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Nonprofiteer
← QUEENS NORTH HAWAII COMMUNITY HOSPITAL

Form 990 for tax year 2022

Filed by QUEENS NORTH HAWAII COMMUNITY HOSPITAL.

Totals

Total revenue
$99,519,250
Total expenses
$94,897,769
Contributions and grants received
$1,886,064
Grants paid
$0
Program service revenue
$94,282,675
Investment income
$526,504
Other revenue
$2,824,007
Total assets, end of year
$229,183,587
Total liabilities, end of year
$116,629,927
Net assets or fund balances, end of year
$112,553,660
Program services expenses (Part IX)
$70,624,945
Management and general expenses
$24,167,581
Fundraising expenses
$105,243
Program service expenses (Part III)
$70,624,945

Program services were 74.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $837,371

  • 1f · All other contributions, gifts and grants

    $1,048,693

  • 1g · Noncash contributions included above

    $56,058

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $89,778,680 · related or exempt $89,778,680

  • 2b · Program service revenue: STATE OF HI SUSTAINABILITY

    total $4,049,268 · related or exempt $4,049,268

  • 2c · Program service revenue: COVID TESTING

    total $258,376 · related or exempt $258,376

  • 2d · Program service revenue: INTERCOMPANY INCOME

    total $196,351 · related or exempt $196,351

  • 3 · Investment income

    total $524,240 · unrelated business $39,539 · excluded $484,701

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $330,974

  • 6c · Rental income or loss

    real property $330,974 · personal property $0

  • 6d · Net rental income or loss

    total $330,974 · excluded $330,974

  • 7a · Gross sales of assets other than inventory

    securities $264 · other assets $2,000

  • 7c · Gain or loss

    securities $264 · other assets $2,000

  • 7d · Net gain or loss

    total $2,264 · excluded $2,264

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: VENDING MACHINE/CAFETERIA

    total $253,000 · excluded $253,000

  • 11b · Other revenue: HMSA PAYMENT - RELOCATION

    total $67,500 · related or exempt $67,500

  • 11c · Other revenue: ASSETS RELEASED FROM RESTRICTION

    total $1,923,961 · related or exempt $1,923,961

  • 11d · All other revenue

    total $248,572 · related or exempt $248,572

  • 11e · Other revenue, total

    $2,493,033

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $72,434 · management and general $72,434

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $37,510,065 · program services $31,491,794 · management and general $5,944,732 · fundraising $73,539

  • 8 · Pension plan contributions

    total $927,062 · program services $823,547 · management and general $101,174 · fundraising $2,341

  • 9 · Other employee benefits

    total $3,792,774 · program services $2,587,494 · management and general $1,192,364 · fundraising $12,916

  • 10 · Payroll taxes

    total $2,093,624 · program services $1,646,474 · management and general $441,768 · fundraising $5,382

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $238,824 · management and general $238,824

  • 11c · Fees: accounting

    total $44,586 · management and general $44,586

  • 11d · Fees: lobbying

    total $8,864 · management and general $8,864

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $755 · management and general $755

  • 11g · Fees: other

    total $11,167,266 · program services $9,436,816 · management and general $1,721,023 · fundraising $9,427

  • 12 · Advertising and promotion

    total $46,388 · program services $1,083 · management and general $45,305

  • 13 · Office expenses

    total $1,600,937 · program services $1,324,212 · management and general $275,973 · fundraising $752

  • 14 · Information technology

    total $296,778 · program services $27,274 · management and general $269,475 · fundraising $29

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $3,511,783 · program services $613,121 · management and general $2,898,662

  • 17 · Travel

    total $174,608 · program services $140,695 · management and general $33,913

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $126,508 · program services $49,601 · management and general $76,907

  • 20 · Interest

    total $694,389 · management and general $694,389

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $6,300,997 · program services $5,541,091 · management and general $759,906

  • 23 · Insurance

    total $1,116,533 · management and general $1,116,533

  • 24a · Other expenses: SUPPLIES

    total $14,326,255 · program services $14,145,571 · management and general $180,684

  • 24b · Other expenses: PROVIDER TAX

    total $1,520,040 · program services $1,520,040

  • 24c · Other expenses: INTERCOMPANY PAYMENTS

    total $7,009,797 · management and general $7,009,797

  • 24d · Other expenses: UBI TAX

    total $12,291 · program services $12,291

  • 24e · All other expenses

    total $2,304,211 · program services $1,263,841 · management and general $1,039,513 · fundraising $857

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $13,985,370 · end of year $8,284,869

