STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

THE QUEENS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201221359349305602
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T15:35:58-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11132 BISHOP STREET SUITE 1200AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990073524EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE QUEEN'S MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUEENameControl
Phone8085389011Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD C KEENEName
TitleTREASURERTitle
Date Signed2012-05-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD C KEENENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts702295412GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.QUEENSMEDICALCENTER.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTHCARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL OF THE PEOPLE OF HIActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees4215TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI6829471TotalGrossUBI
Net Unrelated Business Txbl Income-80415NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year25662588ContributionsGrantsPriorYear
Contributions Grants Current Year35906761ContributionsGrantsCurrentYear
Program Service Revenue Prior Year622500499ProgramServiceRevenuePriorYear
Program Service Revenue CY630539204ProgramServiceRevenueCY
Investment Income Prior Year10279310InvestmentIncomePriorYear
Investment Income Current Year16868401InvestmentIncomeCurrentYear
Other Revenue Prior Year14333018OtherRevenuePriorYear
Other Revenue Current Year18757031OtherRevenueCurrentYear
Total Revenue Prior Year672775415TotalRevenuePriorYear
Total Revenue Current Year702071397TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2689905GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1788944GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year323050578SalariesEtcPriorYear
Salaries Etc Current Year339010626SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year54652TotalFundrsngExpCurrentYear
Other Expense Prior Year316235265OtherExpensePriorYear
Other Expenses Current Year328185293OtherExpensesCurrentYear
Total Expenses Prior Year641975748TotalExpensesPriorYear
Total Expenses Current Year668984863TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30799667RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33086534RevenuesLessExpensesCY
Total Assets BOY881785450TotalAssetsBOY
Total Assets EOY987672169TotalAssetsEOY
Total Liabilities BOY601515918TotalLiabilitiesBOY
Total Liabilities EOY600202380TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY280269532NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY387469789NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTHCARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL OF THE PEOPLE OF HAWAII.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE QUEEN'S MEDICAL CENTER IS THE LARGEST PRIVATE, NONPROFIT, ACUTE CARE MEDICAL FACILITY IN HAWAII. ITS STAFF IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE PEOPLE OF HAWAII AND THE PACIFIC. ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, QMC IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. THE QUEEN'S MEDICAL CENTER HAS 505 ACCUTE CARE BEDS AND 28 SUB-ACUTE BEDS. WITH OVER 3,000 EMPLOYEES AND OVER 1,200 PHYSICIANS ON STAFF, IT IS ALSO ONE OF THE STATE OF HAWAII'S LARGEST EMPLOYERS. AS THE LEADING MEDICAL REFERRAL CENTER IN HAWAII AND THE PACIFIC BASIN, QMC IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE, AND WOMEN'S HEALTH. QMC OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTRETICS, AND PULMONOLOGY. QMC serves as the main Trauma Center in the Pacific Basin, ("trauma" is defined as a life-threatening injury or shock.) and is designated as a Level II Trauma Center by the State of Hawaii Department of Health. QMC is home to a number of residency programs offered in conjunction with the John A. Burns School of Medicine at the University of Hawaii. QMC IS ACCREDITED BY THE JOINT COMMISSION (TJC). QUEEN'S IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), AND IS A MEMBER OF VHA, A NATIONAL COOPERATIVE OF OVER 1,400 HOSPITALS. QMC HAS ACHIEVED MAGNET STATUS - THE HIGHEST INSTITUTIONAL HONOR FOR HOSPITAL EXCELLENCE - FROM THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET RECOGNITION IS HELD BY LESS THAN SEVEN PERCENT OF HOSPITALS IN THE UNITED STATES. QMC IS THE FIRST HOSPITAL IN HAWAII TO ACHIEVE MAGNET STATUS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense639015398Expense
Grants1788944Grants
Revenue630539204Revenue
DescriptionTO SUPPORT THE QUEEN'S MISSION AND TO FULFILL ITS TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, THE QUEEN'S MEDICAL CENTER PROVIDED COMMUNITY BENEFITS TOTALING APPROXIMATELY $89,700,000 FOR THE YEAR ENDED JUNE 30, 2011. SEE LINE 4C (SCHEDULE O ATTACHMENT 2) FOR A DETAILED EXPLANATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionThe Queen's Medical Center ("QMC") also supports Native Hawaiian Health initiatives through its Native Hawaiian Health Program (NHH). The program areas of the NHH are healthcare training, research, access and outreach, and clinical outcomes. QMC collaborates and partners to provide healthcare training and education opportunities to Native Hawaiian students and those committed to serving Native Hawaiian communities. The Ulu Kukui Project, a 5-year grant funded by the Howard Hughes Medical Institute, is a pre-college science education program with Stevenson Middle School to promote excellence in science education and the pursuit of biomedical careers by Native Hawaiians and Pacific Islanders. The NHH conducts ongoing assessment and development of QMC programs and services focused on Native Hawaiians. In addition, NHH's program focuses on quality improvement and increased access for Native Hawaiians to The Queen's Medical Center as well as collaborating with the Native Hawaiian community in education, research, and community outreach. For clinical outcomes, NHH works to provide a framework for the development, implementation and evaluation of clinical initiatives that aim to enhance the ola pono (well being) of Native Hawaiians. In addition to NHH, many of QMC's program services described below provide benefits to Native Hawaiians, including components of charity care and uncompensated care provided to our patients. The Queen's Medical Center ("QMC") provided approximately $118 million of community benefits, in support of its mission as a tax-exempt charitable hospital: 1.Uncompensated care - QMC provides medical services to patients who do not have the ability to pay (patients are not billed charity care) and patients who refuse to pay (bad debts). For the year ended June 30, 2011, the estimated losses from providing charity care and for services that were bad debts was $2,382,000 and $12,670,000 respectively. 2.Behavioral Health - QMC provides inpatient and outpatient behavioral health services that are necessary and in certain instances, not generally available in the State of Hawaii. The estimated losses from operations resulting from behavioral health services were $10,122,000 for the year ended June 30, 2011. 