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THE QUEENS MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349304885
Schema version
2009v1.7
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)
Timestamp2011-05-13T18:04:32-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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
Phone8085326100Phone

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
Phone8085426117Phone
Date Signed2011-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORI TAIRAName
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts687608377GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.QUEENSMEDICALCENTER.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O ATTACHMENT 2ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees4140TotalNbrEmployees
Total Nbr Volunteers360TotalNbrVolunteers
Total Gross UBI5718604TotalGrossUBI
Net Unrelated Business Txbl Income-1107725NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13626490ContributionsGrantsPriorYear
Contributions Grants Current Year25662588ContributionsGrantsCurrentYear
Program Service Revenue Prior Year589336421ProgramServiceRevenuePriorYear
Program Service Revenue CY622500499ProgramServiceRevenueCY
Investment Income Prior Year-1021737InvestmentIncomePriorYear
Investment Income Current Year10279310InvestmentIncomeCurrentYear
Other Revenue Prior Year14348312OtherRevenuePriorYear
Other Revenue Current Year14333018OtherRevenueCurrentYear
Total Revenue Prior Year616289486TotalRevenuePriorYear
Total Revenue Current Year672775415TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2966626GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2689905GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year290897069SalariesEtcPriorYear
Salaries Etc Current Year323050578SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year47728TotalFundrsngExpCurrentYear
Other Expense Prior Year311574195OtherExpensePriorYear
Other Expenses Current Year316235265OtherExpensesCurrentYear
Total Expenses Prior Year605437890TotalExpensesPriorYear
Total Expenses Current Year641975748TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10851596RevenuesLessExpensesPriorYear
Revenues Less Expenses CY30799667RevenuesLessExpensesCY
Total Assets BOY798744269TotalAssetsBOY
Total Assets EOY881785450TotalAssetsEOY
Total Liabilities BOY556344495TotalLiabilitiesBOY
Total Liabilities EOY601515918TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY242399774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY280269532NetAssetsOrFundBalancesEOY
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 HAWAI'I.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense605734693Expense
Grants2689905Grants
Revenue622500499Revenue
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, QUEEN'S 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, QUEEN'S IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE, AND WOMEN'S HEALTH. QUEEN'S OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTRETICS, AND PULMONOLOGY. QUEEN'S IS THE ONLY LEVEL II TRAUMA CENTER IN HAWAII VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS. QUEEN'S IS HOME TO A NUMBER OF RESIDENCY PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN A. BURNS SCHOOL OF MEDICINE AT THE UNIVERSITY OF HAWAII. THE QUEEN'S MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (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. QUEEN'S 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. QUEEN'S IS THE FIRST HOSPITAL IN HAWAII TO ACHIEVE MAGNET STATUS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
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 $81,025,000 FOR THE YEAR ENDED JUNE 30, 2010. SEE LINE 4C (SCHEDULE O ATTACHMENT 4) FOR A DETAILED EXPLANATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionThe Queen's Medical Center ("QMC") supports Native Hawaiian Health initiatives through many of its programs and services, particularly its Native Hawaiian Health Program (NHH). The focus areas of NHH include improvements in clinical outcomes, healthcare training, research, access and outreach. NHH conducts ongoing assessment and development of QMC programs and services focused on Native Hawaiians, including specific clinical programs in areas such as cardiology, oncology and behavioral health. QMC collaborates and partners to provide healthcare training and education opportunities to Native Hawaiian students and those committed to serving Native Hawaiian communities, for example, the Ulu Kukui Project, which is a pre-college science education program at Stevenson Middle School to promote excellence in science education and the pursuit of biomedical careers by Native Hawaiians and Pacific Islanders. In addition, NHH programs focus on quality improvement and increased access for Native Hawaiians to QMC and collaborate with the Native Hawaiian community in education, research, and community outreach. Through each of these areas of focus, 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 $81,025,000 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, 2010, THE ESTIMATED LOSSES FROM PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $2,628,000 AND $12,200,000 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 $8,640,000 FOR THE YEAR ENDED JUNE 30, 2010. 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 $3,843,000 FOR THE YEAR ENDED JUNE 30, 2010. 