Civic Intelligence

Kauai Region Pharmacy-West

EIN 85-4196430 • 501(c)3 • Waimea, HI

Profile

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.

4643 Waimea Canyon DriveWaimea, HI 96796

www.hhsc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.50x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

3.17x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

6th percentile

-58%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$335,833

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 49.3% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

88th percentile

40%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

51st percentile

7.6%

Faster revenue growth than 51% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$863,242

Up $244,486 (+40%) from 2023

Liabilities

Up

$2,159,167

Up $638,684 (+42%) from 2023

Net Assets

Down

-$1,295,925

Down $394,198 (-44%) from 2023

Revenue

Up

$680,756

Up $47,834 (+7.6%) from 2023

Expenses

Down

$1,074,954

Down $45,488 (-4.1%) from 2023

Net Income

Up

-$394,198

Up $93,322 (+19%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MAssets 2021: $258,027Liabilities 2021: $313,774Net Assets 2021: -$55,7472021Assets 2022: $764,647Liabilities 2022: $1,178,854Net Assets 2022: -$414,2072022Assets 2023: $618,756Liabilities 2023: $1,520,483Net Assets 2023: -$901,7272023Assets 2024: $863,242Liabilities 2024: $2,159,167Net Assets 2024: -$1,295,9252024

Highlighted filing

2024

Assets$863,242
Liabilities$2,159,167
Net Assets-$1,295,925

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2021: $325,002Expenses 2021: $380,749Net Income 2021: -$55,7472021Revenue 2022: $699,519Expenses 2022: $1,057,979Net Income 2022: -$358,4602022Revenue 2023: $632,922Expenses 2023: $1,120,442Net Income 2023: -$487,5202023Revenue 2024: $680,756Expenses 2024: $1,074,954Net Income 2024: -$394,1982024

Highlighted filing

2024

Revenue$680,756
Expenses$1,074,954
Net Income-$394,198

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$1,762,014
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Inventories for Sale or Use$162,009$284,513▲ $122,504
Cash and Non-Interest-Bearing Accounts$109,410$222,787▲ $113,377
Savings and Temporary Cash Investments$177,157$204,576▲ $27,419
Land, Buildings, and Equipment, Net$106,058$84,505▼ $21,553
Accounts Receivable$48,312$42,310▼ $6,002
Prepaid Expenses and Deferred Charges$15,810$24,551▲ $8,741
Total Assets$618,756$863,242▲ $244,486
Liabilities
Other Liabilities$1,463,828$2,159,089▲ $695,261
Accounts Payable and Accrued Expenses$56,655$78▼ $56,577
Total Liabilities$1,520,483$2,159,167▲ $638,684
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-901,727$-1,295,925▼ $394,198
Total Net Assets Fund Balance$-901,727$-1,295,925▼ $394,198
Total Liabilities and Net Assets / Fund Balance$618,756$863,242▲ $244,486

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$0$0$0
Other Land Buildings$0$0$0
Land$0-$0
Equipment$59,130$53,796$0
Leasehold Improvements$25,375$3,023$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kenneth VandenbusschePharmacistFT$157,403$13,608$171,011
Joni TominagaPharmacistFT$141,663-$141,663

Board Members and Trustees

NameTitle
Ronald FujimotoVice President
Christine AsatoSecretary and Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$650,000
Investment Income
$331
Other Revenue
$30,425
Change in Net Assets
$-394,198
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$542,396
Salaries, Compensation, and Employee Benefits$532,558
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$442,101$0$0$442,101
Fees for Services Management$0$324,996$0$324,996
Information Technology$65,594$21,865$0$87,459
Fees for Services Other$74,657$0$0$74,657
Other Employee Benefits$51,380$0$0$51,380
Payroll Taxes$39,077$0$0$39,077
Depreciation Depletion$16,166$5,388$0$21,554
Other Expenses$17,485$0$0$17,485
Office Expenses$6,974$2,325$0$9,299
Advertising$0$1,497$0$1,497
Insurance$0$1,070$0$1,070
Fees for Services Legal$0$404$0$404
Total Functional Expenses$714,984$359,970$0$1,074,954
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payables$2,104,606
Accrued Vacation$34,451
Accrued Payroll$13,165
Accrued Payroll Taxes$6,867
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

The Directors of the Corporation: Ronald Fujimoto and Christine Asato, are both employees to the Hawaii Health Systems Corporation (HHSC), Kauai Region, and maintain professional business relationships among each other.

Form 990, Part VI, Section A, Line 3

The Corporation is contracted with Hawaii Health Systems Corporation (HHSC) to provide comprehensive management, operational and administrative services related to the business and operations of the Corporation. These service areas include: policies and procedures, bookkeeping and accounting, recordkeeping, recruitment, insurance, planning and budgeting, contracting, day-to-day operations, payroll processing of Corporation employees, premises, standards of care, subcontractors, and other ventures.

Form 990, Part VI, Section B, Line 11B

Form 990 was fully reviewed by the finance department of the Corporation's 100% controlling entity, Hawaii Health Systems Corporation (HHSC), and reviewed by the Treasurer of the Corporation, Christine Asato, CPA.

Form 990, Part VI, Section B, Line 12C

The Corporation conducts periodic reviews of each director, principal officer, and member with governing board delegated powers to ensure the Corporation operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status.

Form 990, Part VI, Section C, Line 19

The Corporation's governing documents, conflict of interest policy, and financial statements can be made available to the public upon request and approval.

Filing and Contact Details

Filer

Filer Name
Kauai Region Pharmacy-west
EIN
85-4196430
Phone
8083389407
Address
4643 WAIMEA CANYON DRIVE, WAIMEA, HI 96796

Signing Officer

Name
Christine Asato
Title
Treasurer
Phone
8083389407
Signed
2025-05-14

Organization Details

Principal Officer
Lance Segawa
Formed
2020
Legal Domicile
Hi
Voting Board Members
3
Independent Board Members
1
Employees
6
Volunteers
0
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IRS990/RoyaltiesRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0177157
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0204576
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0943270595
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd06
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HAWAII HEALTH SYSTEMS CORPORATION
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt00
IRS990ScheduleD/BuildingsGrp/DepreciationAmt00
IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/EquipmentGrp/BookValueAmt059130
IRS990ScheduleD/EquipmentGrp/DepreciationAmt053796
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt0112926
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/LandGrp/BookValueAmt00
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt025375
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt03023
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt028398
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt013165
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt16867
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt234451
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt32104606
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ACCRUED PAYROLL
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1ACCRUED PAYROLL TAXES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2ACCRUED VACATION
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3RELATED PARTY PAYABLES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt084505
IRS990ScheduleD/TotalLiabilityAmt02159089
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt2157403
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt010000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt110000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0325833
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1233243
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt2145812
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt0334000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt1251000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt26296
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt077646
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt155582
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt27312
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt064059
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt145856
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt116000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RONALD FUJIMOTO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1CHRISTINE ASATO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2KENNETH VANDENBUSSCHE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SECRETARY AND TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2PHARMACIST
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt2171011
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0477538
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1360681

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