FURP.ORG / PUBLIC DATA EXPLORER

THE QUEENS MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-09
IRS object ID
202401309349305315
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-09T17:45:05-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1370 17TH STREET SUITE 4800AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990073524EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE QUEEN'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CLINTON YEEInCareOfNm
Business Name ControlQUEEBusinessNameControlTxt
Phone8085389011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL MCDOWELLPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8085389011PhoneNum
Signature2024-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULPersonFirstNm
Person LastMCDOWELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW JAMESONPreparerPersonNm
PTINP01894820PTIN
Phone7209314000PhoneNum
Preparation2024-05-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGEORGE R BRUNO MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,674,133,310GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.QUEENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1859FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee6403TotalEmployeeCnt
Total Volunteers240TotalVolunteersCnt
Total Gross UBI$15,987,798TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$58,361,985PYContributionsGrantsAmt
CY Contributions Grants$52,792,198CYContributionsGrantsAmt
PY Program Service Revenue$1,406,210,741PYProgramServiceRevenueAmt
CY Program Service Revenue$1,444,882,136CYProgramServiceRevenueAmt
PY Investment Income$72,975,271PYInvestmentIncomeAmt
CY Investment Income$25,540,006CYInvestmentIncomeAmt
PY Other Revenue$30,361,821PYOtherRevenueAmt
CY Other Revenue$32,767,074CYOtherRevenueAmt
PY Total Revenue$1,567,909,818PYTotalRevenueAmt
CY Total Revenue$1,555,981,414CYTotalRevenueAmt
PY Grants And Similar Paid$2,901,901PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,405,117CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$827,503,708PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$683,894,729CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$189,566CYTotalFundraisingExpenseAmt
PY Other Expenses$701,208,796PYOtherExpensesAmt
CY Other Expenses$730,690,681CYOtherExpensesAmt
PY Total Expenses$1,531,614,405PYTotalExpensesAmt
CY Total Expenses$1,418,990,527CYTotalExpensesAmt
PY Revenues Less Expenses$36,295,413PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$136,990,887CYRevenuesLessExpensesAmt
Total Assets BOY$3,398,551,042TotalAssetsBOYAmt
Total Assets EOY$3,937,546,368TotalAssetsEOYAmt
Total Liabilities BOY$2,123,653,491TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,447,347,810TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,274,897,551NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,490,198,558NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$1,350,868,587ExpenseAmt
Grant$4,405,117GrantAmt
Revenue$1,465,058,687RevenueAmt
DescTHE 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.Desc
Total Program Service Expenses$1,350,868,587TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6403EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCLINTON YEEPersonNm
Phone8085389011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KELLY JOHNSON
CNO50.00.0Yes (X)$2,239,582$0$56,976
JILL HOGGARD GREEN
TRUSTEE25.040.0$0$1,709,743$284,902Yes (X)
WHITNEY LIMM MD
SENIOR VICE PRESIDENT12.048.0$0$1,218,267$61,755Yes (X)
JASON CHANG
PRESIDENT/TRUSTEE - PART YEAR24.031.0$951,232$0$131,335Yes (X)Yes (X)
PAUL MCDOWELL
TREASURER44.021.0$0$842,247$128,759Yes (X)
KAZUMA NAKAGAWA MD
TRUSTEE1.054.0$0$849,557$24,783Yes (X)
JOHN NITAO
SECRETARY/GENERAL COUNSEL2.053.0$0$688,209$111,936Yes (X)
OMAR ABDUL GHANI MD
CARDIOLOGIST25.025.0Yes (X)$403,418$353,609$40,868
GEORGE R BRUNO MD
PRESIDENT/TRUSTEE40.015.0$0$701,893$78,888Yes (X)Yes (X)
JESUS PINO MORENO MD
CARDIOLOGIST25.025.0Yes (X)$374,641$357,132$18,191
ALAMELU RAMAMURTHI MD
Cardiac Electrophysiologist25.025.0Yes (X)$326,675$295,859$41,478
DARLENA CHADWICK RN
VICE PRESIDENT13.042.0$486,471$0$67,786Yes (X)
T SCOTT GALLACHER MD
TRUSTEE/COS51.00.0$0$499,384$39,279Yes (X)
BERYL MUNIZ
VP - PATIENT CARE50.00.0Yes (X)$479,914$0$29,048
MICHEL RICCIONI
FORMER OFFICER0.00.0$0$376,796$0Yes (X)
NADINE TENN SALLE MD
TRUSTEE1.053.0$0$337,610$5,122Yes (X)
SHARLENE TSUDA
FORMER OFFICER0.00.0$0$285,577$6,974Yes (X)
CLINTON YEE
ASSISTANT TREASURER37.018.0$0$230,971$44,261Yes (X)
STEVEN NISHIDA MD
TRUSTEE - PART YEAR1.00.0$0$0$0Yes (X)
GARY CAUFIELD
TRUSTEE - PART YEAR1.02.0$0$0$0Yes (X)
PATRICK CHING
TRUSTEE1.03.0$0$0$0Yes (X)
KYLE CHOCK
TRUSTEE1.03.0$0$0$0Yes (X)