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 $5,776,000 IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2010. 5. RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $4,491,000 DURING THE YEAR ENDED JUNE 30, 2010 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, 2010 WERE $975,000. 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, 2010 WERE $1,259,000. 8. TRANSPORTATION SERVICES - QMC PROVIDES TRANSPORTATION TO AND FROM THE MEDICAL CENTER TO PATIENTS WHO REQUIRE ASSISTANCE. THE COST OF PROVIDING THESE SERVICES WAS $155,000 FOR THE YEAR ENDED JUNE 30, 2010. 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, 2010, LOSSES OF PROVIDING HEALTH AND WELLNESS EDUCATION WERE $404,000. 10. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2010, RESEARCH COSTS WERE $1,029,000. 11. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2010, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS WERE $859,000. 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, 2010, THE COSTS OF EMERGENCY PREPAREDNESS WERE $237,000. 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, 2010, COSTS INCURRED FOR THE ELECTRICAL GENERATOR PROJECT WERE $4,969,000. TOTAL PROJECT COSTS INCURRED AS OF JUNE 30, 2010 WERE APPROXIMATELY $33,669,000. 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 $28,398,000 DURING THE YEAR ENDED JUNE 30, 2010. 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 $2,949,000 during the year ended June 30, 2010. 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, 2010, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $84,000. 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, 2010, THESE PROGRAM COSTS TOTALED $1,029,000. 18. KINAU STREET OFF-RAMP IMPROVEMENT - 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, 2010, COSTS INCURRED FOR THE IMPROVEMENT PROJECT WERE $337,000. 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 $71,000 FOR THE YEAR ENDED JUNE 30, 2010. 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 Agencies INCLUDING THE HAWAII DEPARTMENT OF HEALTH, AND OTHER NONPROFIT Agencies THE FREE USE OF ITS FACILITIES AT THE QUEEN'S CONFERENCE CENTER. FOR THE YEAR ENDED JUNE 30, 2010, COSTS INCURRED FOR THE USE OF THE CENTER TOTAL $100,000. 21. JOB SHADOWING PROGRAM - QMC SPONSORS A JOB SHADOWING PROGRAM FOR STUDENTS IN THE STATE OF HAWAII. FOR THE YEAR ENDED JUNE 30, 2010, COSTS INCURRED FOR THE PROGRAM TOTAL $8,000. 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, 2010, these costs totaled $584,000.Description
FieldValueIRS element (for citing)
Total Program Service Expense605734693TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
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SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
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HospitaltrueHospital
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
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Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096487NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4140NumberOfEmployees
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
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 Number8085855272TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
NALEEN N ANDRADE MD
TRUSTEE1.0X000
PAUL S AOKI
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/TRUSTEE2.0X000
WILLIAM G OBANA MD
VICE CHAIR/TRUSTEE2.0X8784800
CAROLINE WARD ODA
TRUSTEE1.0X000
GARRETT K SERIKAWA
TRUSTEE1.0X000
ARTHUR A USHIJIMA
PRESIDENT/TRUSTEE65.0X0632384705434X
JULIA C WO
TRUSTEE1.0X000
ERIC K YEAMAN
TRUSTEE1.0X000
Peter Halford MD
Trustee & COS1.0X12272500
Robb Ohtani MD
Trustee1.0X4223800
SHARLENE K TSUDA
SECRETARY55.0020993454261X
MARK H YAMAKAWA
VICE PRESIDENT55.00535219119739X
PAULA YOSHIOKA
EXECUTIVE VP/CAO55.0347215060461X
Richard C Keene
Treasurer55.0047895166039X
Clinton Yee
Assistant Treasurer55.0164712030426X
Michael H Dang MD
Cardiovascular Surgeon60.0710837019801X
Cherylee W J Chang MD
Medical Director60.0540911029537X
DAVID J G FERGUSSON MD
CLINIC CARDIOLOGIST60.0462517018215X
CORY T MIYAMOTO MD
GASTROENTEROLOGY60.0443090026018X
Scott Raymond Shay MD
Medical Director60.046403805072X
RIX MAURER III
FORMER VP/TREASURER0.0488457023014X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3874588TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1856488TotalReportableCompFrmRltdOrgs
Total Other Compensation1158017TotalOtherCompensation
Number Individuals GT100 K611NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 OUTSOURCING10197588
UCERA
677 ALA MOANA BLVD STE 1025HONOLULUHI96813MEDICAL SERVICE9518206
HAWAII RESIDENCY PROGRAMS INC
1356 LUSITANA ST 510HONOLULUHI96813MEDICAL SERVICE8734780
Oracle USA Inc
PO Box 44471SAN FRANCISCOCA94144system implement2813834
SODEXHO MARRIOTT
1301 PUNCHBOWL STREETHONOLULUHI96813MANAGEMENT SERVICE4112160
FieldValueIRS element (for citing)
Number Of Contractors GT100 K98NumberOfContractorsGT100K
Fundraising Events17700FundraisingEvents
Related Organizations24059804RelatedOrganizations
All Other Contributions1585084AllOtherContributions
Total Contributions25662588TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE614441694614441694
INTERCO PURCHASED805880554070515610002651754
FieldValueIRS element (for citing)
Total Program Service Revenue622500499TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5094138TotalRevenueColumn
Unrelated Business Revenue-881697UnrelatedBusinessRevenue
Exclusion$5,975,835ExclusionAmount

