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.
-
501(c)(3) · SUPPORT · HI
Directly controlled by NA
-
501(c)(3) · PROPERTY MGMT · HI
Directly controlled by NA
-
501(c)(3) · ADMIN SERVICE · HI
Directly controlled by NA
-
501(c)(3) · SUPPORT SVCS · HI · controlled entity
Directly controlled by QHS
-
501(c)(3) · MEDICAL SVCS · HI · controlled entity
Directly controlled by QHS
-
501(c)(3) · MEDICAL SVCS · HI · controlled entity
Directly controlled by QHS
-
QUEEN'S UNIVERSITY MEDICAL GROUP
501(C)(3) · MEDICAL SVCS · HI · controlled entity
Directly controlled by QHS
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.
-
HAMAMATSUQUEEN'S PET IMAGING CENTER LL
PET IMAGING · HI
Directly controlled by NA
-
PRIMARY CARE PHYSICIAN ENTERPRISE LLC
MEDICAL SERVICES · HI
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
THE QUEEN'S DEVELOPMENT CORPORATION
C Corp · DEVELOPMENT · HI · controlled entity
Directly controlled by NA
-
C Corp · INSURANCE · HI · controlled entity
Directly controlled by NA
-
DIAGNOSTIC LABORATORY SERVICES INC
C Corp · MEDICAL LAB SVCS · HI · controlled entity
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421309349305262
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