3.Queen Emma Clinics - QMC provides outpatient services to indigent patients and others though the Queen Emma Clinics. The losses from operations from the Queen Emma Clinics were approximately $3,904,000 for the year ended June 30, 2011. 4.On call physician compensation - QMC maintains the only Level II trauma center in the State of Hawaii. In order to provide Level II trauma coverage, the Medical Center incurred approximately $6,604,000 in on call physician coverage during the year ended June 30, 2011. 5.Resident and Intern Costs - QMC incurred costs in excess of reimbursement of approximately $5,427,000 during the year ended June 30, 2011 related to resident and intern programs. As a teaching facility, the Medical Center participates in and shares the costs of the Hawaii Residency Program. 6.Hawaii Medical Library - QMC maintains a medical library that benefits healthcare professionals in the State of Hawaii. The operating losses of the Hawaii Medical Library for the year ended June 30, 2011 were $898,000. 7.Transfer Hotline - QMC maintains a cardiac transfer hotline and a referral hotline to assist patients and other healthcare providers with the transfer and/or referral of patients to appropriate healthcare services. The operating losses of providing these services for the year ended June 30, 2011 were $1,356,000. 8.Transportation Services - QMC provides transportation to and from the Medical Center to patients who require assistance. The cost of providing these services was $147,000 for the year ended June 30, 2011. 9.Health and Wellness Education - QMC provides health and wellness education to the community in an effort to promote healthy lifestyles. For the year ended June 30, 2011, losses of providing health and wellness education were $376,000. 10.Research Losses - QMC employs staff and incurs unfunded costs for medical research. For the year ended June 30, 2011, research costs were $1,875,000. 11.Charitable Contributions - QMC makes contributions to outside charitable organizations. For the year ended June 30, 2011, contributions to outside charitable organizations were $1,450,000. Of this amount, $367,000 was for funding to the Department of Native Hawaiian Health under the John A. Burns School of Medicine of the University of Hawaii. In addition, $250,000 was donated to the University of Hawaii Cancer Consortium. 12.Emergency Preparedness - QMC is the only Level II trauma center in the State of Hawaii. QMC allocated resources to plan and test its readiness for community emergencies, including trauma, terrorist attacks and conditions resulting from hazardous material spills. For the year ended June 30, 2011, the costs of emergency preparedness were $721,000. 13.Electrical Generator Project - In order to maintain necessary life support, diagnostic and operating systems, in the event of an emergency, QMC significantly upgraded its power plant by adding two new generators that are capable of providing electrical power for the medical center. For the year ended June 30, 2011, costs incurred for the electrical generator project were $417,000. Total project costs incurred as of June 30, 2011 were approximately $34,086,000. 14.Medicaid Shortfall in Payments - QMC provides inpatient and outpatient services to Medicaid patients in the State of Hawaii. QMC incurred costs in excess of reimbursement of approximately $24,553,000 during the year ended June 30, 2011. 15.Medicare Shortfall in Payments - QMC provides inpatient and outpatient services to Medicare patients in the State of Hawaii. QMC incurred costs in excess of reimbursement based on Medicare Cost reports of approximately $14,200,000 during the year ended June 30, 2011. Consistent with cost report requirements, there are amounts that are excluded from the costs above. 16.Lease Pricing Below Fair Market Value - QMC extended lease rates to the University of Hawaii that are below fair market value. For the year ended June 30, 2011, revenues foregone from lease rates that were below fair market value were $43,000. 17.Programs That Improve Access to Healthcare - QMC improves the community's access to healthcare by helping patients qualify for Medicaid and other types of insurance. For the year ended June 30, 2011, these program costs totaled $849,000. 18.Kinau Street Off-ramp Improvement Project - In order to improve access to its Emergency Department and hospital, QMC, in conjunction with the state Department of Transportation and City Department of Transportation Services, began construction to the Kinau Street off-ramp. For the year ended June 30, 2011, costs incurred for the improvement project were $679,000. 19.Dental Clinic - QMC provides dental services to indigent patients and others through its Dental Clinic. The losses from operations from the Dental Clinic were approximately $96,000 for the year ended June 30, 2011. 20.Donated Use of Conference Rooms - QMC allows physicians and teachers from the John A. Burns School of Medicine of the University of Hawaii, various governmental entities including the Hawaii Department of Health and other nonprofit organizations the free use of its facilities at The Queen's Conference Center. For the year ended June 30, 2011, the value of the use of the center was $261,000. 21.Job Shadowing Program - QMC sponsors a job shadowing program for students in the state of Hawaii. For the year ended June 30, 2011, costs incurred for the program were $10,000. 22.QMC Nursing Program - QMC provides nursing internships and nurse training that help address the continued need for skilled nurses in the islands. For the year ended June 30, 2011, these costs totaled $700,000. 23.Community Health Improvement - QMC sponsored a senior health fair which included information booths, handouts and complimentary health checks. For the year ended June 30, 2011, non-marketing costs incurred related to the health fair was $3,000. 24.Community Outreach - QMC employees volunteer their time and experience providing free lectures to members of the community including professionals, students and members of the public. 25.Volunteer Efforts - QMC employees periodically volunteer for other charitable organizations. For the year ended June 30, 2011, these events included the American Heart Association's "Heart Walk", American Cancer Society's "Relay for Life" and "Hope Lodge Fundraiser", Susan G. Komen Foundation's "Race for the Cure", Waikiki Improvement Association's "Beach Clean Up" and the American Diabetes Association's "Step Out" Fundraiser. In addition, QMC employees dedicate many hours serving as volunteer board members for other Hawaii based charitable organizations.Description
FieldValueIRS element (for citing)
Total Program Service Expense639015398TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096458NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4215NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCLINTON YEENamePerson
Telephone Number8085389011TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
NALEEN N ANDRADE MD
TRUSTEE1.0X000
EVELYN J BLACK
TRUSTEE1.0X000
NORMAN T S CHONG
TRUSTEE1.0X000
ERNEST H FUKEDA JR
TRUSTEE1.0X000
NEIL J HANNAHS
TRUSTEE1.0X000