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)
Real800239Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real800239Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column800239TotalRevenueColumn
Unrelated Business Revenue572UnrelatedBusinessRevenue
Exclusion$799,667ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19974046Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities14234861Securities
Other554013Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5739185Securities
Other-554013Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5185172TotalRevenueColumn
Exclusion$5,185,172ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events224175GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events17700CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses44088FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column180087TotalRevenueColumn
Exclusion$180,087ExclusionAmount

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 TAXABLE81230016818821470269211613
RESEARCH62150025184412518441
OTHER SERVICES621500472729515062323221063

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4425074TotalRevenueColumn
Related Or Exempt Function Income3909775RelatedOrExemptFunctionIncome
Unrelated Business Revenue515299UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue13352692TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column672775415TotalRevenueColumn
Related Or Exempt Function Income629253462RelatedOrExemptFunctionIncome
Unrelated Business Revenue5718604UnrelatedBusinessRevenue
Exclusion$12,140,761ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2689905Total
Program Services2689905ProgramServices

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)
Total775375Total
Program Services265109ProgramServices
Management And General510266ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total252367013Total
Program Services244724971ProgramServices
Management And General7642042ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26068746Total
Program Services24966983ProgramServices
Management And General1101763ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total26215081Total
Program Services25214055ProgramServices
Management And General1001026ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17624363Total
Program Services17072029ProgramServices
Management And General552334ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1461697Total
Program Services1190509ProgramServices
Management And General271188ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total387522Total
Program Services386999ProgramServices
Management And General523ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total22857Total
Program Services22857ProgramServices

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)
Total22380098Total
Program Services22217905ProgramServices
Management And General162193ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total727341Total
Program Services669886ProgramServices
Management And General57455ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total325305Total
Program Services204010ProgramServices
Management And General121295ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total249758Total
Program Services218554ProgramServices
Management And General31204ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13714268Total
Program Services13453897ProgramServices
Management And General260371ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total699458Total
Program Services497922ProgramServices
Management And General201536ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total910Total
Program Services910ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total10177640Total
Program Services10177640ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total31165468Total
Program Services17329740ProgramServices
Management And General13835728ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36917688Total
Program Services36862812ProgramServices
Management And General54876ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8279087Total
Program Services292178ProgramServices
Management And General7986909ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES102052159101845048207011100
PURCHASED SERVICES44331068431650851165983
BAD DEBT2997619929976199
LICENSE, PERMITS & FEES20155751749745265280550
EDUCATION229666122879558706