PETER HALFORD MD
TRUSTEE1.01.0$0$0$0Yes (X)
KEAWE KAHOLOKULA PHD
TRUSTEE1.02.0$0$0$0Yes (X)
KAMANI KUALA'AU
TRUSTEE1.02.0$0$0$0Yes (X)
KRISTI LEFFORGE
TRUSTEE1.02.0$0$0$0Yes (X)
ROBERT MOMSEN
TRUSTEE - PART YEAR1.02.0$0$0$0Yes (X)
CAMERON NEKOTA
TRUSTEE1.02.0$0$0$0Yes (X)
ALLEN UYEDA
TRUSTEE1.03.0$0$0$0Yes (X)
JENAI WALL
TRUSTEE/CHAIR1.08.0$0$0$0Yes (X)Yes (X)
C SCOTT WO PHD
TRUSTEE - PART YEAR1.02.0$0$0$0Yes (X)
JIM YATES
TRUSTEE1.03.0$0$0$0Yes (X)
SHAWN MALIA KAKA'IAUPUNI PHD
TRUSTEE1.02.0$0$0$0Yes (X)
A CATHERINE NGO
TRUSTEE1.02.0$0$0$0Yes (X)
THOMAS PRISELAC
TRUSTEE1.03.0$0$0$0Yes (X)
SUSAN YAMADA
TRUSTEE1.02.0$0$0$0Yes (X)
MARY G BOLAND DRPH RN
TRUSTEE1.02.0$0$0$0Yes (X)
MICHAEL BRODERICK
TRUSTEE1.02.0$0$0$0Yes (X)
MEREDITH CHING
TRUSTEE1.02.0$0$0$0Yes (X)
ROBERT DEAN
TRUSTEE1.02.0$0$0$0Yes (X)
SCOTT SEU
TRUSTEE1.02.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,261,933TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,746,854TotReportableCompRltdOrgAmt
Total Other Compensation$1,172,341TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1938IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$38,194,958RelatedOrganizationsAmt
Government Grants$10,978,442GovernmentGrantsAmt
All Other Contributions$3,618,798AllOtherContributionsAmt
Noncash Contributions$199,476NoncashContributionsAmt
Total Contributions$52,792,198TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$1,332,197,688$1,332,197,688
INTERCOMPANY PURCHASED SERVICES561000$19,945,986$19,945,986
PATHOLOGY LABS621500$3,999,817$3,999,817
SUSTAINABILITY FEE622110$88,738,645$88,738,645
FieldValueIRS element (for citing)
Total Program Service Revenue$1,444,882,136TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,953,711TotalRevenueColumnAmt
Unrelated Business Revenue$1,372,395UnrelatedBusinessRevenueAmt
Exclusion$27,581,316ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,000TotalRevenueColumnAmt
Exclusion$5,000ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,178,999RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,178,999RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,178,999TotalRevenueColumnAmt
Unrelated Business Revenue$209,062UnrelatedBusinessRevenueAmt
Exclusion$1,969,937ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,114,729,091SecuritiesAmt
Other$9,100OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,117,799,876SecuritiesAmt
Other$352,020OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,070,785SecuritiesAmt
Other-$342,920OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,413,705TotalRevenueColumnAmt
Exclusion-$3,413,705ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
FOOD SERVICE REVENUE621500$5,940,445$5,940,445
340B REVENUE621500$2,247,642$2,247,642
ACO INCOME621500$9,075,116$9,075,116

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,319,872TotalRevenueColumnAmt
Related Or Exempt Func Income$11,988,464RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,331,408UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$30,583,075OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,555,981,414TotalRevenueColumnAmt
Related Or Exempt Func Income$1,461,058,870RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,987,798UnrelatedBusinessRevenueAmt
Exclusion$26,142,548ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,405,117TotalAmt
Program Services$4,405,117ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,135,859TotalAmt
Management And General$1,135,859ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$545,841,458TotalAmt
Program Services$545,382,491ProgramServicesAmt
Management And General$458,967ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,815,987TotalAmt
Program Services$29,715,446ProgramServicesAmt
Management And General$100,541ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$70,339,787TotalAmt
Program Services$68,871,026ProgramServicesAmt
Management And General$1,468,761ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,761,638TotalAmt
Program Services$36,360,425ProgramServicesAmt
Management And General$401,213ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,830,180TotalAmt
Program Services$1,830,180ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$383,283TotalAmt
Program Services$375,931ProgramServicesAmt
Management And General$7,352ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$413,838TotalAmt
Management And General$413,838ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$149,797TotalAmt
Management And General$149,797ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$783,641TotalAmt
Management And General$783,641ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$149,228,751TotalAmt
Program Services$146,730,001ProgramServicesAmt
