2026-05-14T07:29:16+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 370 17th Street DENVER CO 80202 990 2024-07-01 990073524 THE QUEEN'S MEDICAL CENTER QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 TIM PANKS TREASURER 8085389011 2026-05-14 true true Andrew Jameson P01894820 7209314000 2026-05-07 2024 2025-03-06 01:10:19Z JASON CHANG 1301 PUNCHBOWL STREET HONOLULU HI 96813 3110904984 false X https://www.queens.org X 1859 HI TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. 20 16 6663 230 13338138 0 76632753 86739646 1550574167 1662831070 78205840 47897929 45759120 64211071 1751171880 1861679716 4737746 3043495 0 717522988 776401380 0 651556 807255794 864436132 1529516528 1643881007 221655352 217798709 4798755665 5760579747 3006267646 3672031462 1792488019 2088548285 X THE 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 THE PEOPLE OF HAWAII. true false 1577988404 3043495 1707813628 THE 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. SEE SCHEDULE O FOR MORE INFORMATION. 1577988404 true true false true false false false false false true true true false true true true false true false false false false false false false false true true true false true false false false false false false false false false false true true false false true true true true false false true X 0 0 6663 true true true false false false false false false false false false false false X 20 16 false false false false true true true true true false false false true false false false false false false false true true X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 GEORGE R BRUNO MD PRESIDENT/TRUSTEE - PART YEAR 40.0 15.0 X X 0 848823 144989 JASON CHANG PRESIDENT/TRUSTEE 25.0 40.0 X X 0 1163577 199084 JENAI WALL TRUSTEE/CHAIR - PART YEAR 1.0 4.0 X X 0 0 0 PATRICK CHING TRUSTEE / CHAIR 1.0 6.0 X X 0 0 0 A CATHERINE NGO TRUSTEE 1.0 1.0 X 0 0 0 CAMERON NEKOTA TRUSTEE 1.0 2.0 X 0 0 0 DANIEL CHUN TRUSTEE 1.0 1.0 X 0 0 0 JAN SULLIVAN TRUSTEE 1.0 1.0 X 0 0 0 JILL HOGGARD GREEN TRUSTEE - 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NONPUBLIC 570328353 F 570328353 DUE FROM AFFILIATES 3483082724 OTHER ASSETS RESTRICTED FOR LT 269375 ROU ASSETS 9206802 PENSION PLAN ASSET 4354255 RENT RECEIVABLE 209174 3497122330 Federal Income Taxes DUE TO AFFILIATES 3158830445 INTERCOMPANY - TAX EXEMPT BOND LIABILITY 233538347 TAIL LIABILITY 619 DUE TO GOVERNMENT 81153936 PENSION LIABILITY 531198 3474054545 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE QUEEN'S MEDICAL CENTER USES THE EARNINGS ON PERMANENTLY ENDOWED INVESTMENTS FOR THE PURPOSES INTENDED BY THE DONORS OF THESE FUNDS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2025. true true X true X 250 true X 2792826 0 2792826 0.00170 154817209 125622733 29194476 0.01776 0 0.0 0 0 157610035 125622733 31987302 0.01946 33794961 0 33794961 0.02056 24808182 0 24808182 0.01509 15419078 12778202 2640876 0.00161 1883313 0 1883313 0.00115 2889481 2889481 0.00176 0 0 78795015 12778202 66016813 0.04016 0 0 236405050 138400935 98004115 0.05962 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 73485532 73485532 428264362 480127836 -51863474 X true true 5 1 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 WWW.QUEENS.ORG 29-H X X X X X A 4 THE QUEEN'S MEDICAL CENTER - WEST OAHU 91-2141 FORT WEAVER ROAD EWA BEACH HI 96706 WWW.QUEENS.ORG 29-H-WO X X X A 2 THE QUEEN'S MEDICAL CENTER - WAHIAWA 128 LEHUA STREET WAHIAWA HI 96786 WWW.QUEENS.ORG 9-H X X B 5 THE QUEEN'S MEDICAL CENTER - KAHI MOHALA 91-2301 OLD FORT WEAVER ROAD EWA BEACH HI 96706 WWW.QUEENS.ORG 33-H X C 3 THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU 347 N KUAKINI STREET 7TH FLOOR HONOLULU HI 96817 WWW.QUEENS.ORG 29-H-HPM X A A 3 false false true X X X X X X X X X 24 true true true true X www.queens.org/about/community-benefit-qhs/ (CHNA FOR QMC ALSO APPLIES TO HALE PALAMA MAU) X true 24 true www.queens.org/about/community-benefit-qhs/ (CHIP FOR QMC ALSO APPLIES TO HALE PALAMA MAU) false true X 250.0 400.0 X X X X X X true true X X X X true X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X X X X X X X true X false X X X X true X false false B 1 false true true X X X X X X X X X 24 true true true true X WWW.QUEENS.ORG/ABOUT/COMMUNITY-BENEFIT-QHS/ X true 24 true WWW.QUEENS.ORG/ABOUT/COMMUNITY-BENEFIT-QHS/ false true X 250.0 450.0 X X X X X X true true X X X X true X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X X X X X X X true X false X X X X true X false false C 1 false true false false true X 250.0 450.0 X X X X X X true true X X X X true X HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/ X HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/ X HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility reporting group A. COMMUNITY MEETINGS - ORGANIZATIONS THROUGHOUT THE STATE, CALLED "COMMUNITY CONNECTORS," HELPED TO REACH INDIVIDUALS FROM KEY COMMUNITIES FOR GROUP TALK STORY SESSIONS. THESE ORGANIZATIONS WERE INVALUABLE PARTNERS, EACH TRUSTED AND RECOGNIZED WITHIN THEIR TARGET COMMUNITIES, AND WILLING BOTH TO PROVIDE INPUT FROM THEIR OWN WORK AS WELL AS CREATE SPACE AND ENCOURAGE THEIR CLIENTS, PARTNERS, STAFF, AND STAKEHOLDERS TO PARTICIPATE. EACH MEETING FOCUSED ON BOTH A GEOGRAPHIC REGION AND EITHER AN ETHNIC COMMUNITY OR A VULNERABLE POPULATION. The Research Team conducted or participated in 8 community meetings in 2024 and 16 meetings in 2021. These consisted of a mixture of joining existing meetings of organizations, gathering in smaller groups of either community members or their front-line service providers, and hosting events in-person and virtually. When appropriate and at the encouragement of the community connector, meetings were conducted in the spaces where members of that community are accustomed to gathering, and refreshments were provided to encourage a relaxed environment. Whether virtually or in person, meetings were generally approximately 90 minutes and included anywhere from 2 to 20 participants. Participants were primarily members of "communities of need", or target subpopulations, and/or service providers doing frontline work with those respective communities. A list of Community Meeting for 2021 and 2024 is included as Appendix E OF THE CHNA. Key Informant Interviews - The Research Team conducted 42 key informant interviews with individuals in key stakeholder positions able to provide input and insight on behalf of a target population. These interviews with organizational leaders serving stakeholder communities were typically one on one between an interviewer and a key informant, lasting anywhere from 45 to 90 minutes. Interviews included representation from a wide variety of stakeholder groups, including the sponsoring Hawaii hospitals, individuals and organizations working in public health, Federally Qualified Health Centers (FQHCs), Native Hawaiian health centers, community clinics, community-based organizations doing health-related work, community-based organizations working in the areas of upstream determinants, community-based organizations specializing in working with particular subpopulations, recognized community leaders in hard to reach communities, and many that were referred as critical experts or community leaders throughout the CHNA process. Appendix F OF THE CHNA includes the list of 2024 key informants, as well as the discussion outline used in the interviews. Community Advisory Committee (CAC) - The Community Advisory Committee (CAC) was composed of community leaders serving various target communities with representation from all counties. CAC members were especially generous with their time, input, and expertise throughout the process. In addition to being key informants, they also participated in meetings during the last phase of the assessment and report and helped to make critical connections where there were gaps, ensure that things were ground-truthed with what they saw in their communities, and provided input as to how the priorities could be helpful both within the clinical and community-based contexts. Finally, the CAC helped develop the final priorities and ensure that the Significant Health Needs, 2024 priorities, and additional lenses around disasters that have had a significant impact on community health, all work together to paint the current picture of the community health needs. The rich input of this assessment, and the recommendation for future partnership opportunities, owe much to the invaluable input and support of the CAC members. Members are included in Appendix D OF THE CHNA. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility reporting group A. TWENTY-SIX HEALTHCARE ASSOCIATION OF HAWAII (HAH) MEMBER HOSPITALS CONTRIBUTED TO THE PRODUCTION OF THIS CHNA: ADVENTIST HEALTH CASTLE Hawaii State Hospital Hilo Benioff Medical Center KAHUKU MEDICAL CENTER KAISER FOUNDATION HOSPITAL - HONOLULU KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN Ka'U Hospital Kauai Veterans Memorial Hospital (KVMH) Kona Community Hospital KUAKINI MEDICAL CENTER KULA HOSPITAL LANA'I COMMUNITY HOSPITAL LEahi Hospital MAUI MEMORIAL MEDICAL CENTER MOLOKAI GENERAL HOSPITAL QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL PALI MOMI MEDICAL CENTER THE QUEEN'S MEDICAL CENTER THE QUEEN'S MEDICAL CENTER - WEST O'AHU THE QUEEN'S MEDICAL CENTER - KAHI MOHALA (FKA SUTTER HEALTH KAHI MOHALA) THE QUEEN'S MEDICAL CENTER - WAHIAWA (FKA WAHIAWA GENERAL HOSPITAL) REHABILITATION HOSPITAL OF THE PACIFIC Samuel Mahelona Memorial Hospital SHRINERS HOSPITALS FOR CHILDREN - HONOLULU STRAUB MEDICAL CENTER WILCOX MEMORIAL MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility reporting group A. THE HEALTHCARE ASSOCIATION OF HAWAII PARTNERED WITH SOLUTIONS PACIFIC AND WARD RESEARCH TO CONDUCT A CHNA FOR THE STATE OF HAWAII. IN ADDITION, THE REPORT INVOLVED NUMEROUS OTHER HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT WERE ABLE TO RESPOND TO THE HEALTHCARE NEEDS IN THE COMMUNITY. THESE RESOURCES ARE LISTED ON PAGE 337 OF THE CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility reporting group A. THE 2024 PRIORITIES OF THE HAWAII COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE FINANCIAL SECURITY, FOOD SECURITY, HOUSING, MENTAL AND BEHAVIORAL HEALTH, ACCESS TO HEALTHCARE. MOLOKAI GENERAL HOSPITAL PLANS TO ADDRESS THESE NEEDS WITH ITS IMPLEMENTATION STRATEGY: Goal #1: Identify and address patients with Social Determinants of Health (SDoH) and other disparities to support overall health and well-being - Develop standardized SDoH screening tools. - Strategically partner to address and refer patients to appropriate community resources. - Identify grants and funding to support early preventative screening, earlier detection of disease, and/or earlier access to treatment. Goal #2: Keep care local and close to home to improve access to culturally responsive care - Expand and grow clinical networks based on regional strategic plans. - Commit provider resources as available to rotate and service strategic locations in neighbor island communities. Goal #3: Innovate, research, and partner to accelerate the development of our capability and capacity to provide high-quality care for all - Expand the traditional definition of care within a health system to include new capacity care activities: 1) Pre-hospital care 2) Early diagnosis intervention and treatment 3) Working directly with clinical experts to manage ongoing care in the community - Expand Information Technology (IT) capabilities to reach rural communities. - Enhance partnerships and collaborations with third-party vendors and contractors to manage clinical efficiencies, cost structures, and resource management. - Expand research to learn, design, and improve clinical protocols and accessibility to culturally responsive care. Goal #4: Invest in the development and well-being of today's workforce, and build future leaders and clinicians to support the diverse needs and cultural preferences of patients in the community - Support the health, well-being, and development of caregivers who care for patients. - Strengthen culturally responsive patient-centric care. - Formal training and education: 1) Strengthen financial investments in partnership with UH JABSOM and Hawaii Residency Programs to manage assigned FTEs sponsored by QHS. 2) Develop and expand faculty and training location support. - Build relationships to engage students earlier, and develop knowledge, relationships, and capacity. - Establish connections with learners, especially those from underserved communities to build a pipeline into the health care industry. NEEDS NOT ADDRESSED FOR OTHER AREAS NOT DIRECTLY ADDRESSED, QUEEN'S MEDICAL CENTER RECOGNIZES THE IMPORTANCE OF THESE NEEDS AND HAS SUPPORTED EFFORTS TO ADDRESS MANY OF THEM. ALTHOUGH QMC WILL NOT DIRECTLY BE ADDRESSING ALL AREAS OF NEED, WE HAVE SUPPORTED AND PARTNERED WITH OTHERS TO ADDRESS SEVERAL OF THEM AND WILL CONTINUE TO SUPPORT OPPORTUNITIES TO ADDRESS COMMUNITY HEALTH NEEDS IN COLLABORATION WITH OTHERS. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Facility reporting group A. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Facility reporting group A. MEDICARE OR MEDICAID/QUEST ELIGIBILITY Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Facility reporting group A. NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION. Schedule H, Part V, Section B, Line 2 THE QUEEN'S MEDICAL CENTER - WAHIAWA WAS ACQUIRED ON APRIL 2, 2024. IT BEGAN PROVIDING PATIENT CARE ON MAY 28, 2024. THE HOSPITAL WAS PREVIOUSLY LICENSED BY THE STATE OF HAWAII. THE STATE RE-ISSUED ITS LICENSE UNDER ITS NEW OWNERSHIP IN MAY 2024. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. DESCRIPTION: COMMUNITY MEETINGS - ORGANIZATIONS THROUGHOUT THE STATE, CALLED "COMMUNITY CONNECTORS," HELPED TO REACH INDIVIDUALS FROM KEY COMMUNITIES FOR GROUP TALK STORY SESSIONS. THESE ORGANIZATIONS WERE INVALUABLE PARTNERS, EACH TRUSTED AND RECOGNIZED WITHIN THEIR TARGET COMMUNITIES, AND WILLING BOTH TO PROVIDE INPUT FROM THEIR OWN WORK AS WELL AS CREATE SPACE AND ENCOURAGE THEIR CLIENTS, PARTNERS, STAFF, AND STAKEHOLDERS TO PARTICIPATE. EACH MEETING FOCUSED ON BOTH A GEOGRAPHIC REGION AND EITHER AN ETHNIC COMMUNITY OR A VULNERABLE POPULATION. THE RESEARCH TEAM CONDUCTED OR PARTICIPATED IN 8 COMMUNITY MEETINGS IN 2024 AND 16 MEETINGS IN 2021. THESE CONSISTED OF A MIXTURE OF JOINING EXISTING MEETINGS OF ORGANIZATIONS, GATHERING IN SMALLER GROUPS OF EITHER COMMUNITY MEMBERS OR THEIR FRONT-LINE SERVICE PROVIDERS, AND HOSTING EVENTS IN-PERSON AND VIRTUALLY. WHEN APPROPRIATE AND AT THE ENCOURAGEMENT OF THE COMMUNITY CONNECTOR, MEETINGS WERE CONDUCTED IN THE SPACES WHERE MEMBERS OF THAT COMMUNITY ARE ACCUSTOMED TO GATHERING, AND REFRESHMENTS WERE PROVIDED TO ENCOURAGE A RELAXED ENVIRONMENT. WHETHER VIRTUALLY OR IN PERSON, MEETINGS WERE GENERALLY APPROXIMATELY 90 MINUTES AND INCLUDED ANYWHERE FROM 2 TO 20 PARTICIPANTS. PARTICIPANTS WERE PRIMARILY MEMBERS OF "COMMUNITIES OF NEED", OR TARGET SUBPOPULATIONS, AND/OR SERVICE PROVIDERS DOING FRONTLINE WORK WITH THOSE RESPECTIVE COMMUNITIES. A LIST OF COMMUNITY MEETING FOR 2021 AND 2024 IS INCLUDED AS APPENDIX E OF THE CHNA. KEY INFORMANT INTERVIEWS - THE RESEARCH TEAM CONDUCTED 42 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS IN KEY STAKEHOLDER POSITIONS ABLE TO PROVIDE INPUT AND INSIGHT ON BEHALF OF A TARGET POPULATION. THESE INTERVIEWS WITH ORGANIZATIONAL LEADERS SERVING STAKEHOLDER COMMUNITIES WERE