NOREEN MOKUAU DSW
CHAIR/TRUSTEE2.0X000X
WILLIAM G OBANA MD
VC/TRUSTEE/ON-CALL PHYSICIAN13.0X12005200X
CAROLINE WARD ODA
TRUSTEE1.0X000
GARRETT K SERIKAWA
TRUSTEE1.0X000
ARTHUR A USHIJIMA
PRESIDENT/TRUSTEE65.0X0884694422887X
JULIA C WO
TRUSTEE1.0X000
ERIC K YEAMAN
TRUSTEE1.0X000
Peter Halford MD
Trustee/COS/ON-CALL PHYSICIAN22.0X12170500
Robb Ohtani MD
Trustee/ON-CALL PHYSICIAN13.0X4822500
PETER HANASHIRO
TRUSTEE1.0X000
ROBERT NOBRIGA
TRUSTEE1.0X000
CHRISTINE GAYAGAS
TRUSTEE1.0X000
BARRY WEINMAN
TRUSTEE1.0X000
SHARLENE K TSUDA
SECRETARY55.0022619150003X
MARK H YAMAKAWA
VICE PRESIDENT55.00563595101958X
PAULA YOSHIOKA
VICE PRESIDENT55.0381217055391X
Richard C Keene
Treasurer55.0046282360974X
Clinton Yee
Assistant Treasurer55.0167614025786X
Michael H Dang MD
Cardiovascular Surgeon60.0741134022736X
Cherylee W J Chang MD
Medical Director60.0496339033060X
TODD SETO MD
CARDIOLOGIST60.0499349017354X
CHARLES BRADY III MD
INTERNIST60.0489348031525X
ROBERT A HONG MD
CARDIOLOGIST60.0489294019922X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3554277TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2137303TotalReportableCompFrmRltdOrgs
Total Other Compensation841596TotalOtherCompensation
Number Individuals GT100 K573NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AFFILIATED COMPUTER SVS
PO BOX 201322DALLASTX753201322INFO SYS OUTSOURCING11090333
UCERA
677 ALA MOANA BLVD STE 1003HONOLULUHI96813MEDICAL SERVICE8334621
HAWAII RESIDENCY PROGRAMS INC
1356 LUSITANA ST 510HONOLULUHI96813MEDICAL SERVICE8810827
UNITED LAUNDRY SERVICES INC
2291 ALAHAO PLHONOLULUHI96819LAUNDRY SERVICES2463856
SODEXO Inc Affiliates
1301 PUNCHBOWL STREETHONOLULUHI96813MANAGEMENT SERVICE3811293
FieldValueIRS element (for citing)
Number Of Contractors GT100 K95NumberOfContractorsGT100K
Fundraising Events207524FundraisingEvents
Related Organizations33518867RelatedOrganizations
All Other Contributions2180370AllOtherContributions
Total Contributions35906761TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE622477648622477648
INTERCO PURCHASED806155656206715610002440885
FieldValueIRS element (for citing)
Total Program Service Revenue630539204TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6649844TotalRevenueColumn
Unrelated Business Revenue-347724UnrelatedBusinessRevenue
Exclusion$6,997,568ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real438180Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real438180Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column438180TotalRevenueColumn
Exclusion$438,180ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10391035Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other172478Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10391035Securities
Other-172478Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10218557TotalRevenueColumn
Exclusion$10,218,557ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events31526GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events207524CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses51537FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-20011TotalRevenueColumn
Exclusion-$20,011ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SERVICE TAXABLE62150016890041486157202847
RESEARCH62150025195702519570
OTHER SERVICES621500670772026302534077467

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7422568TotalRevenueColumn
Related Or Exempt Function Income6966572RelatedOrExemptFunctionIncome
Unrelated Business Revenue455996UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue18338862TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column702071397TotalRevenueColumn
Related Or Exempt Function Income641700871RelatedOrExemptFunctionIncome
Unrelated Business Revenue6829471UnrelatedBusinessRevenue
Exclusion$17,634,294ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1788944Total
Program Services1788944ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total841420Total
Program Services292589ProgramServices
Management And General548831ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total260799165Total
Program Services253848153ProgramServices
Management And General6951012ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26945445Total
Program Services26119852ProgramServices
Management And General825593ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32067515Total
Program Services30960035ProgramServices
Management And General1107480ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18357081Total
Program Services17802232ProgramServices
Management And General554849ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total802918Total
Program Services549128ProgramServices
Management And General253790ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total375180Total
Program Services61327ProgramServices
Management And General313853ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30092Total
Program Services30092ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24738273Total
Program Services24414650ProgramServices
Management And General323623ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total721791Total
Program Services645258ProgramServices
Management And General76533ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total311806Total
Program Services189436ProgramServices
Management And General122370ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total501439Total
Program Services486697ProgramServices
Management And General14742ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15317613Total
Program Services15054035ProgramServices
Management And General263578ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1269242Total
Program Services447165ProgramServices
Management And General822077ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7883Total
Program Services7883ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total9903328Total
Program Services9903328ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total31202772Total
Program Services30269972ProgramServices
Management And General932800ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35411185Total
Program Services35369106ProgramServices
Management And General42079ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8446737Total
Program Services294523ProgramServices
Management And General8152214ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES105229472104990339239133
PURCHASED SERVICES515049704460874068886967534
BAD DEBT3009629130096291
LICENSE, PERMITS & FEES19645241716337248187
EDUCATION236492423588776047

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7984853Total
Program Services6710409ProgramServices
Management And General1227326ManagementAndGeneral
Fundraising47118Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total668984863Total
Program Services639015398ProgramServices
Management And General29914813ManagementAndGeneral
Fundraising54652Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY29034BOY
EOY28502EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36260220BOY
EOY21679191EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY80241046BOY
EOY71224222EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8284333BOY
