Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children in Honolulu, Hawaii (HI)

Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children
Employer Identification Number (EIN)	990177350
Name of Organization	Kapi Olani Medical Center For Women & Children
Secondary Name	Kapiolani Med Ctr Women & Children
Address	55 Merchant Street, Honolulu, HI 96813-4306
Subsection	Charitable Organization
Ruling Date	01/2011
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2010
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$143,280,582
Amount of Income	$229,634,971
Form 990 Revenue Amount	$229,634,971
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2010: $229,634,971

Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children:	$229,634,971
Other organizations performing similar types of work:	$6,791,313

Assets in 2010: $143,280,582

Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children:	$143,280,582
Other organizations performing similar types of work:	$5,000,000

Expenses in 2007: $198,296,359

This organization:	$198,296,359
Other organizations performing similar types of work:	$5,603,496

Income to expenses ratio in 2007: 1.2

Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children:	1.2
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 73.0%

This organization:	73.0%
Other organizations performing similar types of work:	86.4%

Number of employees in 2007: 1,224

This organization:	1,224
Other organizations performing similar types of work:	83

Employees paid over $50,000 in 2007: 54.2%

This organization:	54.2%
Other organizations performing similar types of work:	30.9%

Grants share in income in 2007: 1.0%

Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children:	1.0%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

	2000	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$167,696,309	$206,674,736	$229,634,971
Contributions, gifts, grants, and similar amounts received	$10,696,159	$1,372,170	$2,209,956
Contributions to donor advised funds		$0	$0
Direct public support	$1,811,971	$0	$47,602
Indirect public support	$822,589	$1,372,170	$2,162,354
Government contributions (grants)	$8,061,599	$0	$0
Program service revenue including government fees and contracts	$146,022,781	$193,869,870	$215,360,365
Membership dues and assessments	$0	$0	$0
Interest on savings and temporary cash investments	$0	$0	$30,665
Dividends and interest from securities	$4,187,958	$2,159,831	$2,364,409
Net rental income or (loss)	$810,640	$1,318,734	$0
Gross rents	$1,954,315	$2,412,455	$0
Less: rental expenses	$1,143,675	$1,093,721	$0
Other investment income	$-319,831	$5,658,913	$144,700
Gain or (loss) from sales of assets other than inventory	$5,731,640	$1,043,556	$8,228,228
Gross amount from sales of assets other than inventory	$91,980,202	$2,036,862	$33,432,054
Less: cost or other basis and sales expenses	$86,248,562	$993,306	$25,203,826
Net income or (loss) from special events and activities	$0	$0	$0
Gross revenue	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0
Gross profit or (loss) from sales of inventory	$132,121	$153,810	$190,030
Gross sales of inventory, less returns and allowances	$293,603	$366,214	$400,465
Less: cost of goods sold	$161,482	$212,404	$210,435
Other revenue	$434,841	$1,097,852	$1,106,618
Total expenses	$156,597,911	$181,828,575	$198,296,359
Program services	$98,889,000	$125,642,152	$144,738,862
Management and general	$49,245,708	$56,186,423	$53,557,497
Fundraising	$0	$0	$0
Payments to affiliates	$8,463,203	$0	$0
Net assets or fund balances at end of year	$181,201,460	$158,232,106	$143,280,582
Excess or (deficit) for the year	$11,098,398	$24,846,161	$31,338,612
Net assets or fund balances at beginning of year	$170,961,073	$142,598,303	$158,232,106
Other changes in net assets or fund balances	$-858,011	$-9,212,358	$-46,290,136

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$198,296,359	$144,738,862	$53,557,497	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$16,600
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$75,666,449	$64,885,442	$10,781,007	$0
Pension plan contributions not included above	$1,927,498	$0	$1,927,498	$0
Employee benefits not included above	$10,454,263	$9,265,966	$1,188,297	$0
Payroll taxes	$5,612,993	$4,815,561	$797,432	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$186,536	$0	$186,536	$0
Legal fees	$0	$0	$0	$0
Supplies	$18,934,072	$18,480,810	$453,262	$0
Telephone	$253,478	$52,838	$200,640	$0
Postage and shipping	$165,396	$34,378	$131,018	$0
Occupancy	$5,316,482	$1,758,363	$3,558,119	$0
Equipment rental and maintenance	$365,847	$365,847	$0	$0
Printing and publications	$0	$0	$0	$0
Travel	$115,199	$92,670	$22,529	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$3,986,071	$27,348	$3,958,723	$0
Depreciation, depletion, etc.	$11,829,560	$11,509,549	$320,011	$0
Other expenses not covered above	$63,465,915	$33,433,490	$30,032,425	$0