  • 2 · Savings and temporary cash investments

    beginning of year $7,295,491 · end of year $3,327,339

  • 3 · Pledges and grants receivable

    beginning of year $2,918,160 · end of year $1,943,824

  • 4 · Accounts receivable

    beginning of year $9,448,056 · end of year $13,389,281

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $1,719,536 · end of year $2,087,665

  • 9 · Prepaid expenses and deferred charges

    beginning of year $518,823 · end of year $685,026

  • 10a · Land, buildings and equipment: cost or other basis

    $126,817,715

  • 10b · Land, buildings and equipment: accumulated depreciation

    $56,024,638

  • 10c · Land, buildings and equipment, net

    beginning of year $70,047,768 · end of year $70,793,077

  • 11 · Investments: publicly traded securities

    beginning of year $710,621 · end of year $709,164

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $135,571,417 · end of year $127,963,342

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,738,307 · end of year $8,476,152

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $4,403,294 · end of year $4,150,399

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $51,416,440 · end of year $51,474,840

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $60,867,971 · end of year $52,528,536

  • 27 · Net assets without donor restrictions

    beginning of year -$18,876,069 · end of year -$13,310,230

  • 28 · Net assets with donor restrictions

    beginning of year $133,665,299 · end of year $125,863,890

Mission and programs · 2022

Mission

ACUTE CARE HOSPITAL WITH THE MISSION TO IMPROVE HEALTH AND WELLNESS OF THE PEOPLE OF NORTH HAWAII.

Activities or mission (Part I)

ACUTE CARE HOSPITAL WITH THE MISSION TO TO IMPROVE HEALTH AND WELLNESS OF THE PEOPLE OF NORTH HAWAII.

  • QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (THE HOSPITAL), LOCATED IN KAMUELA, HAWAII ON THE ISLAND OF HAWAII, IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS AND VISITORS OF NORTH HAWAII. THE HOSPITAL WAS CHARTERED IN NOVEMBER 1987 AND COMMENCED OPERATIONS IN MAY 1996. THE HOSPITAL IS CURRENTLY LICENSED FOR 35 BEDS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. THE NUMBER OF PATIENTS SERVED FROM 7/1/2022 - 6/30/2023 THROUGH OUTPATIENT VISITS WAS 101,175 AND THE NUMBER OF ADMISSIONS WAS 1,903. SEE SCHEDULE O FOR MORE INFORMATION.

    Expenses $70,624,945 · Revenue $96,522,708

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JILL HOGGARD GREEN

    TRUSTEE/CHAIR

    Total calculated
    $1,994,645
    From this org
    $0
    From related orgs
    $1,709,743
    Other
    $284,902
    Hours/week
    3 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,166,644 related
    Bonus
    $0 + $535,575 related
    Other
    $0 + $7,524 related
    Deferred
    $0 + $267,373 related
    Nontaxable benefits
    $0 + $17,529 related
    Filer's total
    $0 + $1,994,645 related
  • JASON CHANG

    TRUSTEE

    Total calculated
    $1,082,567
    From this org
    $0
    From related orgs
    $951,232
    Other
    $131,335
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $692,791 related
    Bonus
    $0 + $257,631 related
    Other
    $0 + $810 related
    Deferred
    $0 + $106,493 related
    Nontaxable benefits
    $0 + $24,842 related
    Filer's total
    $0 + $1,082,567 related
  • CYNTHIA KAMIKAWA

    PRESIDENT/TRUSTEE

    Total calculated
    $611,634
    From this org
    $0
    From related orgs
    $563,181
    Other
    $48,453
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,261 related
    Bonus
    $0 + $107,062 related
    Other
    $0 + $6,858 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $16,428 related
    Filer's total
    $0 + $611,634 related
  • SHARLENE TSUDA

    FORMER OFFICER

    Total calculated
    $292,551
    From this org
    $0
    From related orgs
    $285,577
    Other
    $6,974
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $285,577 related
    Deferred
    $0 + $6,969 related
    Nontaxable benefits
    $0 + $5 related
    Filer's total
    $0 + $292,551 related
  • MONEY ATWAL

    TREASURER

    Total calculated
    $259,182
    From this org
    $0
    From related orgs
    $227,419
    Other
    $31,763
    Hours/week
    45 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,531 related
    Bonus
    $0 + $19,867 related
    Other
    $0 + $1,021 related
    Deferred
    $0 + $13,902 related
    Nontaxable benefits
    $0 + $17,861 related
    Filer's total
    $0 + $259,182 related
  • TONI KALAULI