EOY8237762EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9084695BOY
EOY9059438EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis630043795LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec393134023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY242866431BOY
EOY236909772EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY411434750BOY
EOY440843899EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9072698BOY
EOY103142893EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY84512243BOY
EOY96546490EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY881785450BOY
EOY987672169EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY209050265BOY
EOY195134390EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY286220000BOY
EOY274330000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY1980444EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY106245653BOY
EOY128757546EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY601515918BOY
EOY600202380EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY262843000BOY
EOY368639256EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11475532BOY
EOY12879719EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5951000BOY
EOY5950814EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY280269532BOY
EOY387469789EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY881785450BOY
EOY987672169EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33086534ReconcilationRevenueExpenses
Reconcilation Other Changes74113723ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals30092FilingOrganizationsTotals
Affiliated Group Totals46088AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals30092FilingOrganizationsTotals
Affiliated Group Totals46088AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals638985306FilingOrganizationsTotals
Affiliated Group Totals704062127AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals639015398FilingOrganizationsTotals
Affiliated Group Totals704108215AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3244324CurrentYearMinus3
Current Year Minus2134730CurrentYearMinus2
Current Year Minus131942CurrentYearMinus1
Current Year46088CurrentYear
Total457084Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Current Year Minus20CurrentYearMinus2
Current Year Minus10CurrentYearMinus1
Current Year0CurrentYear
Total0Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7195561BeginningOfYearBalance
Contributions40500Contributions
Investment Earnings Or Losses662352InvestmentEarningsOrLosses
Grants Or Scholarships48405GrantsOrScholarships
Other Expenditures612152OtherExpenditures
End Of Year Balance7237856EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6633813BeginningOfYearBalance
Contributions852775Contributions
Investment Earnings Or Losses386481InvestmentEarningsOrLosses
Grants Or Scholarships32281GrantsOrScholarships
Other Expenditures645226OtherExpenditures
End Of Year Balance7195562EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6236306BeginningOfYearBalance
Contributions710304Contributions
Investment Earnings Or Losses42671InvestmentEarningsOrLosses
Grants Or Scholarships80428GrantsOrScholarships
Other Expenditures275040OtherExpenditures
End Of Year Balance6633813EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis19735383OtherCostOrOtherBasis
Book Value19735383BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis383084347OtherCostOrOtherBasis
Depreciation235811702Depreciation
Book Value147272645BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8069664OtherCostOrOtherBasis
Depreciation2127548Depreciation
Book Value5942116BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis191196924OtherCostOrOtherBasis
Depreciation147909368Depreciation
Book Value43287556BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27957477OtherCostOrOtherBasis
Depreciation7285405Depreciation
Book Value20672072BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings236909772TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValue
HI CREDENTIAL VERIFICATION160075
HAMAMATSU/QUEEN'S PET IMAGING3493209
CARERESOURCE HAWAII1281266
OTHER INVESTMENTS98208343
FieldValueIRS element (for citing)
Total Of Book Value Securities103142893TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS RESTRICTED FOR LT1995476
ASSETS LIMITED - BOND FUND12741980
INTANGIBLE - DEFERRED FINANCE.6386116
DUE FROM AFFILIATES75383433
DEFERRED RENT-UH TOWER39485
FieldValueIRS element (for citing)
Total Book Value Other Assets96546490TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$81,718,762
DUE TO GOVERNMENT$6,768,853
CAPITAL LEASE/OTHER OBLIGATION$4,232,228
TAXABLE COMMERCIAL PAPER$18,378,645
DUE TO GOVT REIMBURSEMENT$17,659,058
FieldValueIRS element (for citing)
Total Of Amounts128757546TotalOfAmounts
Total Revenue702071397TotalRevenue
Total Expenses668984863TotalExpenses
Excess Or Deficit For Year33086534ExcessOrDeficitForYear
Net Unrealized GL On Investments30228940NetUnrealizedGLOnInvestments
Other$43,884,784OtherAmount
Total Adjustments74113724TotalAdjustments
Excess Or Deficit Per FS107200258ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt658175768TotRevenueEtcAuditedFinclStmt
Other Revenues11429875OtherRevenues
Revenue Not Rptd F99011429875RevenueNotRptdF990
Revenue Subtotal646745893RevenueSubtotal
Other Revenues Not Included55325504OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt55325504RevenueNotRptdOnFinStmt
Total Revenue Per Form990702071397TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt665617437TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1649419OtherExpensesIncluded
Expenses Not Rptd F990-1649419ExpensesNotRptdF990
Expenses Subtotal667266856ExpensesSubtotal
Other Expenses Not Included1718007OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1718007ExpensesNotRptdOnFinStmt
Total Expenses Per Form990668984863TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8EQUITY IN SUBSIDIARIES 412,814 PENSION FAS 87 ADJUSTMENT 16,981,878 GAIN ON INTEREST RATE SWAP 4,679,028 OTHER THAN TEMPORARY GAIN ON INVESTMENT 21,702,066 UNREALIZED GAIN ON HEDGING TRANSACTION 108,998 ----------- 43,884,784
REVENUE BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XII, LINE 2DREVENUE FROM HAMAMATSU/QUEEN'S PET 3,745,395 ELIMINATION (5,411,541) NET ASSETS RELEASED FROM RESTRICTION 12,683,207 EQUITY IN SUBSIDIARIES 412,814 ----------- 11,429,875
REVENUE BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XII, LINE 4BINVESTMENT INCOME INCLUDED IN NONOPERATING INCOME 16,509,713 REVENUE - TEMP. RESTRICTED 5,469,402 LOSS FROM SALE OF EQUIPMENT INCLUDED IN NONOPER. INCOME (172,478) TRANSFERS FROM AFFILIATES 33,518,867 ------------- 55,325,504
EXPENSES BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XIII, LINE 2DEXPENSES FROM HAMAMATSU/QUEEN'S PET 3,086,757 ELIMINATION (4,736,176) ----------- (1,649,419)
EXPENSES BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XIII, LINE 4BTRANSFERS TO AFFILIATES 330,635 DONATIONS INCLUDED IN NONOPERATING EXPENSE 1,458,309 NONOPERATING EXPENSE (70,940) ROUNDING 3 ---------- 1,718,007
ENDOWMENT FUNDSSchedule D, Part V, line 4The Queen's Medical Center uses the earnings on permanently endowed investments for the purposes intended by the donors of these funds.