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9054506Total
Program Services8251790ProgramServices
Management And General755638ManagementAndGeneral
Fundraising47078Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total641975748Total
Program Services605734693ProgramServices
Management And General36193327ManagementAndGeneral
Fundraising47728Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25816BOY
EOY29034EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29735400BOY
EOY36260220EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY77313501BOY
EOY80241046EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7722961BOY
EOY8284333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7844144BOY
EOY9084695EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis609826776LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec366960345LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY258643848BOY
EOY242866431EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY332782289BOY
EOY411434750EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10384099BOY
EOY9072698EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74292211BOY
EOY84512243EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY798744269BOY
EOY881785450EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY180740975BOY
EOY209050265EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY294845000BOY
EOY286220000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY80758520BOY
EOY106245653EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY556344495BOY
EOY601515918EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY225923775BOY
EOY262843000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11375999BOY
EOY11475532EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5100000BOY
EOY5951000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY242399774BOY
EOY280269532EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY798744269BOY
EOY881785450EOY
FieldValueIRS element (for citing)
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 Totals22857FilingOrganizationsTotals
Affiliated Group Totals31942AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals22857FilingOrganizationsTotals
Affiliated Group Totals31942AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals605711836FilingOrganizationsTotals
Affiliated Group Totals660088389AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals605734693FilingOrganizationsTotals
Affiliated Group Totals660120331AffiliatedGroupTotals

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 Minus3352614CurrentYearMinus3
Current Year Minus2244324CurrentYearMinus2
Current Year Minus1134730CurrentYearMinus1
Current Year31942CurrentYear
Total763610Total