Management And General$2,498,750ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$112,464TotalAmt
Program Services$39,058ProgramServicesAmt
Management And General$73,406ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,117,213TotalAmt
Program Services$7,053,784ProgramServicesAmt
Management And General$63,429ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,382,183TotalAmt
Program Services$4,382,183ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,851,371TotalAmt
Program Services$31,851,371ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$651,116TotalAmt
Program Services$651,116ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$751,356TotalAmt
Program Services$698,766ProgramServicesAmt
Management And General$52,590ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,529,747TotalAmt
Program Services$8,951ProgramServicesAmt
Management And General$25,520,796ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$48,807,254TotalAmt
Program Services$47,268,927ProgramServicesAmt
Management And General$1,538,327ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,903,937TotalAmt
Program Services$213,610ProgramServicesAmt
Management And General$11,690,327ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$254,787,540$254,787,540
INTERCOMPANY EXPENSES$157,651,368$138,833,778$18,628,024$189,566
TAXES$24,979,480$23,457,748$1,521,732
UBI TAX EXPENSE$18,100$18,100

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,358,062TotalAmt
Program Services$7,951,138ProgramServicesAmt
Management And General$1,406,924ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,418,990,527TotalAmt
Program Services$1,350,868,587ProgramServicesAmt
Management And General$67,932,374ManagementAndGeneralAmt
Fundraising$189,566FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,625BOYAmt
EOY$5,220EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,739,193BOYAmt
EOY$9,250,759EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$177,721,637BOYAmt
EOY$186,397,801EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,286,880BOYAmt
EOY$18,723,190EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,874,293BOYAmt
EOY$14,345,733EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,148,827,672LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$725,840,147LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$441,001,721BOYAmt
EOY$422,987,525EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$674,001,900BOYAmt
EOY$673,733,863EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$441,533,220BOYAmt
EOY$513,267,630EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,260,190BOYAmt
EOY$1,084,273EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$17,071,361BOYAmt
EOY$8,782,624EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,590,055,022BOYAmt
EOY$2,088,967,750EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,398,551,042BOYAmt
EOY$3,937,546,368EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$218,072,516BOYAmt
EOY$145,761,038EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,721,418BOYAmt
EOY$3,336,728EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$319,320,130BOYAmt
EOY$309,161,724EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$50,296,345BOYAmt
EOY$26,856,311EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,532,243,082BOYAmt
EOY$1,962,232,009EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,123,653,491BOYAmt
EOY$2,447,347,810EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,250,981,117BOYAmt
EOY$1,465,849,204EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,916,434BOYAmt
EOY$24,349,354EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,274,897,551BOYAmt
EOY$1,490,198,558EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,398,551,042BOYAmt
EOY$3,937,546,368EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$136,990,887ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$72,361,400NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,948,720OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$149,797FilingOrganizationsTotalAmt
Affiliated Group Total$225,545AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$149,797FilingOrganizationsTotalAmt
Affiliated Group Total$225,545AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,350,718,790FilingOrganizationsTotalAmt
Affiliated Group Total$1,909,033,964AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,350,868,587FilingOrganizationsTotalAmt
Affiliated Group Total$1,909,259,509AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$141,608CurrentYearMinus3Amt
Current Year Minus2$166,517CurrentYearMinus2Amt
Current Year Minus1$194,808CurrentYearMinus1Amt
Current Year$225,544CurrentYearAmt