	2000	2006	2007
Balance Sheets
Total assets	$236,868,242	$192,032,483	$174,953,853
Cash - non-interest-bearing	$0	$0	$0
Savings and temporary cash investments	$0	$4,185,587	$5,941,224
Accounts receivable less allowance for doubtful accounts	$24,130,779	$26,566,734	$27,142,423
Pledges receivable less allowance for doubtful accounts	$0	$0	$0
Grants receivable	$2,354,799	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)		$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$19,397,584	$0
Inventories for sale or use	$1,579,415	$2,412,359	$2,450,158
Prepaid expenses and deferred charges	$1,556,981	$1,318,395	$1,282,827
Investments - publicly-traded securities		$0	$0
Investments - other securities	$107,003,700	$55,744,946	$63,306,531
Investments - land, buildings, and equipment less accumulated depreciation	$81,810	$0	$0
Investments - other	$166,117	$166,117	$166,117
Land, buildings, and equipment less accumulated depreciation	$73,908,954	$72,243,057	$66,945,342
Other assets, including program-related investments	$26,085,687	$9,997,704	$7,719,231
Total liabilities	$55,666,782	$33,800,377	$31,673,271
Accounts payable and accrued expenses	$19,580,931	$23,952,166	$21,828,565
Grants payable	$0	$0	$0
Deferred revenue	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0
Tax-exempt bond liabilities	$25,547,006	$5,813,294	$5,821,339
Mortgages and other notes payable	$815,354	$34,914	$360,165
Other liabilities	$9,723,491	$4,000,003	$3,663,202
Total liabilities and net assets/fund balances	$236,868,242	$192,032,483	$174,953,853
Total net assets or fund balances	$181,201,460	$158,232,106	$143,280,582

	2000	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$167,696,309	$206,674,736	$229,634,971
Total revenue, gains, and other support per audited financial statements	$169,321,297	$208,823,121	$227,699,079
Other expenses	$1,305,157	$2,413,514	$-1,791,192
Net unrealized gains on investments	$0	$0	$-2,352,900
Donated services and use of facilities	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0
Other	$1,305,157	$2,413,514	$561,708
Other revenue	$-319,831	$265,129	$144,700
Investment expenses	$0	$0	$0
Other	$-319,831	$265,129	$144,700

	2000	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$156,632,831	$181,828,575	$198,296,359
Total expenses and losses per audited financial statements	$148,826,108	$184,242,089	$198,535,644
Other revenue	$1,305,157	$2,413,514	$239,285
Donated services and use of facilities	$0	$0	$0
Prior year adjustments	$0	$0	$0
Losses	$0	$0	$0
Other	$1,305,157	$2,413,514	$239,285
Other expenses	$9,111,880	$0	$0
Investment expenses	$0	$0	$0
Other	$9,111,880	$0	$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	10
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	Yes
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	1,224

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$4,104		$11,099,605	$216,321,306
Program service revenue
Program service revenue 1	000000	$0	00	$0	$133,590,425
Program service revenue 2	000000	$0	00	$0	$4,023,178
Program service revenue 3	000000	$0	00	$0	$2,649,317
Program service revenue 4	000000	$0	00	$0	$65,501
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$75,031,944
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$30,665	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$2,364,409	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$144,700	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$8,228,228	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$190,030	$0
Other revenue	Other personal services	$4,104	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$141,573	$960,941

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$159,422	$37,006	$0
$148,655	$30,220	$0
$148,730	$25,980	$0
$138,972	$34,313	$0
$156,108	$7,336	$0

Total number of other employees paid over $50,000	659

Total number of other employees paid over $50,000

659

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$37,024
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Hospital, or a cooperative hospital service organization