ASC 740Schedule D, Part X, line 2QMC REGULARLY ASSESSES ITS TAX POSITIONS AND DID NOT HAVE MATERIAL UNCERTAIN TAX BENEFITS FOR THE YEAR ENDED JUNE 30, 2011 AND 2010.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BENEFIT DINNERNameOfEvent1
Gross Receipts Event1239050GrossReceiptsEvent1
Charitable Contributions Event1207524CharitableContributionsEvent1
Gross Revenue Event131526GrossRevenueEvent1
Rent Facility Costs Event11047RentFacilityCostsEvent1
Food And Beverage Event136703FoodAndBeverageEvent1
Entertainment Event19658EntertainmentEvent1
Other Direct Expenses Event14129OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total239050GrossReceiptsTotal
Charitable Contributions Total207524CharitableContributionsTotal
Gross Revenue Total Events31526GrossRevenueTotalEvents
Rent Facility Costs Total Events1047RentFacilityCostsTotalEvents
Food And Beverage Total Events36703FoodAndBeverageTotalEvents
Entertainment Total Events9658EntertainmentTotalEvents
Other Direct Expenses Total Events4129OtherDirectExpensesTotalEvents
Direct Expense Summary Events51537DirectExpenseSummaryEvents
Net Income Summary-20011NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2382000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2382000NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense105835000TotalCommunityBenefitExpense
Direct Offsetting Revenue81282000DirectOffsettingRevenue
Net Community Benefit Expense24553000NetCommunityBenefitExpense
Percent Of Total Expense0.03850PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense108217000TotalCommunityBenefitExpense
Direct Offsetting Revenue81282000DirectOffsettingRevenue
Net Community Benefit Expense26935000NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2731000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2731000NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7035000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7035000NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20726000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense20726000NetCommunityBenefitExpense
Percent Of Total Expense0.03250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1875000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1875000NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1754000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1754000NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense34121000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense34121000NetCommunityBenefitExpense
Percent Of Total Expense0.05340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense142338000TotalCommunityBenefitExpense
Direct Offsetting Revenue81282000DirectOffsettingRevenue
Net Community Benefit Expense61056000NetCommunityBenefitExpense
Percent Of Total Expense0.09560PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1817000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1817000NetCommunityBuildingExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1817000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1817000NetCommunityBuildingExpense
Percent Of Total Expense0.00280PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,670,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare172300000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare186500000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14200000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1HamQueen's PETBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary Activityoperate/maint. PET equipmentDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.00700OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE QUEEN'S MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11301 Punchbowl StreetAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE QUEEN'S MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3cFor patients who are citizens of a foreign country who do not reside in the United States, QMC uses 125% of the resident country's minimum wage. PART I, LINE 6a Community benefits are reported annually as part of the Form 990. This is not separately available to the public. A formal report issued by the parent company, The Queen's Health Systems, includes the community benefits of the Queen's Medical Center. This report is published periodically and is separately available to the public.
PART I, LINE 7gThe Queen Emma Clinics provide comprehensive patient care to indigent patients and serve a large homeless population. The net costs associated with these clinics was $3,851,000.
PART I, LINE 7The costing methodology considers all patient segments. Amounts represent the net costs for the various programs and operations, considering actual amounts incurred and calculated benefits based on cost-to-charge ratios and average rates (i.e. wage rates).
PART I, LINE 7, COLUMN FBAD DEBT EXPENSE OF $30,096,291 WAS EXCLUDED FOR THE CALCULATION OF THE NET COMMUNITY BENEFIT PERCENTAGE IN PART I, LINE 7, COLUMN F.
PART III, LINE 4The audited financial statements do not describe bad debt expense. The audited financial statements do describe the allowance for uncollectible accounts. "QMC provides for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. QMC estimates the allowance based on the aging of the accounts receivable. Historical collection experience by payor, and other relevant factors." The data above is based on the application of a cost-to-charge ratio against the internal accounting of uncollectible accounts.
PART III, LINE 8The Medicare amounts above are calculated with data from the June 30, 2011 Medicare Cost Report, using the step down method. Consistent with reporting requirements, there are amounts excluded from the costs listed in line 6. When using a fully allocated cost calculation, the medicare shortfall was approximately $42.5 million.
PART III, LINE 9BEvery attempt is made before discharge to screen patients who have no documentation of medical insurance for possible eligibility for discounted care. The granting of charity care discounts are based on a determination of financial need using income and asset thresholds and is in compliance with all state and federal rules and regulations. Patients are required to complete a discounted care application and must submit income and asset verification documents. Once eligibility is confirmed, payment plans are arranged. Billing statements are mailed monthly. When eligible for discounted service, the statements reflect related discounts.
NEEDS ASSESSMENTQMC's mission is to fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of native Hawaiians and all the people of Hawaii.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEQMC provides guidance and assistance to patients by assisting in the application for eligible patients to local, state, and/or federal health assistance with this process.
COMMUNITY INFORMATIONQMC is the leading medical referral center in the Pacific Basin. Located in downtown Honolulu, it's the largest private hospital in Hawaii. According to recent demographic census data, the state of Hawaii is very diverse and includes a population that is approximately 10% Native Hawaiian, other Pacific Islander, Native Alaskan and American Indian.
PROMOTION OF COMMUNITY HEALTHThe amounts mentioned in Part II of Schedule H represent costs incurred to ensure continued operations that benefit the community. These include emergency preparedness costs and amounts expended to expand and test back-up power that can service patients in times of emergency. In addition, QMC provides many free informational seminars and educational opportunities to the public to promote the health of the community. These programs are specifically directed to address health issues within the community including diabetes, cancer and women's health issues.