Total$728,477TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,408,003BeginningYearBalanceAmt
Contributions$47,000ContributionsAmt
Investment Earnings Or Losses$452,697InvestmentEarningsOrLossesAmt
Grants Or Scholarships$499,328GrantsOrScholarshipsAmt
Other Expenditures$1,725,072OtherExpendituresAmt
End Year Balance$6,683,300EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,888,174BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$468,111InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,000GrantsOrScholarshipsAmt
Other Expenditures$60OtherExpendituresAmt
End Year Balance$8,408,003EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,497,023BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses$2,045,704InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,305GrantsOrScholarshipsAmt
Other Expenditures$643,248OtherExpendituresAmt
End Year Balance$8,888,174EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,443,521BeginningYearBalanceAmt
Contributions$2,100ContributionsAmt
Investment Earnings Or Losses$189,611InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,500GrantsOrScholarshipsAmt
Other Expenditures$125,709OtherExpendituresAmt
End Year Balance$7,497,023EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,677,396BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses$442,455InvestmentEarningsOrLossesAmt
Grants Or Scholarships$89,672GrantsOrScholarshipsAmt
Other Expenditures$587,658OtherExpendituresAmt
End Year Balance$7,443,521EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.89000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,683,149OtherCostOrOtherBasisAmt
Book Value$50,683,149BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$726,575,985OtherCostOrOtherBasisAmt
Depreciation$473,366,637DepreciationAmt
Book Value$253,209,348BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,297,084OtherCostOrOtherBasisAmt
Depreciation$14,624,058DepreciationAmt
Book Value$2,673,026BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$316,271,880OtherCostOrOtherBasisAmt
Depreciation$237,849,452DepreciationAmt
Book Value$78,422,428BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,999,574OtherCostOrOtherBasisAmt
Book Value$37,999,574BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$422,987,525TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPOOLED INVESTMENTS - NONPUBLICDesc
Book Value$513,267,630BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$513,267,630TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$2,058,071,485
OTHER ASSETS-RESTRICTED FOR LT$244,505
ROU ASSETS$19,582,451
RENT RECEIVABLE$11,069,309
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,088,967,750TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$1,932,907,498
DUE TO GOVERNMENT$29,324,511
FieldValueIRS element (for citing)
Total Liability$1,962,232,009TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE 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 2FIN 48(ASC 740) FOOTNOTE QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2023.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,067,428TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,067,428NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,617,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,739,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,878,000NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,684,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,739,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,945,428NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,327,349TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,327,349NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,096,065TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,096,065NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,983,904TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,438,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,545,096NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,084,588TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,084,588NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,994,735TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,994,735NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,486,641TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,438,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,047,833NetCommunityBenefitExpnsAmt
Total Expense0.03460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$207,171,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,177,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$105,993,261NetCommunityBenefitExpnsAmt