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 Balance6633813BeginningOfYearBalance
Contributions852775Contributions
Investment Earnings Or Losses386481InvestmentEarningsOrLosses
Grants Or Scholarships32281GrantsOrScholarships
Other Expenditures645226OtherExpenditures
End Of Year Balance7195562EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Basis18116519OtherCostOrOtherBasis
Book Value18116519BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis375992012OtherCostOrOtherBasis
Depreciation222750652Depreciation
Book Value153241360BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6548478OtherCostOrOtherBasis
Depreciation1564303Depreciation
Book Value4984175BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis188043992OtherCostOrOtherBasis
Depreciation136032826Depreciation
Book Value52011166BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21125775OtherCostOrOtherBasis
Depreciation6612564Depreciation
Book Value14513211BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings242866431TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS RESTRICTED FOR LT4424824
ASSETS LIMITED - BOND FUND11911678
INTANGIBLE - DEFERRED FINANCE.6757696
DUE FROM AFFILIATES61378560
DEFERRED RENT-UH TOWER39485
FieldValueIRS element (for citing)
Total Book Value Other Assets84512243TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$66,077,383
DUE TO GOVERNMENT$6,018,209
CAPITAL LEASE/OTHER OBLIGATION$3,852,622
TAXABLE COMMERCIAL PAPER$18,378,645
DUE TO GOVT REIMBURSEMENT$11,918,794
FieldValueIRS element (for citing)
Total Of Amounts106245653TotalOfAmounts
Total Revenue672775415TotalRevenue
Total Expenses641975748TotalExpenses
Excess Or Deficit For Year30799667ExcessOrDeficitForYear
Net Unrealized GL On Investments2330844NetUnrealizedGLOnInvestments
Other$4,739,247OtherAmount
Total Adjustments7070091TotalAdjustments
Excess Or Deficit Per FS37869758ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt644347506TotRevenueEtcAuditedFinclStmt
Other Revenues9663087OtherRevenues
Revenue Not Rptd F9909663087RevenueNotRptdF990
Revenue Subtotal634684419RevenueSubtotal
Other Revenues Not Included38090996OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt38090996RevenueNotRptdOnFinStmt
Total Revenue Per Form990672775415TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt637438534TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1827555OtherExpensesIncluded
Expenses Not Rptd F990-1827555ExpensesNotRptdF990
Expenses Subtotal639266089ExpensesSubtotal
Other Expenses Not Included2709659OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2709659ExpensesNotRptdOnFinStmt
Total Expenses Per Form990641975748TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8EQUITY IN SUBSIDIARIES 562,420 PENSION FAS 87 ADJUSTMENT (12,234,000) LOSS ON INTEREST RATE SWAP (8,097,684) OTHER THAN TEMPORARY GAIN ON INVESTMENT 24,508,511 -------------- 4,739,247
REVENUE BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XII, LINE 2DREVENUE FROM HAMAMATSU/QUEEN'S PET 3,890,768 ELIMINATION (5,796,396) NET ASSETS RELEASED FROM RESTRICTION 11,006,295 EQUITY IN SUBSIDIARIES 562,420 -------------- 9,663,087
REVENUE BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XII, LINE 4BINVESTMENT INCOME INCLUDED IN NONOPERATING INCOME 10,465,577 REVENUE - TEMP. RESTRICTED 4,119,628 LOSS FROM SALE OF EQUIPMENT INCLUDED IN NONOPER. INCOME (554,013) TRANSFERS FROM AFFILIATES 24,059,804 ------------- 38,090,996
EXPENSES BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XIII, LINE 2DEXPENSES FROM HAMAMATSU/QUEEN'S PET 2,991,903 ELIMINATION (4,819,458) ------------ (1,827,555)
EXPENSES BOOK TO TAX RECONCILIATIONSCHEDULE D, PART XIII, LINE 4BTRANSFERS TO AFFILIATES 1,830,555 DONATIONS INCLUDED IN NONOPERATING EXPENSE 859,350 NONOPERATING EXPENSE 19,754 ----------- 2,709,659
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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1benefit dinnerNameOfEvent1
Gross Receipts Event1241875GrossReceiptsEvent1
Charitable Contributions Event117700CharitableContributionsEvent1
Gross Revenue Event1224175GrossRevenueEvent1
Non Cash Prizes Event12718NonCashPrizesEvent1
Food And Beverage Event134981FoodAndBeverageEvent1
Entertainment Event12363EntertainmentEvent1
Other Direct Expenses Event14026OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total241875GrossReceiptsTotal
Charitable Contributions Total17700CharitableContributionsTotal
Gross Revenue Total Events224175GrossRevenueTotalEvents
Non Cash Prizes Total Events2718NonCashPrizesTotalEvents
Food And Beverage Total Events34981FoodAndBeverageTotalEvents
Entertainment Total Events2363EntertainmentTotalEvents
Other Direct Expenses Total Events4026OtherDirectExpensesTotalEvents
Direct Expense Summary Events44088DirectExpenseSummaryEvents
Net Income Summary180087NetIncomeSummary

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 BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2628000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2628000NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense99744000TotalCommunityBenefitExpense
Direct Offsetting Revenue71346000DirectOffsettingRevenue
Net Community Benefit Expense28398000NetCommunityBenefitExpense
Percent Of Total Expense0.04420PercentOfTotalExpense