AFFILIATED HEALTH CARE SYSTEMIn addition to the Queen's Medical Center, affiliate organizations of the Queen's Health Systems operate the only hospital on the Island of Moloka'I, provide diagnostic laboratory services, operate pharmacies, and provide the hospitals with general and professional liability insurance.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Aloha Medical Mission
810 North Vineyard BlvdHONOLULUHI96817990234811501(C)(3)25000Sponsor Free Health Care Services
Aloha United Way
200 N Vineyard Blvd Suite 700HONOLULUHI96817990073494501(C)(3)5100Sponsor Community Executive Program
American Diabetes Association
875 Waimanu Street 601HONOLULUHI96813131623888501(C)(3)7500Sponsor Diabetes Annual Walk
American Heart Association
677 Ala Moana Blvd 600HONOLULUHI96813135613797501(C)(3)20000Sponsor Heart Ball & Medical Symposium
Girl Scouts of Hawaii
420 Wyllie StreetHONOLULUHI96817990073488501(c)(3)7500Sponsor Woman of Distinction
Hawaii Academy of Science
1776 University AveHonoluluHI96822996006863501(c)(3)10000Sponsor Science & Engineering Fair
Hina Mauka
45-845 Pookela StreetKaneoheHI96744990173356501(c)(3)8500Sponsor Multiple Fundraising Events
March of Dimes
1451 S King StHonoluluHI96814131846366501(c)(3)7500Sponsor Governor's Ball
Pacific Health Ministry
1245 Young Street 204HonoluluHI96814990281185501(C)(3)6000Sponsor Multiple Fundraising Events
Public Schools of Hawaii Foundation
PO Box 4148HonoluluHI96812880243449501(C)(3)15000Kulia I Ka Nu'u Awards Banquet
The Queen's Health System
1301 Punchbowl StreetHONOLULUHI96813990238120501(c)(3)330635OPERATING GRANT TO AFFILIATE
University of Hawaii Foundation
2444 Dole St Bachman Hall Rm 105HONOLULUHI96822990085260501(C)(3)62500Native Hawaiian Health Training Scholarship Fund & Contributions
UH Office of Research Services
2530 Dole Street Sakamaki D-200HONOLULUHI96822990085260501(C)(3)90000Ike Ao Pono / Native Hawaiian Health Initiative
Various 5000
1301 Punchbowl StreetHONOLULUHI9681387769Donations
Aloha Council Boy Scouts of America
42 Puiwa RoadHonoluluHI96817221576300501(C)(3)9000Hawaii Distinguished Citizen Event
Cancer Research Center of Hawaii
1236 Lauhala StreetHonoluluHI96813990207313501(c)(3)7600Sponsor Fundraiser & Silent Auction
East-West Center
1601 East-West RoadHonoluluHI96848990161603501(C)(3)50000Sponsor APEC 2011 Hawaii
Hawaii Maoli
PO Box 1135HonoluluHI96807943274865501(C)(3)6500Sponsor Annual Convention
Historic Hawaii Foundation
PO Box 1658HonoluluHI96806237441972501(C)(3)7000Annual Kama'aina of the Year Event
Japan-America Society of Hawaii
220 S King StSuite 1501HonoluluHI96813990359990501(C)(3)15000Japan Disaster Relief
Ka Meheu 'Ohu O Ka Honu
PO Box 1072WailukuHI96793990328359501(C)(3)9000Purchase of Health Screenings Supplies
Na Pu'u Wai
PO Box 130KaunakakaiHI96748990255760501(C)(3)Contribution of Building Property270000FMVBuilding
Papa Ola Lokahi
894 Queen StreetHonoluluHI96813990273765501(C)(3)20000Sponsor Multiple Fundraising Events
Hawaii Cancer Consortium
c/o 55 Merchant Street Suite 2700HonoluluHI96813452280259501(c)(3)250000Sponsor Cancer Consortium
Department of Native Hawaiian Health
Donation on behalf of Queens HealtHonoluluHI96813996000354501(c)(3)366840Commitment for DNHH and Scholarship Fund
Hospice of Hilo
1011 Waianuenue AvenueHiloHI96720990218512501(C)(3)25000Capital Campaign
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants108TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S PROCEDURES FOR MONITORING GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I GRANTS AND OTHER ASSISTANCE, PART I, LINE 2ReturnReference
ExplanationThe Queens Medical Center makes donations to various tax-exempt organizations with the purpose of providing opportunities for better health and wellness to all the people of Hawaii. There are generally no restrictions placed on the use of those donations and the receiving organizations may use the donations at their discretion in order to further their exempt purpose. Where restrictions are placed on the use of those donations, QMC requests financial reports in order to monitor such use.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
SHARLENE K TSUDA
01764970323170173770272190227840276194
ARTHUR A USHIJIMA
061693501655320102227035814806473901307581
MARK H YAMAKAWA
042751501018910341890581310438270665553
PAULA YOSHIOKA
31568904527102025702362803176304366080
Richard C Keene
03844910584610198710236620373120523797
Clinton Yee
154327012800048701246501332101934000
Michael H Dang MD
62116608150003846801212601061007638700
Cherylee W J Chang MD
31736306517201138040238090925105293990
TODD SETO MD
29826805916001419210110250632905167030
CHARLES BRADY III MD
4177320647580685802149301003205208730
ROBERT A HONG MD
389771095635038880184050151705092160

Form990 Schedule J Part III Form990ScheduleJPartIII (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION COMMITTEESCHEDULE J, PART I, LINE 3Compensation committee refers to a committee of the organization's governing body responsible for determining the top management official's compensation package, whether or not the committee has been delegated the authority to make an employment agreement with the top management official on behalf of the organization. The compensation committee may also have other duties.
Arthur A UshijimaFORM 990 PART VIIArthur A Ushijima AVERAGE HOURS PER WEEK: 30 hours per week - QMC President 2 hours per week - QMC & affiliates Trustee 65 hrs per week - QHS & affiliates MR. USHIJIMA SERVES AS A TRUSTEE FOR THE QUEEN'S MEDICAL CENTER, THE QUEEN'S HEALTH SYSTEMS, AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES (2 HOURS PER WEEK). He is a volunteer Trustee and is not compensated for those services. Mr. Ushijima also serves as President & Chief Executive Officer of The Queen's Health Systems (parent company) and as President of QMC. The compensation listed on FORM 990 PART VII is his total compensation for all services.