TYPICALLY ONE ON ONE BETWEEN AN INTERVIEWER AND A KEY INFORMANT, LASTING ANYWHERE FROM 45 TO 90 MINUTES. INTERVIEWS INCLUDED REPRESENTATION FROM A WIDE VARIETY OF STAKEHOLDER GROUPS, INCLUDING THE SPONSORING HAWAII HOSPITALS, INDIVIDUALS AND ORGANIZATIONS WORKING IN PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), NATIVE HAWAIIAN HEALTH CENTERS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS DOING HEALTH-RELATED WORK, COMMUNITY-BASED ORGANIZATIONS WORKING IN THE AREAS OF UPSTREAM DETERMINANTS, COMMUNITY-BASED ORGANIZATIONS SPECIALIZING IN WORKING WITH PARTICULAR SUBPOPULATIONS, RECOGNIZED COMMUNITY LEADERS IN HARD TO REACH COMMUNITIES, AND MANY THAT WERE REFERRED AS CRITICAL EXPERTS OR COMMUNITY LEADERS THROUGHOUT THE CHNA PROCESS. APPENDIX F OF THE CHNA INCLUDES THE LIST OF 2024 KEY INFORMANTS, AS WELL AS THE DISCUSSION OUTLINE USED IN THE INTERVIEWS. COMMUNITY ADVISORY COMMITTEE (CAC) - THE COMMUNITY ADVISORY COMMITTEE (CAC) WAS COMPOSED OF COMMUNITY LEADERS SERVING VARIOUS TARGET COMMUNITIES WITH REPRESENTATION FROM ALL COUNTIES. CAC MEMBERS WERE ESPECIALLY GENEROUS WITH THEIR TIME, INPUT, AND EXPERTISE THROUGHOUT THE PROCESS. IN ADDITION TO BEING KEY INFORMANTS, THEY ALSO PARTICIPATED IN MEETINGS DURING THE LAST PHASE OF THE ASSESSMENT AND REPORT AND HELPED TO MAKE CRITICAL CONNECTIONS WHERE THERE WERE GAPS, ENSURE THAT THINGS WERE GROUNDTRUTHED WITH WHAT THEY SAW IN THEIR COMMUNITIES, AND PROVIDED INPUT AS TO HOW THE PRIORITIES COULD BE HELPFUL BOTH WITHIN THE CLINICAL AND COMMUNITY-BASED CONTEXTS. FINALLY, THE CAC HELPED DEVELOP THE FINAL PRIORITIES AND ENSURE THAT THE SIGNIFICANT HEALTH NEEDS, 2024 PRIORITIES, AND ADDITIONAL LENSES AROUND DISASTERS THAT HAVE HAD A SIGNIFICANT IMPACT ON COMMUNITY HEALTH, ALL WORK TOGETHER TO PAINT THE CURRENT PICTURE OF THE COMMUNITY HEALTH NEEDS. THE RICH INPUT OF THIS ASSESSMENT, AND THE RECOMMENDATION FOR FUTURE PARTNERSHIP OPPORTUNITIES, OWE MUCH TO THE INVALUABLE INPUT AND SUPPORT OF THE CAC MEMBERS. MEMBERS ARE INCLUDED IN APPENDIX D OF THE CHNA. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. TWENTY-SIX HEALTHCARE ASSOCIATION OF HAWAII (HAH) MEMBER HOSPITALS CONTRIBUTED TO THE PRODUCTION OF THIS CHNA: ADVENTIST HEALTH CASTLE HAWAII STATE HOSPITAL HILO BENIOFF MEDICAL CENTER KAHUKU MEDICAL CENTER KAISER FOUNDATION HOSPITAL - HONOLULU KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN KA'U HOSPITAL KAUAI VETERANS MEMORIAL HOSPITAL (KVMH) KONA COMMUNITY HOSPITAL KUAKINI MEDICAL CENTER KULA HOSPITAL LANA'I COMMUNITY HOSPITAL LEAHI HOSPITAL MAUI MEMORIAL MEDICAL CENTER MOLOKAI GENERAL HOSPITAL QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL PALI MOMI MEDICAL CENTER THE QUEEN'S MEDICAL CENTER THE QUEEN'S MEDICAL CENTER - WEST O'AHU THE QUEEN'S MEDICAL CENTER - KAHI MOHALA (FKA SUTTER HEALTH KAHI MOHALA) THE QUEEN'S MEDICAL CENTER - WAHIAWA (FKA WAHIAWA GENERAL HOSPITAL) REHABILITATION HOSPITAL OF THE PACIFIC SAMUEL MAHELONA MEMORIAL HOSPITAL SHRINERS HOSPITALS FOR CHILDREN - HONOLULU STRAUB MEDICAL CENTER WILCOX MEMORIAL MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. THE HEALTHCARE ASSOCIATION OF HAWAII PARTNERED WITH SOLUTIONS PACIFIC AND WARD RESEARCH TO CONDUCT A CHNA FOR THE STATE OF HAWAII. IN ADDITION, THE REPORT INVOLVED NUMEROUS OTHER HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT WERE ABLE TO RESPOND TO THE HEALTHCARE NEEDS IN THE COMMUNITY. THESE RESOURCES ARE LISTED ON PAGE 337 OF THE CHNA. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. THE 2024 PRIORITIES OF THE HAWAII COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE FINANCIAL SECURITY, FOOD SECURITY, HOUSING, MENTAL AND BEHAVIORAL HEALTH, ACCESS TO HEALTHCARE. MOLOKAI GENERAL HOSPITAL PLANS TO ADDRESS THESE NEEDS WITH ITS IMPLEMENTATION STRATEGY: Goal #1: Identify and address patients with Social Determinants of Health (SDoH) and other disparities to support overall health and well-being - Develop standardized SDoH screening tools. - Strategically partner to address and refer patients to appropriate community resources. - Identify grants and funding to support early preventative screening, earlier detection of disease, and/or earlier access to treatment. Goal #2: Keep care local and close to home to improve access to culturally responsive care - Expand and grow clinical networks based on regional strategic plans. - Commit provider resources as available to rotate and service strategic locations in neighbor island communities. Goal #3: Innovate, research, and partner to accelerate the development of our capability and capacity to provide high-quality care for all - Expand the traditional definition of care within a health system to include new capacity care activities: 1) Pre-hospital care 2) Early diagnosis intervention and treatment 3) Working directly with clinical experts to manage ongoing care in the community - Expand Information Technology (IT) capabilities to reach rural communities. - Enhance partnerships and collaborations with third-party vendors and contractors to manage clinical efficiencies, cost structures, and resource management. - Expand research to learn, design, and improve clinical protocols and accessibility to culturally responsive care. Goal #4: Invest in the development and well-being of today's workforce, and build future leaders and clinicians to support the diverse needs and cultural preferences of patients in the community - Support the health, well-being, and development of caregivers who care for patients. - Strengthen culturally responsive patient-centric care. - Formal training and education: 1) Strengthen financial investments in partnership with UH JABSOM and Hawaii Residency Programs to manage assigned FTEs sponsored by QHS. 2) Develop and expand faculty and training location support. - Build relationships to engage students earlier, and develop knowledge, relationships, and capacity. - Establish connections with learners, especially those from underserved communities to build a pipeline into the health care industry. NEEDS NOT ADDRESSED FOR OTHER AREAS NOT DIRECTLY ADDRESSED, QUEEN'S MEDICAL CENTER RECOGNIZES THE IMPORTANCE OF THESE NEEDS AND HAS SUPPORTED EFFORTS TO ADDRESS MANY OF THEM. ALTHOUGH QMC WILL NOT DIRECTLY BE ADDRESSING ALL AREAS OF NEED, WE HAVE SUPPORTED AND PARTNERED WITH OTHERS TO ADDRESS SEVERAL OF THEM AND WILL CONTINUE TO SUPPORT OPPORTUNITIES TO ADDRESS COMMUNITY HEALTH NEEDS IN COLLABORATION WITH OTHERS. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - FACILITY REPORTING GROUP B. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - FACILITY REPORTING GROUP B. MEDICARE OR MEDICAID/QUEST ELIGIBILITY Schedule H, Part V, Section B, Line 16 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION. Schedule H, Part V, Section B, Line 2 THE QUEEN'S MEDICAL CENTER - KAHI MOHALA WAS ACQUIRED AND BEGAN PROVIDING PATIENT CARE IN OCTOBER 8, 2024. THE HOSPITAL WAS PREVIOUSLY LICENSED BY THE STATE OF HAWAII. THE STATE RE-ISSUED ITS LICENSE UNDER ITS NEW OWNERSHIP IN OCTOBER 2024. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED UNDER THE PREVIOUS OWNERSHIP. THE NEXT CHNA WILL BE COMPLETED IN 2027 AS THE QUEEN'S MEDICAL CENTER - KAHI MOHALA. Schedule H, Part V, Section B, Line 13 Facility C, 1 Facility C, 1 - Facility reporting group C. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE. Schedule H, Part V, Section B, Line 13 Facility C, 1 Facility C, 1 - Facility reporting group c. MEDICARE OR MEDICAID/QUEST ELIGIBILITY Schedule H, Part V, Section B, Line 16 Facility C, 1 Facility C, 1 - THE QUEEN'S MEDICAL CENTER - KAHI MOHALA. NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN PATIENT REGISTRATION AND BILLING OFFICE. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION. 27 QMC West Oahu Specialty Clinics 91-2135 Fort Weaver Road Ste 301 Ewa Beach HI 96706 Cardiology, Neurology, Otolaryngology QMC West Oahu Specialty Clinincs 91-2135 Fort Weaver Road Ste 401 Ewa Beach HI 96706 Orthopedics, Outpatient Rehab QMC Same Day Surgery 91-2135 Fort Weaver Road Ste Ewa Beach HI 96706 Same Day Surgery Queen's HeartGeriatrics 550 S Beretania Street Ste 601 Honolulu HI 96813 Cardiac Care Center QMC - Endoscopy 550 S Beretania Street Ste 701 Honolulu HI 96813 Endoscopy Services Queen's Cancer Center 91-2135 Fort Weaver Road Ste B-2 Ewa Beach HI 96706 Cancer Center Queen's Imaging 91-2139 Fort Weaver Road Ste 103 10 4 108 Ewa Beach HI 96706 Imaging Services QMC - Pain & Spine 550 S Beretania Street Ste 703/704 Honolulu HI 96813 Pain and Spine Clinic QMC - Gastroenterology 550 S Beretania Street Ste 501 Honolulu HI 96813 Gastroenterology Services QMC - RadiologyDiabetes EducationPatient Services 1329 Lusitana Street Ste B-1/B-5 Honolulu HI 96813 Imaging, Diabetes Education, Swallowing, Advance Care Planning Queen's Imaging 550 S Beretania Street Ste B-1/B-5 Honolulu HI 96813 Imaging Services QMC Transplant 550 S Beretania Street Ste 404/406 Honolulu HI 96813 Transplant Services QMC - OncologyHematology 1380 Lusitana Street Ste 608 Honolulu HI 96813 Oncology/Hematology Queen's Heart 550 S Beretania Street Ste 610 Honolulu HI 96813 Cardiac Care Center Queen's Cancer Center Infusion 321 North Kuakini Street Suite 402 Honolulu HI 96817 Infusion Clinic Queen's Heart Physician Practice 98-1247 Kaahumanu Street Ste 206 Aiea HI 96701 Cardiac Care Center QMC - CWMP 1380 Lusitana Street Ste 300 Honolulu HI 96813 Comprehensive Weight Management QMC West Radiation Oncology 91-2139 Fort Weaver Road Ste 101 Ewa Beach HI 96706 Radiation Oncology Queen's Orthopedic Spine Center 1380 Lusitana Street Ste 1007 Honolulu HI 96813 Orthopedics Queen's Heart Institute 1401 S Beretania Street Ste 500 Honolulu HI 96814 Cardiology QMC - Head and Neck 1380 Lusitana Street Ste 615 Honolulu HI 96813 Head and Neck Institute Queen's Health Care Center - Rehab 1215 Hunakai Street Honolulu HI 96816 Orthopedics QMC - Diabetes Management & Education 91-2139 Fort Weaver Road Ste 305 Ewa Beach HI 96706 Diabetes Management QMC - Pulmonology 91-2139 Fort Weaver Road Ste 205 Ewa Beach HI 96706 Pulmonology QMC - Cardiology 1329 Lusitana Street Ste 301 Honolulu HI 96813 Cardiology QMC - Infusion 91-2139 Fort Weaver Road Ste 300 Ewa Beach HI 96706 Infusion Clinic Physical Therapy Ocean Pointe 91-6390 Kapolei Parkway Ewa Beach HI 96706 Orthopedics Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A Schedule H, Part I, Line 6a Community benefit report prepared by related organization COMMUNITY BENEFITS ARE REPORTED ANNUALLY AS PART OF THE FORM 990. THIS IS NOT SEPARATELY AVAILABLE TO THE PUBLIC. A FORMAL REPORT ISSUED BY THE PARENT COMPANY, THE QUEEN'S HEALTH SYSTEMS, INCLUDES THE COMMUNITY BENEFITS OF THE QUEEN'S MEDICAL CENTER. THIS REPORT IS PUBLISHED PERIODICALLY AND IS SEPARATELY AVAILABLE TO THE PUBLIC. Schedule H, Part I, Line 7g Subsidized Health Services THE QUEEN EMMA CLINICS PROVIDE COMPREHENSIVE PATIENT CARE TO INDIGENT PATIENTS AND SERVE A LARGE HOMELESS POPULATION. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE 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). Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount QMC PROVIDES AN ALLOWANCE AGAINST ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE BY ESTABLISHING AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. QMC ESTIMATES THE ALLOWANCE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. 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). THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER QMC'S FINANCIAL ASSISTANCE POLICY IS CALCULATED BASED ON THE COST-TO-CHARGE RATIO. THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JULY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS PRIOR TO ASSESSING THE CREDIT RISK OF INDIVIDUALS WITHIN THE PORTFOLIO. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. THE AMOUNT SHOWN ON PART III, LINE 2 IS THE PRICE CONCESSION AMOUNT FOR THE TAX YEAR ENDED JUNE 30, 2025. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE PORTION OF THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO THE TOTAL BAD DEBT EXPENSE. BAD DEBT PERTAINING TO PATIENT CARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE, CONSISTENT WITH QMC'S MISSION, PATIENTS RECEIVE CARE REGARDLESS OF WHETHER QMC COLLECTS PAYMENT FOR SERVICES PERFORMED. FOR FY2025, QMC REPORTED BAD DEBT EXPENSE OF $73,485,532. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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). THE AUDITED FINANCIAL STATEMENTS DO NOT DESCRIBE BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS DO DESCRIBE THE RECEIVABLES FOR PATIENT SERVICES. "ACCOUNTS RECEIVABLE PRIMARILY COMPRISE AMOUNTS DUE FOR HEALTHCARE SERVICES FROM PATIENTS AND THIRD-PARTY PAYORS AND ARE RECORDED NET OF AMOUNTS FOR CONTRACTUAL ADJUSTMENTS, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE COSTING METHODOLOGY THE MEDICARE AMOUNTS ABOVE ARE CALCULATED WITH DATA FROM THE JUNE 30, 2025 COST REPORT, USING THE STEP DOWN METHOD. CONSISTENT WITH REPORTING REQUIREMENTS, THERE ARE AMOUNTS EXCLUDED FROM THE COSTS LISTED IN LINE 6. WHEN USING THE FULLY ALLOCATED COST CALCULATION, THE MEDICARE SHORTFALL WAS APPROXIMATELY $202,741,000. TREATMENT OF MEDICARE SHORTFALL COMMUNITY BENEFIT THE HOSPITAL MUST TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE GOVERNMENT SETS NON-NEGOTIABLE MEDICARE RATES AND THE REIMBURSEMENT HAS NOT KEPT PACE WITH THE RISING COSTS OF PROVIDING THESE SERVICES. DUE TO THE REQUIREMENT TO PROVIDE CARE AND THE INABILITY OF THE MEDICARE REIMBURSEMENT TO KEEP PACE WITH THE COST OF PROVIDING SERVICES, WE FEEL THAT THE LOSS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES IS PART OF QMC'S MISSION AND IS A BENEFIT TO THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance EVERY ATTEMPT IS MADE BEFORE DISCHARGE TO SCREEN PATIENTS WHO HAVE NO DOCUMENTATION OF MEDICAL INSURANCE FOR POSSIBLE ELIGIBILITY FOR DISCOUNTED CARE. NON-ER OUTPATIENTS WITH NO MEDICAL INSURANCE ARE REFERRED TO THE PATIENT'S PHYSICIAN FOR A DETERMINATION OF URGENT OR EMERGENCY CARE STATUS. CHARITY CARE DISCOUNTS ARE BASED ON FINANCIAL NEED WHICH IS DETERMINED BY INCOME AND ASSET THRESHOLDS BASED ON FEDERAL POVERTY LEVELS AND IN COMPLIANCE WITH FEDERAL RULES AND REGULATIONS. PATIENTS ARE REQUESTED TO COMPLETE A DISCOUNTED CARE APPLICATION AND MUST SUBMIT INCOME AND ASSET VERIFICATION DOCUMENTS. PATIENTS MAY ALSO BE DEEMED ELIGIBLE FOR QMC DISCOUNTED CARE BASED ON PRIOR OR SUBSEQUENT MEDICAID ELIGIBILITY. ONCE ELIGIBILITY FOR QMC DISCOUNTED CARE IS CONFIRMED, A PAYMENT PLAN IS DISCUSSED WITH THE PATIENT. BILLING STATEMENTS FOR PATIENTS ARE MAILED MONTHLY TO ALL PATIENTS WITH SELF PAY BALANCES; INCLUDING PATIENTS WITH BALANCES AFTER QMC DISCOUNTED CARE IS APPLIED. BILLING STATEMENTS FOR PATIENTS WITH NO INSURANCE INCLUDE A STATEMENT ADVISING THEM TO CALL THE NUMBER ON THE STATEMENT TO DISCUSS OPTIONS FOR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16a FAP website A - THE QUEEN'S MEDICAL CENTER: Line 16a URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16a URL: https://www.queens.org/financial-resources/; C - THE QUEEN'S MEDICAL CENTER - KAHI MOHALA: Line 16a URL: HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/; Schedule H, Part V, Section B, Line 16b FAP Application website A - THE QUEEN'S MEDICAL CENTER: Line 16b URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16b URL: https://www.queens.org/financial-resources/; C - THE QUEEN'S MEDICAL CENTER - KAHI MOHALA: Line 16b URL: HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - THE QUEEN'S MEDICAL CENTER: Line 16c URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16c URL: https://www.queens.org/financial-resources/; C - THE QUEEN'S MEDICAL CENTER - KAHI MOHALA: Line 16c URL: HTTPS://WWW.QUEENS.ORG/FINANCIAL-RESOURCES/; Schedule H, Part VI, Line 2 Needs assessment QMC'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. USING PUBLICLY AVAILABLE REPORTS AND DATA, AND THROUGH DISCUSSION WITH STAKEHOLDERS, QMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE BY FOCUSING ON FIVE STRATEGIC DIMENSIONS INCLUDING SUPERIOR QUALITY AND PERFORMANCE, BEING THE PROVIDER OF CHOICE, EMPLOYER OF CHOICE, DISPLAYING RESPONSIBLE CITIZENSHIP AND FOCUSING ON FINANCIAL PERFORMANCE. CORE STRATEGIES INVOLVING RESPONSIBLE CITIZENSHIP TO THE COMMUNITY INCLUDE HARDWIRING OUR NATIVE HAWAIIAN HEALTH STRATEGIC PLAN THROUGHOUT QUEEN'S ENTITIES, CREATING A SUSTAINABLE INFRASTRUCTURE THAT ALLOWS QUEEN'S TO QUANTIFY AND ARTICULATE COMMUNITY BENEFIT, AND STRENGTHENING GOVERNMENT AND COMMUNITY PARTNERSHIPS TO SUPPORT ACCESS AND AVAILABILITY OF PROGRAMS AND SERVICES THAT HELP ADDRESS UNMET COMMUNITY HEALTH NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MEDICAID, MEDICARE AND VARIOUS STATE PROGRAM ELIGIBILITY REQUIREMENTS ARE DISCUSSED WITH INPATIENTS AND/OR INPATIENT'S FAMILY MEMBERS. QMC HAS A CONTRACTED VENDOR WHO PERFORMS MEDICAID ELIGIBILITY ASSESSMENTS AND WORKS WITH PATIENTS TO SUBMIT AN APPLICATION AND THE REQUIRED DOCUMENTS. PATIENTS WHO MAY QUALIFY FOR MEDICARE ARE PROVIDED CONTACT INFORMATION FOR THE SOCIAL SECURITY OFFICE. SIGNS ARE POSTED IN REGISTRATION AREAS THROUGHOUT THE HOSPITAL ADVISING THAT QMC HAS A DISCOUNTED CARE POLICY. APPROPRIATE STAFF MEMBERS THAT COMMUNICATE WITH THE PUBLIC REGARDING THEIR BILLS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. STAFF MEMBERS DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. Schedule H, Part VI, Line 4 Community information QMC 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 10.8% NATIVE HAWAIIAN, OTHER PACIFIC ISLANDER, NATIVE ALASKAN AND AMERICAN INDIAN. OTHER DEMOGRAPHIC INFORMATION REGARDING HAWAII IS AS FOLLOWS: - MEDIAN AGE: 39.9 YEARS OLD - 28.8% JAPANESE, CHINESE AND FILIPINO, 23.1% WHITE, 10.8% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER, 9.5% HISPANIC - MEDIAN HOUSEHOLD INCOME: $94,814 (2018-2022) - CASH PUBLIC ASSISTANCE RATE: 4.0% (2018-2022) - UNEMPLOYEMENT RATE: 5.1% (2022) - NUMBER OF MEDICARE LICENSED HOSPITALS (BY COUNTY) - (2) HAWAII COUNTY: 6 MAUI COUNTY: 4 C&C HONOLULU: 16 KAUAI COUNTY: 3 - NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY - 12 - NUMBER OF FEDERALLY DESIGNATED UNDERSERVED AREAS OR POPULATIONS PRESENT IN COMMUNITY: (3) HAWAII COUNTY: 1 MAUI COUNTY: 4 C&C HONOLULU: 7 KAUAI COUNTY: 1 NOTE: OTHER THAN OAHU, THE ENTIRETY OF EACH ISLAND IS CONSIDERED UNDERSERVED SOURCE: (1) HEALTHCARE ASSOCIATION OF HAWAII: HAWAII STATE COMMUNITY HEALTH NEEDS ASSESSMENT 2024 (2) STATE OF HAWAII DEPARTMENT OF HEALTH (3) HEALTH RESOURCES & SERVICES ADMINISTRATION Schedule H, Part VI, Line 5 Promotion of community health TO SUPPORT THE QUEEN'S MISSION AND TO FULFILL THE TAX-EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEEN'S PROVIDES A NUMBER OF COMMUNITY BENEFITS.THIS INCLUDES UNCOMPENSATED CARE, WHERE 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 DEBT). QUEEN'S IS ALSO HOME TO THE QUEEN EMMA CLINICS, WHERE QMC PROVIDES OUTPATIENT SERVICES TO INDIGENT PATIENTS. OTHER EXAMPLES INCLUDE EMERGENCY PREPAREDNESS COSTS AND AMOUNTS EXPENDED TO EXPAND AND TEST BACK-UP POWER THAT CAN SERVICE PATIENTS IN TIMES OF EMERGENCY. IN ADDITION, QMC PROVIDES MANY FREE INFORMATIONAL SEMINARS AND EDUCATIONAL OPPORTUNITIES TO THE PUBLIC TO PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE SPECIFICALLY DIRECTED TO ADDRESS HEALTH ISSUES WITHIN THE COMMUNITY INCLUDING DIABETES, CANCER AND WOMEN'S HEALTH ISSUES. A MAJORITY OF QMC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN QMC'S PRIMARY SERVICE AREA (OAHU) WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF QMC. QMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. Schedule H, Part VI, Line 6 Affiliated health care system QMC IS A MEMBER OF THE QUEEN'S HEALTH SYSTEMS (QHS) AFFILIATED GROUP. THE GROUP ALSO INCLUDES QUEEN EMMA LAND COMPANY (QEL), QUEEN'S INSURANCE EXCHANGE (QIE), QUEEN'S DEVELOPMENT CORPORATION (QDC), MOLOKAI GENERAL HOSPITAL (MGH), QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH) AND QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG). QHS PROVIDED LEGAL, ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO QMC AND QIE PROVIDED MEDICAL MALPRACTICE INSURANCE TO QMC. QUMG PROVIDED MEDICAL SERVICES TO ALL AFFILIATED HOSPITALS. QMC IS THE ONLY LEVEL I TRAUMA CENTER IN THE STATE OF HAWAII AND PROVIDES MEDICAL SERVICES TO THE STATE OF HAWAII AND THE PACIFIC BASIN. AFFILIATE ORGANIZATIONS OF THE QUEEN'S HEALTH SYSTEMS OPERATE THE ONLY HOSPITAL ON THE ISLAND OF MOLOKA'I, OPERATE THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ON THE BIG ISLAND, PROVIDE DIAGNOSTIC LABORATORY SERVICES, OPERATE PHARMACIES, PROVIDE HEALTH CARE SERVICES FOR AFFILIATED HOSPITALS, AND PROVIDE THE HOSPITALS WITH GENERAL AND PROFESSIONAL LIABILITY INSURANCE. true Alzheimers Association 677 Ala Moana Boulevard Ste 301 Honolulu HI 96813 133039601 501(c)(3) 15000 Sponsorship "2024 Walk to End Alzheimer's" American Cancer Society 3380 Chastain Meadows Pkwy NW Ste Kennesaw GA 30144 131788491 501(c)(3) 25000 Sponsorship "12th Annual Honolulu Hope Gala: A Journey of Hope" American Diabetes Association PO Box 7023 Merrifield VA 221167023 131623888 501(c)(3) 20000 Sponsorship "Step Out Walk" American Heart Association PO Box 4002030 Des Moines IA 50340 135613797 501(c)(3) 50000 Sponsorship "Heart of Hawaii Feb 2024-2026 and Heart Walk Aug 2024-2025" American Lung Association in Hawaii 201 Merchant Street Ste 901 Honolulu HI 96813 131632524 501(c)(3) 6000 Sponsorship "The 6th Annual Outstanding Mother Awards" Arthritis Foundation 1355 Peachtree Street NE Suite 600 Atlanta GA 30309 581341679 501(c)(3) 10000 Sponsorship "2024 Taste of the Town" Assistance Dogs of Hawaii PO Box 1803 Makawao HI 96768 990353694 501(c)(3) 10000 Sponsorship "Annual Puppy Love Gala 2025" Blood Bank of Hawaii 2043 Dillingham Boulevard Honolulu HI 96819 990073479 501(c)(3) 20000 Contribution "Capital funding request for a new Blood Center in Kapolei" Boys & Girls Club of Hawaii 1000 Bishop Street Ste 505 Honolulu HI 96813 996005407 501(c)(3) 6000 Sponsorship "28th Annual Walk in the Country, dinner and auction" Hawaii Chamber of Commerce Foundation 733 Bishop St Makai Tower Ste 1200 Honolulu HI 96813 990266760 501(c)(3) 10000 Contribution "2030 Blueprint: Economic Action Plan for Hawaii" Chaminade University of Honolulu 3140 Waialae Avenue Honolulu HI 96816 990272261 501(c)(3) 10000 Sponsorship "2025 Silverswords Gala" Family Promise of Hawaii 245 N Kukui Street Ste 101 Honolulu HI 96817 202645489 501(c)(3) 7500 Sponsorship "Brighter Futures Gala" Friends of Iolani Palace The PO Box 2259 Honolulu HI 96804 990115665 501(c)(3) 10000 Sponsorship "King Kalakaua 150th Jubilee" Girl Scouts of Hawaii 410 Atkinson Drive Ste 2E1 Box 3 Honolulu HI 96814 990073488 501(c)(3) 60000 Sponsorship "2024 Women of Distinction: Growing Together, Nurturing Dreams" Hawaii American Nurses Association PO Box 25672 Honolulu HI 96825 920451539 501(c)(3) 10000 Sponsorship "2024 4th Annual Conference and Membership Meeting - The Economic Power of Nursing" Hawaii Executive Collaborative 827 Fort Street Mall 2nd Floor Honolulu HI 96813 844041099 501(c)(3) 75000 Sponsorship "Rediscovering Hawaii's Soul" Hawaii Food & Wine Festival 3538 Waialae