	1999	2005	2006
Support Schedule
Total	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0
Membership fees received	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0
Other income	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$1,082	$0	$1,082
Gross receipts or sales less returns and allowances	$4,104	$0	$0
Cost of goods sold	$3,022	$0	$0
Gross profit	$1,082	$0	$1,082
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	$0
Compensation of officers, directors, and trustees	$0
Salaries and wages	$0
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	$0
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$0
Unrelated business taxable income	$0
Unrelated business taxable income before net operating loss deduction	$1,082
Net operating loss deduction	$1,082
Unrelated business taxable income before specific deduction	$0
Specific deduction	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Straub Clinic & Hospital	55 Merchant St Fl 27, Honolulu, HI 96813-4333	HI	2011-01	$272,741,662
2	Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$229,634,971
3	Hawaii Pacific Health, Kapiolani Health	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$155,487,317
4	Pali Momi Medical Center	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$136,101,775
5	Wilcox Memorial Hospital	3 3420 Kuhio Hwy, Lihue, HI 96766-1099	HI	2011-01	$87,693,461
6	Partners Healthcare System Inc, Affiliates Group Return	529 Main St Ste 510, Charlestown, MA 02129-1116	MA	2010-11	$10,625,521,687
7	Spectrum Health System Group Return	100 Michigan St Ne Mc 498, Grand Rapids, MI 49503	MI	2014-03	$2,820,080,763
8	Childrens Healthcare Of Atlanta Inc, Group Return	1584 Tullie Cir Ne, Atlanta, GA 30329-2311	GA	2011-04	$1,317,040,754
9	East Texas Medical Center Regional Healthcare System, Group Return	1000 S Beckham Ave, Tyler, TX 75701-1908	TX	2010-04	$847,739,247
10	Uch-Mhs	1400 E Boulder St, Colorado Spgs, CO 80909-5533	CO	2014-08	$483,193,158
11	Bon Secours Charity Health System Affiliated Group, Group Return	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$473,866,542
12	Indiana University Health Arnett Inc	950 N Meridian St Ste 300, Indianapolis, IN 46204-1091	IN	2011-03	$418,418,068
13	St Lukes Health System Ltd	190 E Bannock St, Boise, ID 83712-6241	ID	2007-02	$241,486,750
14	Institute For Transfusion Medicine, Group Return	Five Parkway Center, Pittsburgh, PA 15220-3608	PA	2010-03	$203,995,601
15	Riverside Healthcare Association Inc, Riverside Physician Services Inc	608 Denbigh Blvd Ste 800, Newport News, VA 23608-4487	VA	2010-04	$161,388,295
16	Sanford	801 Broadway Drive, Fargo, ND 58122-0001	ND	2011-04	$119,630,599
17	Community Health Education & Evaluation Partners Inc	1253 S Beretania St, Honolulu, HI 96814-1822	HI	1998-03	$201,081
18	Malulani Halth Systems Inc	2200 Main St Ste 513, Wailuku, HI 96793-1624	HI	2004-02	$167,711
19	Kalihi Valley Community Foundation	2239 N School Street, Honolulu, HI 96819	HI	1996-12	$0
20	Soriano Philippine Community Health Foundation	981744 Ulu St, Aiea, HI 96701	HI	2011-05	$0

Number of organizations performing similar types of work

Alabama	6
Arkansas	5
Arizona	2
California	34
Colorado	11
Connecticut	6
District of Columbia	3
Delaware	2
Florida	20
Georgia	23
Hawaii	9
Iowa	2
Idaho	5
Illinois	23
Indiana	10
Kansas	8
Kentucky	8
Louisiana	5
Massachusetts	67
Maryland	7
Maine	6
Michigan	36
Minnesota	39
Missouri	15
Mississippi	4
Montana	3

North Carolina	27
North Dakota	14
Nebraska	4
New Hampshire	3
New Jersey	33
New Mexico	3
Nevada	2
New York	45
Ohio	26
Oklahoma	7
Oregon	6
Pennsylvania	46
Rhode Island	5
South Carolina	2
South Dakota	10
Tennessee	7
Texas	62
Utah	3
Virginia	29
Vermont	2
Washington	8
Wisconsin	25
West Virginia	8
Wyoming	1
International	1

Total

738

Affiliation	Name	Address	State	Established	Total Income
All affiliated organizations
Central	Hawaii Pacific Health, Kapiolani Health	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$155,487,317
Subordinate	Straub Clinic & Hospital	55 Merchant St Fl 27, Honolulu, HI 96813-4333	HI	2011-01	$272,741,662
Subordinate	Kapi Olani Medical Center For Women & Children, Kapiolani Med Ctr Women & Children	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$229,634,971
Subordinate	Pali Momi Medical Center	55 Merchant Street, Honolulu, HI 96813-4306	HI	2011-01	$136,101,775
Subordinate	Wilcox Memorial Hospital	3 3420 Kuhio Hwy, Lihue, HI 96766-1099	HI	2011-01	$87,693,461
Subordinate	Hawaii Pacific Health Group Return	55 Merchant St Fl 24, Honolulu, HI 96813-4333	HI	2011-01	$1,075,571,358

Number of affiliated organizations

Hawaii