Total Expense0.07480TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$36,900,000BadDebtExpenseAmt
Bad Debt Expense Attributable$36,900,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$394,418,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$439,005,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$44,587,000MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE QUEEN'S MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 PUNCHBOWL STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.QUEENS.ORGWebsiteAddressTxt
State License29-HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Queen's Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE 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 5INPUT FROM COMMUNITY REPRESENTATIVES 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. Key Informant Interviews - The Ward Team conducted 80 key informant interviews with individuals in key stakeholder positions able to provide input and insight on behalf of a target population. These tended to be organizational leaders serving stakeholder communities versus members of those actual populations that joined community meetings. Interviews were typically one on one between an interviewer and a key informant, lasting anywhere from 45 to 90 minutes. Small Groups - The Ward Team also held a series of private small group meetings with key leaders in three of these areas (food security, mental health, and housing). (Note that two of these necessitated additional one-on-one interviews, rather than small groups, given scheduling difficulties and the desire to speak with key individuals). These interviews followed the completion of most of the key informant interviews and community meetings and benefitted from that learning to date. The focus of discussion was around identifying COVID-19 adaptation strategies that worked and how that learning can be carried forward and built upon. Much of this discussion has augmented the Best Practice strategies highlighted in the report. Community Advisory Committee - In 2021, the Community Advisory Committee (CAC) was composed of community leaders serving various target communities. 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. SEE APPENDIX F OF THE CHNA FOR A LIST OF KEY INFORMANTS AND THEIR RESPECTIVE ORGANIZATIONS.
SCHEDULE H, PART V, SECTION B, LINE 6ACHNA HOSPITAL FACILITIES NINETEEN HEALTHCARE ASSOCIATION OF HAWAII (HAH) MEMBER HOSPITALS CONTRIBUTED TO THE PRODUCTION OF THIS CHNA: ADVENTIST HEALTH CASTLE KAHUKU MEDICAL CENTER KAISER FOUNDATION HOSPITAL - HONOLULU KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN KUAKINI MEDICAL CENTER KULA HOSPITAL LANA'I COMMUNITY 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 REHABILITATION HOSPITAL OF THE PACIFIC SHRINERS HOSPITALS FOR CHILDREN - HONOLULU STRAUB MEDICAL CENTER SUTTER KAHI MOHALA WAHIAWA GENERAL HOSPITAL WILCOX MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINE 6BCHNA OTHER THAN HOSPITAL FACILITIES 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 94 OF THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A AND 10AWEBSITE WHERE THE QUEEN'S MEDICAL CENTER FACILITY'S CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED: https://www.queens.org/about/community-benefit-qhs/
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS ASSESSED TOGETHER, THE HEALTHCARE ASSOCIATION OF HAWAII (HAH) MEMBER HOSPITALS PRIORITIZED THE AREAS OF NEED FOR THE STATE. THE TOP RANKED GOALS WERE: . Financial Security . Food Security . Mental and Behavioral Health . Housing . Trust and Equitable Access IN ADDITION, THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED: . Work together for equity and justice . Strengthen safe families . Prepare for emergencies . Restore environment and sense of place . Shift kupuna care away from "sick care" . Nurture community identity and cohesiveness . Invest in teenagers and healthy starts SENIOR MANAGEMENT OF THE QUEEN'S HEALTH SYSTEMS (QUEEN'S), THE NONPROFIT PARENT COMPANY OF A FAMILY OF HEALTH CARE-RELATED COMPANIES THAT INCLUDES THE QUEEN'S MEDICAL CENTER (QMC), QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH) AND MOLOKAI GENERAL HOSPITAL (MGH), DISCUSSED THE COMMUNITY HEALTH NEEDS AND AGREED TO ADDRESS THE FOLLOWING PRIORITIES FOR THE SYSTEM: . Financial Security . Food Security . Mental and Behavioral Health . Housing . Trust and Equitable Access OBJECTIVE 1 Enhance equitable access to health care and wellness services by implementing the next 2 phases of the Kahua Ola 2.0 Strategic Plan to develop and sustain relations and trust (i.e., pilina) between QHS and the communities it serves. a. Continue to reduce barriers to access primary and specialty care and incorporate