Mark YamakawaFORM 990 PART VIIMark Yamakawa AVERAGE HOURS PER WEEK: 39 hours per week - QMC 55 hrs per week - QHS & affiliates Mr. Yamakawa serves as EVP & COO of the Queen's Health System (parent company), EVP& COO of QMC and Chairman of QDC. He is not separately compensated for these various services. The compensation listed on FORM 990 PART VII is his total compensation for all services.
Richard C KeeneFORM 990 PART VIIRichard C. Keene AVERAGE HOURS PER WEEK: 20 hrs per week - QMC 55 hrs per week - QHS & affiliates Mr. Keene serves as QMC Treasurer, EVP/CFO and Treasurer for The Queen's Health Systems (parent company), Treasurer of QEL and Treasurer of MGH. He is not separately compensated for these services. The compensation listed on FORM 990 PART VII is his total compensation for all services.
Sharlene TsudaFORM 990 PART VIISharlene Tsuda AVERAGE HOURS PER WEEK: 2 hrs per week - QMC 55 hrs per week - QHS & affiliates Ms. Tsuda serves as Secretary for QMC and VP/Secretary for the Queen's Health Systems (Parent Company). She is not separately compensated for these various services. The compensation listed on FORM 990 PART VII is her total compensation for all services.
Paula YoshiokaFORM 990 PART VIIPaula Yoshioka Average Hours Per Week: 54 Hours per week - QMC 55 Hours per week - QHS & Affiliates Ms. Yoshioka serves as EVP/CAO of QMC and A Director of QIE. She is not separately compensated for these services. The compensation listed on Form 990 Part VII is her total compensation all services.
CLINTON YEEFORM 990 PART VIIClinton Yee average hours per week: 40 hours per week - QMC 55 hours per week - QHS & Affiliates Mr. Yee serves as Assistant Treasurer and Corporate Controller of QMC. He is not separately compensated for these services. The compensation listed on Form 990 Part VII is his total compensation for all services.
WILLIAM G OBANA MDFORM 990 PART VIIDR. OBANA SERVES AS A TRUSTEE FOR THE QUEEN'S MEDICAL CENTER (2 HOURS PER WEEK). HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. DR. OBANA'S COMPENSATION IS FOR HIS ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER (ESTIMATED AVERAGE OF 11 HOURS PER WEEK).
Peter Halford MDFORM 990 PART VIIDR. HALFORD SERVES AS A TRUSTEE FOR THE QUEEN'S MEDICAL CENTER (1 HOUR PER WEEK). HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. DR. HALFORD'S COMPENSATION IS FOR HIS ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER (ESTIMATED AVERAGE OF 21 HOURS PER WEEK).
Robb K Ohtani MDFORM 990 PART VIIDR. OHTANI SERVES AS A TRUSTEE FOR THE QUEEN'S MEDICAL CENTER (1 HOUR PER WEEK). HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. DR. OHTANI'S COMPENSATION IS FOR HIS ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER (ESTIMATED AVERAGE OF 12 HOURS PER WEEK).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Department of Budget & Finance State of Hawaii
990266961419800FB82003-12-11114300000ADVANCE REFUNDINGfalsefalsefalse
Department of Budget & Finance State of Hawaii
990266961419800FR32006-03-16144875000Multipurpose Issuefalsefalsefalse
Department of Budget & Finance State of Hawaii
990266961419800HT72009-05-0678670000CURRENT REFUNDINGfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
62250000114300000000139156832763902922170002003falsetruetruetrue
1890000001492375840130000001270326219303238704207659421001995476truefalsefalse
3390000078670000000133251623688000002009truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
BANK OF AMERICA ML
falsetruetrue25.6falsefalsefalsefalse
BANK OF AMERICA ML
falsetruetrue18.2falsefalsefalsefalse
BANK OF AMERICA ML
falsetruetrue22.2falsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonEric K YeamanNamePerson
FieldValueIRS element (for citing)
RelationshipTrustee of QMCRelationship
Amount Of Transaction315571AmountOfTransaction
Description Of TransactionSEE PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierERIC K YEAMANIdentifier
Return ReferenceSCHEDULE L PART IV LINE 1ReturnReference
ExplanationERIC K YEAMAN IS AN OFFICER OF A TELECOMMUNICATIONS COMPANY THAT PROVIDES SERVICES TO THE ORGANIZATION. DURING THE YEAR, THE ORGANIZATION PAID SERVICE FEES TO THIS TELECOMMUNICATIONS COMPANY TOTALING $315,571.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PT VI, SECTION A, LINE 7AQMC has a sole member, which is The Queen's Health Systems, a Hawaii nonprofit corporation ("QHS"). QHS elects all of the board members of the QMC Board of Trustees.
FORM 990, PT VI, SECTION A, LINE 7BCertain major decisions approved by the QMC Board of Trustees must also be approved by QHS. Such decisions include: 1. A change to the purpose of the company; 2. A financing transaction in excess of $500,000; 3. A lease transaction that has a term that is longer than 3 years or has a rent obligation in excess of $1,000,000 over the lease term; 4. A transaction involving the sale, lease, disposition or hypothecation of real property; 5. Annual operational and capital budgets; 6. Strategic plans; 7. Merger or major acquisitions; 8. Creation of a new entity or joint venture; 9. Sale or disposition of all or substantially all of its assets; 10. Dissolution; 11. Amendment of Bylaws; 12. Adoption, amendment or rescission of a Board Policy; 13. Capital expenditures in excess of $2,000,000 for QMC.
FORM 990, PT VI, SECTION A, LINE 11BThe Form 990 for The Queen's Health System (QHS) and the separate forms for each of the not-for-profit subsidiaries of QHS were reviewed by the governing body of QHS prior to the filing of the returns. The QHS Finance Committee, which is comprised of members of the QHS Board of Trustees, was delegated the responsibility to review the returns prior to their filing. The returns were presented to the Committee by management and by the independent public accounting firm that prepared the returns. In addition, compensation related disclosures in the returns were reviewed by the Chairperson of the QHS Compensation Committee prior to filing the returns. Also, a copy of the QHS returns was made available to each of the members of the Board of Trustees prior to the returns being filed with the Internal Revenue Service.