Ave 202 Honolulu HI 96816 460618609 501(c)(3) 15000 Sponsorship "14th Annual HFWF" Hawaii LGBT Legacy Foundation 310 Paoakalani Avenue Ste 206E Honolulu HI 96815 223969736 501(c)(3) 10000 Sponsorship "2024 Honolulu Pride 365 Parade & Festival" Hawaii Meals on Wheels Inc 2728 Huapala Street 209 Honolulu HI 96822 990198132 501(c)(3) 10000 Contribution "2024 Thanksgiving Matching Challenge Campaign" Hawaii Parkinson Association Inc 2228 Liliha Street Ste 206 Honolulu HI 96817 990327454 501(c)(3) 10000 Sponsorship "2025 Walk/Symposium Champion's Circle" Hawaii Symphony Orchestra 3610 Waialae Avenue Honolulu HI 96816 452861988 501(c)(3) 10000 Sponsorship "Hawaii Symphony POP UP performance at the International Market Place" Jordan & Cara Odo Scholarship Foundation 726C 11th Avenue Honolulu HI 96816 471870059 501(c)(3) 14000 Contribution "Donation to 2024 Next Gen Leaders Program to provide scholarships to student participants" Kokua Mau PO Box 62155 Honolulu HI 96939 990339201 501(c)(3) 15000 Sponsorship ganizational Membership in Kokua Mau" Lunalilo Home 501 Kekauluohi Street Honolulu HI 96825 990075244 501(c)(3) 10000 Sponsorship "Aha Aina Ho'ulu'ulu Kala no ka Lani Lunalilo" Mauliola Keehi PO Box 894006 Mililani HI 96789 834690376 501(c)(3) 75000 Contribution "Grant request" National Kidney Foundation of Hawaii 1314 S King Street Ste 1555 Honolulu HI 96814 990266733 501(c)(3) 10000 Sponsorship "2025 Kidney Walk" Navian Hawaii 860 Iwilei Road Honolulu HI 96817 990203930 501(c)(3) 10000 Sponsorship "2024 Na Hoa Malama Gala" Polynesian Voyaging Society 10 Sand Island Parkway Honolulu HI 96819 237302232 501(c)(3) 25000 Sponsorship "Hokule'a 50th Anniversary Gala" Project Vision Hawaii PO Box 23212 Honolulu HI 96823 272831637 501(c)(3) 7500 Sponsorship "Eye Ball 2025: A Night In Paris" Public Schools of Hawaii Foundation PO Box 4148 Honolulu HI 96812 880243449 501(c)(3) 10000 Sponsorship "32nd Annual Kulia i ka Nu'u Awards Banquet" Salvation Army The 30840 Hawthorne Boulevard Rancho Palos Verdes CA 90275 941156347 501(c)(3) 20000 Sponsorship "Love Beyond the Holidays" St Andrews Schools 224 Queen Emma Square Honolulu HI 96813 990073525 501(c)(3) 30000 Sponsorship "Queen Emma Ball 2025" Susan G Komen 13770 Noel Road Suite 801889 Dallas TX 75380 751835298 501(c)(3) 20000 Sponsorship "Hawaii Pink Tie Ball: Paniola in Pink" University of Hawaii Foundation 2440 Campus Road Box 368 Honolulu HI 96822 990085260 501(c)(3) 1308586 General Support Hawaii Cancer Consortium 55 Merchant Street Honolulu HI 96813 452280259 501(c)(3) 808630 General Support Healthcare Association of Hawaii 707 Richards Street PH2 Honolulu HI 96813 990105817 501(c)(6) 22000 Sponsorship "HAH Awards & Scholarship Gala 2025" Native Hawaiian Chamber of Commerce PO Box 597 Honolulu HI 96809 990207564 501(c)(6) 6500 Sponsorship "47th Annual O'o Awards" 35 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE QUEEN'S MEDICAL CENTER MAKES DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS WITH THE PURPOSE OF PROVIDING OPPORTUNITIES FOR BETTER HEALTH AND WELLNESS TO ALL THE PROPLE OF HAWAII. THERE ARE GENERALLY NO RESTRICTIONS PLACED ON THE USE OF THOSE DONATIONS AND THE RECEIVING ORGANIZATION 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 MAINTAIN SUCH USE. true false false false false false false true false JASON CHANG PRESIDENT/TRUSTEE 0 1162864 0 0 0 713 0 170874 0 28210 0 1362661 0 0 GEORGE R BRUNO MD PRESIDENT/TRUSTEE - PART YEAR 0 715401 0 0 0 133422 0 135016 0 9973 0 993812 0 0 JILL HOGGARD GREEN TRUSTEE - PART YEAR 0 935157 0 0 0 784874 0 27600 0 12248 0 1759879 0 0 T SCOTT GALLACHER MD TRUSTEE / CHIEF OF STAFF 0 441407 0 27573 0 6043 0 42752 0 24409 0 542184 0 0 KAZUMA NAKAGAWA MD TRUSTEE 0 371013 0 413345 0 1166 0 35370 0 28268 0 849162 0 0 NADINE TENN SALLE MD TRUSTEE 0 285419 0 391049 0 2761 0 27600 0 28168 0 734997 0 0 DARLENA CHADWICK RN VICE PRESIDENT 0 661355 0 0 0 122520 0 131283 0 20403 0 935561 0 0 PAUL MCDOWELL TREASURER - PART YEAR 0 565168 0 0 0 2228 0 113318 0 27235 0 707949 0 0 CLINTON YEE ASSISTANT TREASURER 0 215876 0 14920 0 3161 0 26592 0 29547 0 290096 0 0 JOHN NITAO SECRETARY/GENERAL COUNSEL 0 535579 0 0 0 90973 0 124261 0 29928 0 780741 0 0 TIM PANKS TREASURER 0 50313 0 250000 0 0 0 0 0 1700 0 302013 0 0 WHITNEY LIMM MD SENIOR VICE PRESIDENT 0 929058 0 0 0 151804 0 34922 0 20997 0 1136781 0 0 ALEXANDRA WROE VICE PRESIDENT 285832 0 26624 0 9759 0 45060 0 30560 0 397835 0 0 0 Guy Nitta TREASURER - PART YEAR 0 386292 0 37300 0 63083 0 56115 0 20632 0 563422 0 0 SONDRA LEIGGI BRANDON COO - QMC KAHI MOHALA 305886 0 25378 0 45520 0 44078 0 27035 0 447897 0 0 0 ROBIN KALOHELANI RN SVP & COO - QMC WEST 362092 0 37180 0 40776 0 32625 0 10282 0 482955 0 0 0 BERYL MUNIZ VP - PATIENT CARE 404138 0 37685 0 67543 0 27600 0 4988 0 541954 0 0 0 FRANK OKIMOTO VP - CAPITAL CONSTRUCTION & CAMPUS DEVEL 380543 0 35020 0 1242 0 48518 0 27989 0 493312 0 0 0 REINHOLD PENNER DIR - BIOMEDICAL RESEARCH 383090 0 8351 0 19130 0 45805 0 10589 0 466965 0 0 0 LINDA PUU VP - QUALITY & PATIENT SAFETY / CNO 494674 0 0 0 69984 0 27600 0 20724 0 612982 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 Severance or change-of-control payment THE TERMS OF THE SEPARATION AGREEMENT ARE SUBJECT TO NON-DISCLOSURE AGREEMENT. Schedule J, Part I, Line 7 Non-fixed payments RECOGNITION AWARDS WERE PAID TO EMPLOYEES BASED ON ACCOMPLISHMENTS 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. ALSO, CERTAIN PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON PROFESSIONAL SERVICES COLLECTIONS BY QMC. A MAXIMUM OF SUCH INCENTIVE COMPENSATION IS CAPPED ACCORDING TO QMC POLICY. Schedule J, Part II COMPENSATION PAID FOR SERVICES JASON CHANG MR. CHANG SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MR. CHANG ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY), PRESIDENT OF THE QUEEN'S MEDICAL CENTER ("QMC"), AND CHAIR OF QUMG, MGH, NHCH AND QEL. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR HER VARIOUS SERVICES. JILL HOGGARD GREEN MS. HOGGARD GREEN SERVED AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES THROUGH JULY 2024. MS. HOGGARD GREEN ALSO SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) AND CHAIR OF QUMG, MGH, NHCH AND QEL. SHE WAS A VOLUNTEER TRUSTEE AND WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED WAS HER TOTAL COMPENSATION FOR HER VARIOUS SERVICES. GEORGE R BRUNO, MD DR. BRUNO SERVED AS PRESIDENT/TRUSTEE OF QMC THROUGH JULY 2024 AND SVP, PATIENT CARE AND PRESIDENT/TRUSTEE OF QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. DARLENA CHADWICK MS. CHADWICK SERVES AS EVP AND COO OF QHS, VICE PRESIDENT OF QMC AND TRUSTEE OF MGH, NHCH, QEL AND QUMG. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. WHITNEY LIMM, MD DR. LIMM SERVES AS SENIOR VP OF CLINICAL INTEGRATION AND CHIEF PHYSICIAN EXECUTIVE OF QHS AND QMC AND TRUSTEE OF QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. ALEXANDRA WROE MS. WROE SERVES AS SENIOR VP AND COO OF QMC MANAMANA. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. JOHN NITAO MR. NITAO SERVES AS SECRETARY/GENERAL COUNSEL FOR QHS AND QMC AND SECRETARY/TRUSTEE OF QEL. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. TIM PANKS MR. PANKS SERVES AS THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS, TREASURER OF QMC AND TRUSTEE OF QEL AND QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. GUY NITTA MR. NITTA SERVED AS THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS, TREASURER OF QMC AND TRUSTEE OF QEL AND QUMG FROM AUGUST - DECEMBER 2024. HE WAS A VOLUNTEER TRUSTEE AND WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED WAS HIS TOTAL COMPENSATION FOR ALL SERVICES. PAUL MCDOWELL MR. MCDOWELL SERVED AS THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS, TREASURER OF QMC AND TRUSTEE OF QEL AND QUMG THROUGH AUGUST 2024. HE WAS A VOLUNTEER TRUSTEE AND WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED WAS HIS TOTAL COMPENSATION FOR ALL SERVICES. CLINTON YEE MR. YEE SERVES AS CORPORATE CONTROLLER OF QUEEN'S HEALTH SYSTEMS, ASSISTANT TREASURER OF QMC AND QHS AND TREASURER OF MGH. