,446 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $312,328 |
| Total liabilities | $313,774 |
| Net assets without donor restrictions | -$55,747 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $258,027 |
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