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 Expense102372000TotalCommunityBenefitExpense
Direct Offsetting Revenue71346000DirectOffsettingRevenue
Net Community Benefit Expense31026000NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2847000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2847000NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6058000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6058000NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense18330000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense18330000NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1029000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1029000NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1043000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1043000NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense29307000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense29307000NetCommunityBenefitExpense
Percent Of Total Expense0.04560PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense131679000TotalCommunityBenefitExpense
Direct Offsetting Revenue71346000DirectOffsettingRevenue
Net Community Benefit Expense60333000NetCommunityBenefitExpense
Percent Of Total Expense0.09390PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense5543000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5543000NetCommunityBuildingExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense5543000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5543000NetCommunityBuildingExpense
Percent Of Total Expense0.00860PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,200,232BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare170957000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare173906000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2949000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaFor patients who are citizens of a foreign country who do not reside in the United States, QMC uses 125% of resident country's minimum wage.IncomeBasedCriteria
Annual Community Benefit ExplnCommunity benefits are reported annually as part of the Form 990. This is not separetely 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.AnnualCommunityBenefitExpln
Costing Method UsedThe 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).CostingMethodUsed
Subsidized Health Services ExplnThe Queen Emma Clinics provide comprehensive patient care to indigent patients and serve a large homeless population. The net costs associated with these clininc was $3.8 million.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnN/APercentOfTotalExpenseExpln
Bad Debt FootnoteThe 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 vale. 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.BadDebtFootnote
Shortfall As Community BenefitThe Medicare amounts above are calculated with data from the June 30, 2010 Medicare cost report. Consistent with cost report requirements, there are amounts that are excluded from the costs listed in line 6 above. When using a fully allocated cost calculation, the Medicare shortfall was approximately $37 million.ShortfallAsCommunityBenefit
Debt Collection PolicyEvery attempt is made before discharge to screen patients who have no documentation or evidence 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 assets 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.DebtCollectionPolicy
Number Of Facility Type ExplnN/ANumberOfFacilityTypeExpln
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.NeedsAssessment
Patient Education AssistanceQMC provides guidance and assistance to patients in applying potentially elibible patients to local, state, and/or federal health care programs. This includes contracting with outside vendors to assist with this process.PatientEducationAssistance
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.CommunityInformation
Community Building ActivitiesThe amounts in Part II 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.CommunityBuildingActivities
Other InformationQMC is the leading medical referral center in the Pacific Basin and is designated by the State of Hawaii as a Level II trauma center, both of which require a significant amount of resources to ensure the needs of the population are met. QMC is also approved to participate in residency training by the Accreditation Council for Graduate Medical Education, thus enabling it to contribute to the high quality of professional care in Hawaii and beyond.OtherInformation
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.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Aha Kane
PO Box 31303HonoluluHI96820270502942501(C)(3)8200Purchase of supplies for Men's Health Conference
Aloha Medical Mission
810 North Vineyard BlvdHONOLULUHI96817990234811501(C)(3)60000Sponsor Free Health Care Services
American Cancer Society
2370 Nuuanu AvenueHONOLULUHI96817131788491501(C)(3)6000Sponsor Multiple Fundraising Events
American Diabetes Association
875 Waimanu Street 601HONOLULUHI96813131623888501(C)(3)6000Sponsor Diabetes Annual Walk
American Heart Association
677 Ala Moana Blvd 600HONOLULUHI96813135613797501(C)(3)20000Sponsor Medical Symposium
American Red Cross
4155 Diamond Head RoadHONOLULUHI96816530916605501(C)(3)7500Haiti & American Samoa Disaster Relief
Bishop Museum
1525 BERNICE STREETHONOLULUHI96817990161980501(c)(3)90000Donation for Queen Emma Display Cases
Friends of Iolani Palace
PO Box 2259HonoluluHI96804990115665501(c)(3)5500Sponsor "Royal Garden Party"
Girl Scouts of Hawaii
420 Wyllie StreetHONOLULUHI96817990073488501(c)(3)6000Sponsor Woman of Distinction
Hawaii Academy of Science
1776 University Ave COE UHMHonoluluHI96822996006863501(c)(3)10000Sponsor Science & Engineering Fair
Hawaii Health Information Exchange
345 Queen Street 601HonoluluHI96813412201519501(c)(3)100000Contribution to Capital Campaign
Hawaii Medical Association
1360 South Beretania St 200HONOLULUHI96814990067306501(C)(3)6500Sponsor Medical Gala
Hawaii Pacific University
1060 Bishop St 400HONOLULUHI96813990113930501(C)(3)8000Contribution to President's Fund
Hina Mauka
45-845 Pookela StreetKaneoheHI96744990173356501(c)(3)5500Sponsor Walk and Benefit Dinner
Kapiolani Community College Health Sciences
4303 Diamond Head Road Ilima 212HONOLULUHI96816990085260501(c)(3)22500Native Hawaiian Health Training Scholarship Fund
Lunalilo Home
501 Kekauluohi StHONOLULUHI96825990075244501(c)(3)10000Support for Indigent Kapuna
Na Aikane O Pu'ukohola Heiau
P O Box 2470KamuelaHI96743990303698501(c)(3)8750Purchase of health screening supplies
St Andrew's Priory School
224 Queen Emma SquareHONOLULUHI96813990073525501(c)(3)7500Sponsor "The Queen Emma Ball" and Contribution
The Queen's Health System
1099 ALAKEA ST 1100HONOLULUHI96813990238120501(c)(3)1830555OPERATING GRANT TO AFFILIATE
University of Hawaii Foundation
2444 Dole St Bachman Hall Rm 105HONOLULUHI96822990085260501(c)(3)261000Sponsor Hawaii Nursing Simulation Center and Contributions
UH at Manoa Office of Research Services
2530 Dole StreetHONOLULUHI96822990085260501(c)(3)90000Ike Ao Pono / Native Hawaiian Health Initiative
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants83TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCEDURES FOR MONITORING GRANT FUNDSSCHEDULE I GRANTS AND OTHER ASSISTANCE, PART I, LINE 2The 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.
BISHOP MUSEUM DONATIONSCHEDULE I, PART IIIn Fiscal Year ended June 30, 2009, The Queen's Medical Center made a pledge commitment to Bishop Museum to contribute $90,000 over a period of eight years to sponsor the Queen Emma and King Kamehameha IV cases in Hawaiian Hall. In Fiscal Year ended June 30, 2009, The Queen's Medical Center accrued the first $10,000 payment, and reported the $10,000 on the 2008 tax year Form 990, Schedule I, Part II. In Fiscal Year ended June 30, 2010, The Queen's Medical Center accrued the remaining $80,000 and reported this on the 2009 tax year Schedule I, Part II. In Fiscal Year ended June 30, 2010, The Queen's Medical Center also made two additional donations to Bishop Museum of $5,000 each, for other charitable purposes.