    DIRECTOR OF NURSING

    Total calculated
    $201,800
    From this org
    $188,173
    From related orgs
    $0
    Other
    $13,627
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,056
    Bonus
    $16,310
    Other
    $807
    Deferred
    $5,063
    Nontaxable benefits
    $8,564
    Filer's total
    $201,800
  • WAYNE HIGAKI

    ASST ADMIN, FUND DEV & SUP SVC

    Total calculated
    $190,690
    From this org
    $177,315
    From related orgs
    $0
    Other
    $13,375
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,572
    Bonus
    $0
    Other
    $10,743
    Deferred
    $4,720
    Nontaxable benefits
    $8,655
    Filer's total
    $190,690
  • MARY OHIA

    DIRECTOR - QUALITY & RISK

    Total calculated
    $187,678
    From this org
    $165,871
    From related orgs
    $0
    Other
    $21,807
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,729
    Bonus
    $14,110
    Other
    $2,032
    Deferred
    $5,368
    Nontaxable benefits
    $16,439
    Filer's total
    $187,678
  • YOWANDA GRAHAM-CORTEZ

    DIRECTOR - AMBULATORY

    Total calculated
    $182,774
    From this org
    $161,166
    From related orgs
    $0
    Other
    $21,608
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,337
    Bonus
    $21,406
    Other
    $423
    Deferred
    $4,921
    Nontaxable benefits
    $16,687
    Filer's total
    $182,774
  • CARROL MARTIN

    NURSE

    Total calculated
    $173,265
    From this org
    $160,206
    From related orgs
    $0
    Other
    $13,059
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,624
    Bonus
    $0
    Other
    $5,582
    Deferred
    $4,812
    Nontaxable benefits
    $8,247
    Filer's total
    $173,265
  • SHARIANN GONSALVES

    SECRETARY

    Total calculated
    $79,043
    From this org
    $70,600
    From related orgs
    $0
    Other
    $8,443
    Hours/week
    40
  • ROBERT HASTINGS II

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • NEIL KUYPER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • RICHARD LEVY PHD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • KAHU BILLY MITCHELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • ROBERT MOMSEN

    TRUSTEE - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • JENAI WALL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 8 related
  • KYLE CHOCK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • ROBERT DEAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. QHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND STUDY, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4A
THE TERMS OF THE SEVERANCE AGREEMENT ARE SUBJECT TO A NON-DISCLOSURE AGREEMENT.
SCHEDULE J, PART I, LINE 7
OTHER NON-FIXED PAYMENTS RECOGNITION AWARDS WERE PAID TO EMPLOYEES BASED ON ACCOMPLISHMENTS OF PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND DEFINED ELIGIBILITY OF THE EMPLOYEE. RECOGNITION AWARDS ARE DISCRETIONARY AND CONSIDER QUALITY THRESHOLDS WHICH INCLUDE ANNUAL ACCREDITATION AND MINIMUM OPERATING INCOME LEVEL CRITERIA. IN ADDITION, EXECUTIVE AWARDS ARE WEIGHTED BASED ON INDIVIDUAL GOALS ESTABLISHED FOR EACH EXECUTIVE.
SCHEDULE J, PART II & FORM 990, PART VII
COMPENSATION PAID FOR SERVICES JILL HOGGARD GREEN MS. HOGGARD GREEN SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MS. HOGGARD GREEN ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) AND CHAIR OF QUMG, MGH, QEL AND NHCH. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR HER VARIOUS SERVICES. CYNTHIA KAMIKAWA MS. KAMIKAWA SERVES AS VP OF QHS AND AS PRESIDENT AND TRUSTEE OF QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ("NHCH"). SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. JASON CHANG MR. CHANG SERVES AS EVP, INNOVATION & STRATEGY FOR THE QUEEN'S HEALTH SYSTEMS AND PRESIDENT OF QUEEN'S INNOVATION INSTITUTE, TRUSTEE OF QEL, MGH AND NHCH. HE ALSO SERVED AS COO OF QHS, PRESIDENT/TRUSTEE OF QMC AND QUMG THROUGH JANUARY 2023. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. SHARLENE TSUDA MS. TSUDA SERVED AS SECRETARY FOR QHS, QMC AND NHCH AND VP OF COMMUNITY DEVELOPMENT OF QHS THROUGH NOVEMBER 2020. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. MONEY ATWAL MR. ATWAL SERVES DIRECTOR OF FINANCE AND INFORMATION TECHNOLOGY FOR MOLOKAI GENERAL HOSPITAL ("MGH") AND NHCH AND TREASURER OF NHCH. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202421309349305262

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