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. KAZUMA NAKAGAWA, MD DR. NAKAGAWA SERVES AS A TRUSTEE FOR QHS, QMC AND QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR SERVICES AS MEDICAL DIRECTOR, COMPREHENSIVE STROKE CENTER FOR QMC. NADINE TENN SALLE, MD DR. SALLE SERVES AS A TRUSTEE FOR QHS AND QMC. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR SERVICES AS CHIEF OF PEDIATRICS FOR QUMG. T. SCOTT GALLACHER, MD DR. GALLACHER SERVES AS A TRUSTEE FOR QMC. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR SERVICES AS CHIEF OF STAFF OF QMC. 1 6000 Market value X 7778 Market value 2 7680261 Market value 1 590000 Market value 3 5832 Market value 1 75 Market value X EQUIPMENT 1 83188 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Clothing and household goods - Number of contributions received Art - Works of art - Number of contributions received Securities - Publicly traded - Number of contributions received Drugs and medical supplies - Number of contributions received Food inventory - Number of contributions received Other - EQUIPMENT NUMBER OF CONTRIBUTIONS Real estate - Residential - NUMBER OF CONTRIBUTIONS Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, THE QUEEN'S MEDICAL CENTER (QMC) IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. THE QUEEN'S MEDICAL CENTER HAS 505 ACUTE CARE BEDS AND 28 SUB-ACUTE CARE BEDS. WITH OVER 3,000 EMPLOYEES AND OVER 1,200 PHYSICIANS ON STAFF (INCLUDING PHYSICIANS EMPLOYED BY QUMG), IT IS ALSO ONE OF THE STATE OF HAWAII'S LARGEST EMPLOYERS. AS THE LEADING MEDICAL REFERRAL CENTER IN HAWAII AND THE PACIFIC BASIN, QMC IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE AND WOMEN'S HEALTH. QMC OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTETRICS AND PULMONOLOGY. QMC SERVES AS THE MAIN TRAUMA CENTER IN THE PACIFIC BASIN, ("TRAUMA" IS DEFINED AS A LIFE-THREATENING INJURY OR SHOCK) AND HAS BEEN VERIFIED AS A LEVEL I TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS. QMC IS HOME TO A NUMBER OF RESIDENCY PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN A BURNS SCHOOL OF MEDICINE. QMC IS ACCREDITED BY THE JOINT COMMISION (TJC). QMC IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (QCGME), AND IS A MEMBER OF VHA, A NATIONAL COOPERATIVE OF OVER 1,400 HOSPITALS. QMC SUPPORTS NATIVE HAWAIIAN HEALTH INITIATIVES THROUGH MANY OF ITS PROGRAMS AND SERVICES, PARTICULARLY ITS NATIVE HAWAIIAN HEALTH PROGRAM (NHHP). THE FOCUS AREAS OF NHHP INCLUDE IMPROVEMENTS IN CLINICAL OUTCOMES, HEALTHCARE TRAINING, RESEARCH, AND ACCESS AND OUTREACH. NHHP CONDUCTS ONGOING ASSESSMENT AND DEVELOPMENT OF QMC PROGRAMS AND SERVICES FOCUSED ON NATIVE HAWAIIANS, INCLUDING SPECIFIC CLINICAL PROGRAMS IN AREAS SUCH AS CARDIOLOGY, ONCOLOGY, COMPREHENSIVE WEIGHT MANAGEMENT, MEDICINE, NEUROSCIENCE, AND DIABETES. QMC COLLABORATES AND PARTNERS TO PROVIDE HEALTHCARE TRAINING AND EDUCATION OPPORTUNITIES TO NATIVE HAWAIIAN STUDENTS AND THOSE COMMITTED TO SERVING NATIVE HAWAIIAN COMMUNITIES FROM ADOLESCENCE TO GRADUATE STUDIES, SUCH AS, 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, NHHP 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, NHHP 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 NHHP, 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. IN JANUARY 2022, THE QUEEN'S HEALTH CARE CLINICS WERE TRANSFERRED FROM THE QUEEN'S DEVELOPMENT CORPORTAION (QDC) TO QMC. IN FEBRUARY 2022 QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG) WAS ESTABLISHED. QUMG'S PURPOSE IS TO EMPLOY A MULTISPECIALTY GROUP OF PHYSICIANS, ALONG WITH OTHER HEALTH CARE PROVIDERS AND STAFF, TO PROVIDE HEALTH CARE SPECIALTY SERVICES IN A CHARITABLE MANNER FOR PATIENTS OF QMC, MGH AND QNHCH AND OTHER HEALTH CARE PROVIDERS WITHIN THE COMMUNITIES SERVED BY QMC, MGH AND QNHCH. IN APRIL 2024 QUEEN'S ACQUIRED THE FORMER WAHIAWA GENERAL HOSPITAL. IN MAY 2024, QUEEN'S MEDICAL CENTER OPENED QUEEN'S MEDICAL CENTER - WAHIAWA. THE NEW LOCATION PROVIDES EMERGENCY DEPARTMENT SERVICES, IMAGING AND LAB SERVICES. IN OCTOBER 2024 QUEEN'S ACQUIRED KAHI MOHALA. THE QUEEN'S MEDICAL CENTER - KAHI MOHALA IS HAWAII'S ONLY FREESTANDING NONPROFIT PSYCHIATRIC HOSPITAL SERVING YOUTH 4-17 YEARS OF AGE. TO SUPPORT THE QUEEN'S MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEEN'S PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $223M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2025. 1. UNCOMPENSATED CARE - QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). FOR THE YEAR ENDED JUNE 30, 2025, THE ESTIMATED COST OF PROVIDING CHARITY CARE WAS $2.8M AND BAD DEBT EXPENSE WAS $73.5M. 2. ON CALL PHYSICIAN COMPENSATION - QMC MAINTAINS THE ONLY LEVEL I TRAUMA CENTER IN THE STATE OF HAWAII. IN ORDER TO PROVIDE LEVEL I TRAUMA COVERAGE, THE MEDICAL CENTER INCURRED APPROXIMATELY $25.6M IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2025. 3. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $23.8M DURING THE YEAR ENDED JUNE 30, 2025 RELATED TO ITS CARDIAC FELLOWSHIP, RESIDENT AND INTERN PROGRAMS. AS A TEACHING FACILITY, THE MEDICAL CENTER PARTICIPATES IN AND SHARES THE COSTS OF THE HAWAII RESIDENCY PROGRAM. 4. HAWAII MEDICAL LIBRARY - QMC MAINTAINS A MEDICAL LIBRARY THAT BENEFITS HEALTHCARE PROFESSIONALS IN THE STATE OF HAWAII. THE ESTIMATED COST OF OPERATING THE HAWAII MEDICAL LIBRARY FOR THE YEAR ENDED JUNE 30, 2025 WAS $1M. 5. 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. STARTING IN MARCH 2020, QMC ALSO BEGAN OPERATING ITS COVID-19 INFOLINE TO ASSIST THE COMMUNITY WITH MEDICAL SERVICES, TESTING, AND OFFERING OTHER SERVICES WITHIN THE QUEEN'S NETWORK. THE ESTIMATED COST OF PROVIDING THESE SERVICES FOR THE YEAR ENDED JUNE 30, 2025 WAS $2.3M. 6. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2025, RESEARCH COSTS WERE $1.8M. 7. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2025, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS CONSISTENT WITH QMC'S EXEMPT PURPOSE WERE $2.5M. OF THIS AMOUNT, $278,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $809,000 WAS DONATED TO THE UNIVERSITY OF HAWAII CANCER CONSORTIUM. 8. 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 $29.2M DURING THE YEAR ENDED JUNE 30, 2025. 9. 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 $51.9M DURING THE YEAR ENDED JUNE 30, 2025. CONSISTENT WITH COST REPORT REQUIREMENTS, THERE ARE AMOUNTS THAT ARE EXCLUDED FROM THE COSTS ABOVE. 10. 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, 2025, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $70,000. 11. DENTAL CLINIC - QMC PROVIDES DENTAL SERVICES TO INDIGENT PATIENTS AND OTHERS THROUGH ITS DENTAL CLINIC. THE COST OF OPERATIONS FROM THE DENTAL CLINIC WAS APPROXIMATELY $1.8M FOR THE YEAR ENDED JUNE 30, 2025. 12. DONATED USE OF CONFERENCE ROOMS - QMC ALLOWS PHYSICIANS AND TEACHERS FROM THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII, VARIOUS GOVERNMENTAL ENTITIES INCLUDING THE HAWAII DEPARTMENT OF HEALTH AND OTHER NONPROFIT ORGANIZATIONS THE FREE USE OF ITS FACILITIES AT THE QUEEN'S CONFERENCE CENTER. FOR THE YEAR ENDED JUNE 30, 2025, THE VALUE OF THE USE OF THE CENTER WAS $294,000. 