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 (12 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 OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RIX MAURER III
4536601035180339573023014000511471000
SHARLENE K TSUDA
0167681024723017530030121024140026419500
ARTHUR A USHIJIMA
05851050004727906292840761500133781800
MARK H YAMAKAWA
0422305080239032675068802050937065495800
PAULA YOSHIOKA
2930590343940197620233050371560407676000
Richard C Keene
0397770064957016224024215041824054499000
Clinton Yee
15659007020011020142070162190195138000
Michael H Dang MD
631359065000014478094570103440730638000
Cherylee W J Chang MD
462369065172013370020482090550570448000
DAVID J G FERGUSSON MD
4069860555310009457087580480732000
CORY T MIYAMOTO MD
3756630667030724020482055360469108000
Scott Raymond Shay MD
464038000000050720469110000

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: 50 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 the President & Chief Executive Officer of The Queen's Health Systems (parent company) and as the President of QMC. The compensation listed on FORM 990 PART VII is his total compensation for his various services.
Mark YamakawaFORM 990 PART VIIMark Yamakawa AVERAGE HOURS PER WEEK: 8 hours per week - QMC 55 hrs per week - QHS & affiliates Mr. Yamakawa serves as QHS EVP & COO (parent company), QMC VP, President of QDC and President of QEL. He is not separately compensated for these various services. The compensation listed on FORM 990 PART VII is his total compensation for his various 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 Queen's Health Systems (parent company), QEL Treasurer and MGH Treasurer. He is not separately compensated for these services. The compensation listed on FORM 990 PART VII is his total compensation for his various 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 QHS VP/Secretary (parent company) and QMC Secretary. She is not separately compensated for these various services. The compensation listed on FORM 990 PART VII is her total compensation for her various 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 EVP/CAD of QDC. She is not separately compensated for these services. The compensation listed on Form 990 Part VII is her total compensation for her various 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 THOSE SERVICES. DR. OBANA'S COMPENSATION IS FOR HIS ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER.
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 THOSE SERVICES. DR. HALFORD'S COMPENSATION IS FOR HIS SERVICES AS THE CHIEF OF STAFF AND ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER.
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 THOSE SERVICES. DR. OHTANI'S COMPENSATION IS FOR HIS ON-CALL SPECIALTY SERVICES AT THE QUEEN'S MEDICAL CENTER.
Discretionary spending accountSCHEDULE J Part I line 1aDiscretionary spending account payments are made to certain executives of QMC in lieu of reimbursement for expenses and are included in taxable income of the recipient. The following individual received discretionary spending account payment in 2009: Paula Yoshioka - $15,000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Department of Budget & Finance State of Hawaii
990266961419800FB82003-12-11114300000ADVANCE REFUNDINGfalsefalse
DEPARTMENT OF BUDGET & FINANCE STATE OF HAWAII
990266961419800FR32006-03-16144875000Multipurpose Issuefalsefalse
DEPARTMENT OF BUDGET & FINANCE STATE OF HAWAII
990266961419800HT72009-05-0678670000ADVANCE REFUNDINGfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
114300000000466795829221702003falsetruetruetrue
1492375840044248243463358517042876594210truefalsefalse
786700000001244547002009truefalsetruetrue