FORM 990, PT VI, SECTION B, LINE 12CAll QHS companies are subject to a written Conflict of Interest Policy. All trustees, officers, designated employees and contractors are required to complete an annual disclosure form. The designated employees are those selected by Executives in the organization who identify those employees (typically manager level and above) who may be in a position to select or influence the selection of a vendor. Disclosures are summarized and maintained by each company's corporate secretary. The contracts management department and legal department have the conflict summaries and check for conflicts of interest at the beginning of the contract process. Any conflict of interest involving a trustee is presented to the Board of Trustees. Any transaction involving a disqualified person is subject to the process of establishing a rebuttable presumption of reasonableness. Any trustee with a conflict of interest is excused for the portion of the meeting where the subject matter is discussed and voted on.
FORM 990, PT VI, SECTION B, LINE 15A & 15BA committee of the Board of Trustees called the Compensation Committee meets regularly to review compensation of all executives of all companies within QHS. Executive compensation is reviewed annually. All decisions regarding executive compensation are made in conformity with the procedures required to establish a rebuttable presumption of reasonableness. Any adjustment to compensation is subject to the process of performance reviews and comparison to comparable compensation data prepared by a nationally recognized independent compensation consultant. Outside counsel assists with the review process and documents the decisions of the committee.
FORM 990, PT VI, SECTION C, LINE 19QMC's governing documents are available to the general public upon request. QMC does not make its conflict of interest policy or financial statements available to the public.
Schedule K, Supplemental Information on Tax-Exempt BondsOn December 11, 2003, The Queen's Medical Center issued Special Purpose Revenue Bonds (The Queen's Health System) 2003 Series A, 2003 Series B, and 2003 Series C (the 2003 Issue). The purpose of the 2003 Issue was to advance refund a portion of the 1996 bond series issued on July 18, 1996. On March 16, 2006, The Queen's Medical Center issued Special Purpose Revenue Bonds (The Queen's Health System) 2006 Series A and 2006 Series B (the 2006 issue). The purpose of the 2006 issue was to refund a portion of the 1998 bond series issued on July 1, 1998 on a current basis and to finance approved capital projects. On May 6, 2009, The Queen's Medical Center issued Special Purpose Revenue Bonds (The Queen's Health System) 2009 Series A and 2009 Series B (the 2009 Issue). The purpose of the 2009 issue was to refund the 2003C and 2006C bond series issued December 11, 2003 and March 16, 2006, respectively, on a current basis. The CUSIP number for 2009 Series A is 419800HT7 and the CUSIP number for 2009 Series B is 419800HV2. The Queen's Medical center believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to the 2003 Series A bonds, though no allocations under Regulations section 1.141-13(d) have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d). The Queen's Medical center believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to the 2003 Series B bonds, though no allocations under Regulations section 1.141-13(d) have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d). The Queen's Medical center believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to the 2006 Series A bonds, though no allocations under Regulations section 1.141-13(d) have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d). The Queen's Medical center believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to the 2009 Series A bonds, though no allocations under Regulations section 1.141-13(d) have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d). The Queen's Medical center believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to the 2009 Series B bonds, though no allocations under Regulations section 1.141-13(d) have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d). For purposes of Part II, QMC assumes that amounts spent to retire prior debt are neither working capital nor capital expenditures, and are not reported herein. There is more than one hedging contract related to the 2009 issue. The term of the 2003 hedge is 25.6 Years while the term of the 2006C hedge is 22.2 Years.
FORM 990, PT XI, LINE 5UNREALIZED GAIN ON INVESTMENTS 30,228,940 EQUITY IN SUBSIDIARIES 412,814 PENSION FAS 87 ADJUSTMENT 16,981,878 GAIN ON INTEREST RATE SWAP 4,679,028 OTHER THAN TEMPORARY GAIN ON INVESTMENT 21,702,066 UNREALIZED GAIN ON HEDGING TRANSACTION 108,998 ROUNDING (1) ------------ 74,113,723 ------------OTHER CHANGES IN NET ASSETS OR FUND BALANCES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
THE QUEEN'S HEALTH SYSTEM (QHS)
1301 PUNCHBOWL STREETHONOLULUHI96813990238120ADMIN SERVICEHI501(c)(3)11 TYPE INA
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREETHONOLULUHI96813990183769SUPPORT SVCSHI501(c)(3)11 TYPE IIQHS
MOLOKAI GENERAL HOSPITAL
PO BOX 408KAUNAKAKAIHI96748990251372HEALTH CAREHI501(c)(3)3QHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HAMQUEEN'S PETBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWLAddressLine1
CityHONCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN943266916EIN
Primary ActivityPET IMAGINGPrimaryActivity
Legal Domicile StateHILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income565550ShareOfTotalIncome
Share Of EOY Assets3508841ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.70000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
THE QUEEN'S DEVELOPMENT CORP & SUBS
1301 PUNCHBOWL STREETHONOLULUHI96813990240109DEVELOPMENTHIQHSC CORP
QUEEN'S INSURANCE EXCHANGE INC
1301 PUNCHBOWL STREETHONOLULUHI96813911913839INSURANCEHIQHSINSURANCE CORP
DIAGNOSTIC LABORATORY SERVICES INC
99-859 IWAIWA STREETAIEAHI96701990240499MEDICAL LAB SERVHIQDCC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
THE QUEEN'S HEALTH SYSTEMS
B330635
QUEEN EMMA LAND COMPANY
C33518867
THE QUEEN'S DEVELOPMENT CORP & SUBS
I1986829
DIAGNOSTIC LABORATORY SERVICES INC
I776980
QUEEN EMMA LAND COMPANY
J429046
THE QUEEN'S DEVELOPMENT CORP & SUBS
J2234698
THE QUEEN'S HEALTH SYSTEMS
O13867764
DIAGNOSTIC LABORATORY SERVICES INC
O12048814
MOLOKAI GENERAL HOSPITAL
P648371
QUEEN EMMA LAND COMPANY
P1677
THE QUEEN'S HEALTH SYSTEMS
P484599
THE QUEEN'S DEVELOPMENT CORP & SUBS
P1662675
QUEEN EMMA LAND COMPANY
R1883010