13. TUTU BERT'S HOUSE - TUTU BERT'S HOUSE IS AN 8-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QUEEN'S MEDICAL CENTER AND HOMEAID HAWAII. TUTU BERT'S HOUSE OFFERS MEDICALLY FRAIL HOMELESS DISCHARGED FROM THE QUEEN'S MEDICAL CENTER WHO NO LONGER IN NEED OF IN-PATIENT HOSPITALIZATION, BUT WHO ARE STILL TOO FRAIL TO RECUPERATE ON THE STREETS OR IN AN URBAN SHELTER, WITH A SAFETY NET RESOURCE. THE HOUSE FACILITATES SHORT-TERM STABILIZATION AND SUPPORTIVE CASE MANAGEMENT THAT ACCELERATES THEIR TRANSITION OUT OF HOMELESSNESS, AND INTO AVAILABLE HOUSING OPTIONS. FOR THE YEAR ENDED JUNE 30, 2025 COSTS INCURRED FOR THE PROGRAM WERE $1.2M. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) 14. QUEEN'S MEDICAL RESPITE KALIHI UKA RECOVERY HOME - THE KALIHI-UKA RECOVERY HOMES (KURH) OFFER HOMELESS INDIVIDUALS A SAFE AND WELCOMINGPLACE TO STAY WHILE GOING THROUGH SUBSTANCE ABUSE TREATMENT. RESIDENTS ARE ENROLLED IN OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND PARTICIPATE IN DAILY ACTIVITIES TO HELP MAINTAIN THEIR SOBRIETY. FOR THE YEAR ENDED JUNE 30, 2025 COSTS INCURRED FOR THE PROGRAM WERE $503,000. 15. QUEEN'S CARE COALITION (KE KU'UNA NA'AU) - THE QUEEN'S CARE COALITION PAIRS PATIENTS WHO HAVE PSYCHOSOCIAL ISSUES WITH NAVIGATORS WHO BUILD TRUSTING RELATIONSHIPS, IDENTIFY AND BRIDGE BARRIERS TO CARE AND CONNECT PATIENTS WITH EXISTING SUPPORT IN THE COMMUNITY. THE NAVIGATOR ACCOMPANIES PATIENTS ON VISITS TO THEIR PRIMARY CARE AND SPECIALTY DOCTORS; MAKES SURE HOME HEALTH SUPPLIES ARE DELIVERED; ADVOCATES FOR FINANCIAL BENEFITS; CONNECTS PATIENTS TO COMMUNITY SUPPORT AND EVEN HELPS FIND HOMELESS PATIENTS HOUSING. KE KU`UNA NA`AU NAVIGATORS SERVE NATIVE HAWAIIAN PATIENTS ADMITTED TO HOSPITAL WITH CHRONIC MEDICAL CONDITIONS, BEHAVIORAL HEALTH PROBLEMS, AND/OR PSYCHOSOCIAL STRESSORS. FOR THE YEAR ENDED JUNE 30, 2025 COSTS INCURRED FOR THE PROGRAM WERE $1.2M. 16. 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, 2025, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $123,000. 17. NATIVE HAWAIIAN HEALTH STRATEGIC PLAN (KAHULA OLA) - QMC IS IN THE PROCESS OF IMPLEMENTING MISSION-RELATED PROGRAMS FOR THE NATIVE HAWAIIAN POPULATION SERVED BY QMC AND AFFILIATES. EXPECTED OUTCOMES INCLUDE IMPROVEMENTS IN NEGATIVE HEALTH BEHAVIORS OR RISK FACTORS FOR NATIVE HAWAIIAN PATIENTS, INCREASE USE OF OUTPATIENT SERVICES, ESPECIALLY PRIMARY CARE, INCREASE THE NUMBER OF HAWAIIANS WITH DEDICATED PRIMARY CARE PROVIDER/HOME, IMPROVE PATIENT SATISFACTION, INCREASE THE NUMBER OF ENGAGED ORGANIZATIONS SERVING NATIVE HAWAIIANS, ESTABLISH SUPPORT NETWORK OF MULTIDISCIPLINARY ORGANIZATIONS WITH SHARED GOALS, IMPROVE TIMELY ACCESS TO SERVICES, INCREASE PARTICIPATION IN CULTURALLY RESPONSIVE LEARNING, INCREASE EMPLOYEE ENGAGEMENT AND PROVIDER SATISFACTION AND IMPROVE RECRUITMENT OF PROVIDERS. FOR THE YEAR ENDED JUNE 30, 2025, THE COST RELATED TO KAHULA OLA WAS $112,000. 18. VACCINATION CLINICS - IN RESPONSE COVID-19 IN THE COMMUNITY, QMC RAN A VACCINATION CLINIC FOR ALL ELIGIBLE PEOPLE TO RECIVE VACCINATIONS AND BOOSTER SHOTS. IN ADDITION, QMC STARTED A MOBILE VACCINE CLINIC TO PROVIDE VACCINATIONS AND BOOSTER SHOTS TO THE COMMUNITY. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $6,000 DURING THE YEAR ENDED JUNE 30, 2025. 19. 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, 2025, THESE PROGRAM COSTS TOTALED $1.9M. 20. 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 COST OF OPERATIONS RESULTING FROM BEHAVIORAL HEALTH SERVICES WAS $825,000 FOR THE YEAR ENDED JUNE 30, 2025. 21. HAWAII HOMELESS HEALTHCARE HUI (H4) - H4's medical respite service, which opened in February 2021 provides 24-hour residence with meal service for homeless individuals who are too ill or frail to recover from an acute illness or injury on the streets but are not sick enough to meet inpatient level of care criteria for a hospital or nursing facility. Medical respite provides a clean and safe environment for a few days to a few weeks, with medical and social service support, for patients in recovery or receiving near-death hospice care. FOR THE YEAR ENDED JUNE 30, 2025 COSTS INCURRED FOR THE PROGRAM WERE $785,000. 22. COMMUNITY OUTREACH - QMC EMPLOYEES VOLUNTEER THEIR TIME AND EXPERIENCE PROVIDING FREE LECTURES TO MEMBERS OF THE COMMUNITY INCLUDING PROFESSIONALS, STUDENTS AND MEMBERS OF THE PUBLIC. Form 990, Part III, Line 2 New program services IN OCTOBER 2024, QUEEN'S MEDICAL CENTER OPENED QUEEN'S MEDICAL CENTER - KAHI MOHALA. THE NEW LOCATION IS HAWAII'S ONLY FREESTANDING NONPROFIT PSYCHIATRIC HOSPITAL SERVING YOUTH 4-17 YEARS OF AGE. Form 990, Part V, Line 1a FORM 1099 REPORTING VENDOR PAYMENTS ARE PROCESSED AND PAID BY THE QUEEN'S HEALTH SYSTEMS (QHS) FOR ALL AFFILIATES. AS SUCH, FORM 1099S WERE NOT ISSUED BY THE QUEEN'S MEDICAL CENTER (QMC) IN 2024. Form 990, Part VI, Line 6 Classes of members or stockholders QMC HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QMC BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN 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, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 FOR THE QUEEN'S HEALTH SYSTEMS (QHS) AND THE SEPARATE FORMS FOR EACH OF THE NOT-FOR-PROFIT SUBSIDIARIES OF QHS WERE REVIEWED BY THE GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN. THE QHS AUDIT AND RISK 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 REVIEWED THE RETURNS. IN ADDITION, COMPENSATION RELATED DISCLOSURES IN THE RETURNS WERE REVIEWED BY THE CHAIRPERSON OF THE COMPENSATION COMMITTEE PRIOR TO FILING THE RETURNS. ALSO, A COPY OF THE QMC RETURN WAS MADE AVAILABLE TO EACH OF THE MEMBERS OF THE QMC BOARD OF TRUSTEES PRIOR TO THE RETURNS BEING FILED WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 19 Required documents available to the public QMC'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THE QHS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN, AS REQUIRED. QMC DOES NOT MAKE THE CONFLICT OF INTEREST POLICY THAT IT FOLLOWS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 13714647, Related or Exempt Function Revenue: 12773998, Unrelated Business Revenue: 940649, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 1511425, Fundraising Expenses: ; MEDICAL SERVICES - Total Expense: 65790524, Program Service Expense: 65790524, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1482495, Program Service Expense: 1203535, Management and General Expenses: 278960, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 4106555, Program Service Expense: 4074335, Management and General Expenses: 32220, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION FAS87 ADJUSTMENTS - -10337554; CHANGE IN INTEREST IN SUBSIDIARY - -1522890; NET ASSETS RELEASED FROM RESTRICTION - 12127461; Total - 267017; FORM 990, PART VI, LINE 12, 13 AND 14 APPROVED POLICIES QMC ABIDES BY THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES THAT HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QMC BOARD OF TRUSTEES, BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE QMC BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ALL 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 OF INTEREST 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 CONFLICT OF INTEREST 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, PART VI, LINE 15A AND 15B PROCESS USED FOR DETERMINING COMPENSATION ALTHOUGH NOT COMPENSATED BY THE QUEEN'S MEDICAL CENTER, A RELATED ORGANIZATION, THE QUEEN'S HEALTH SYSTEMS, GOES THROUGH THE FOLLOWING PROCEDURES FOR DETERMINING THE EXECUTIVE COMPENSATION. A COMMITTEE OF THE BOARD OF TRUSTEES CALLED THE COMPENSATION COMMITTEE MEETS REGULARLY TO REVIEW THE COMPENSATION OF ALL EXECUTIVES (VICE PRESIDENT AND ABOVE) AND ALL PHYSICIANS EMPLOYED BY ALL COMPANIES WITHIN QHS. 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 ANNUAL PERFORMANCE REVIEWS AND COMPARISON TO COMPARABLE COMPENSATION DATA PREPARED BY A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. 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