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 EngagedfalseBondCounselRoutinelyEngaged
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 HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
BOA Merrill Lynch
falsetruetrue25.6falsefalsefalse
BOA Merrill Lynch
falsetruetrue17.2falsefalsefalse
(no name)
falsetruefalsefalsefalsefalse

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 Transaction344390AmountOfTransaction
Description Of Transactionsee schedule o for descriptionDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

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 11AThe 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 does not make its governing documents, conflict of interest policy or financial statements available to the public.
Business Transactions Involving Interested PersonEric 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 $344,390.Schedule L, Part IV, (d) Description of Transaction:
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 advance refund a portion of the 1998 bond series issued on July 1, 1998 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 advance refund the 2003C and 2006C bond series issued December 11, 2003 and March 16, 2006, respectively. The Form 8038 filed with the Internal Revenue Service for this issue indicates an incorrect principal amount of $78,760,000. 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. Proceeds from the 2003 Issue included $3,276,390 of credit enhancement fees and $1,391,568 of bond issue costs. Proceeds from the 2006 Issue included $2,193,032 of credit enhancement fees and $1,270,326 of bond issue costs. Proceeds from the 2009 Issue included $236,880 of credit enhancement fees and $1,007,667 of bond issue costs.

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)
1099 ALAKEA STREET SUITE 1100HONOLULUHI96813990238120ADMIN SERVICEHI501(c)(3)11 TYPE INA
QUEEN EMMA LAND COMPANY
1099 ALAKEA STREET SUITE 1100HONOLULUHI96813990183769SUPPORT 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 Line1QMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TyperelatedPredominantIncomeType
Share Of Total Income755473ShareOfTotalIncome
Share Of EOY Assets7590768ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

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
1099 ALAKEA STREET SUITE 1100HONOLULUHI96813990240109DEVELOPMENTHINAC CORP
QUEEN'S INSURANCE EXCHANGE INC
1099 ALAKEA STREET SUITE 1100HONOLULUHI96813911913839INSURANCEHINAINSURANCE CORP
DIAGNOSTIC LABORATORY SERVICES INC
650 Iwilei Road Suite 300HONOLULUHI96817990240499MEDICAL LAB SvcsHINAC 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 OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
THE QUEEN'S HEALTH SYSTEMS
B1830556
QUEEN EMMA LAND COMPANY
c24059804
THE QUEEN'S DEVELOPMENT CORP & SUBS
I1938451
Diagnostic Laboratory Services Inc
I1155786
QUEEN EMMA LAND COMPANY
J384070
THE QUEEN'S DEVELOPMENT CORP & SUBS
J2181395
THE QUEEN'S HEALTH SYSTEMS
O13835728
Diagnostic Laboratory Services Inc
O11824701
Molokai General Hospital
P665067
QUEEN EMMA LAND COMPANY
P921
THE QUEEN'S HEALTH SYSTEMS
P468078
THE QUEEN'S DEVELOPMENT CORP & SUBS
P1309751