Community Care Management at The Queen's Medical Center Queen Emma Clinics (addressing Social Determinants of Health to include transportation and supporting navigation throughout the continuum of care and within the community). Time Frame FY 2022, 2023, 2024 b. Continue to work with community organizations to improve accessibility to Queen Emma Clinics services for at-risk youth and seniors. Time Frame FY 2022, FY 2023, FY 2024 c. Continue to reduce barriers to accessing primary and specialty care at The Queen's Medical Center-West O'ahu ambulatory services, while incorporating Community Care Management in the West O'ahu community (addressing Social Determinants of Health to include transportation and supporting navigation throughout the continuum of care and within the community). Time Frame FY 2022, FY 2023, FY 2024 d. Continue to support medical care and housing initiatives with Community Partners and include Hawaii Healthcare for the Homeless, HUI (H4). Time Frame FY 2022, FY 2023 e. Continue to reduce barriers to accessing primary and specialty care at The Queen's North Hawai'i Community Hospital ambulatory services and incorporating Community Care Management in the Hawai'i Island community (addressing Social Determinants of Health to include transportation and supporting navigation throughout the continuum of care and within the community) f. Work with The Queen's Health System's departments of NHH and DEIJ & Caregiver Wellness to continue strengthening our working relationship with Native Hawaiian community leaders and organizations from Hawai'i Island to review and set the CHNA priorities that these departments and Native Hawaiian organizations can collaborate and systematically acquire information and data on. Time Frame FY 2022, FY 2023, FY 2024 g. Reduce barriers to accessing primary and specialty care in the Molokai community (addressing Social Determinants of Health to include transportation and supporting navigation throughout the continuum of care). Time Frame FY 2023 and FY 2024 OBJECTIVE 2 Promote quality patient care and sustain patient engagement with evidence-based interventions that are developmentally appropriate across the life span, culturally responsive, and upholds the QHS values of C.A.R.E. (Compassion, Aloha, Respect and Excellence) between providers and the persons, families, and communities. a. Continue to expand services and support for providers, staff, and the community to enhance cultural awareness and practice. Time Frame FY 2022, FY 2023, FY 2024 b. Continue to build workforce capacity via collaboration with Kapi'olani Community College to redesign/revise the course curriculum for the Community Health Worker program to address culturally responsive approaches. Time Frame FY 2022 and FY 2023 c. Continue to develop a cohesive partnership between the QHS DEIJ and NHH departments that lead to the successful execution of their distinct and complementary purposes and goals that include: . Partnerships with QHS leaders and their teams from Quality and Patient Safety, Clinical Programs, Innovation and Research, Education, Training, and Wellness programs for clinical and nonclinical caregivers; and . Strategic community partnership with Native Hawaiian organizations, University schools, departments, and programs, and state and federal agencies that promote the CNHA and NHH/DEIJ & Caregiver Wellness priorities. Time Frame FY 2022, FY 2023, FY 2024 OBJECTIVE 3 Cultivate community partnerships that build a mutual respect and kuleana to transform the models and system of care from one that focuses on illness to a population health movement that leverages all local, state and federal resources to build the capacity for communities to address the SDoH drivers of positive change. Further develop the alignment and collaborations with particular emphasis on the following: a. Three Federally Qualified Health Centers (FQHC) to address accessing primary and specialty care. Time Frame FY 2023 and FY 2024 b. Extend Native Hawaiian culture awareness and education via a comprehensive Education and Training curriculum using virtual asynchronous learning, with face-to-face in person cultural immersion sessions that educate and train our clinical and non-clinical caregivers about our Ali'i Founders' Native Hawaiian traditions that enhance clinical and wellness perceptions and relationships with the patients and island communities we serve. Time Frame FY 2023 and FY 2024 c. Strategically provide appropriate levels of housing including: Kalihi-Palama Health Center with H4 on housing and align with Waianae Coast Comprehensive Health Care to provide primary care outreach in clinical community-based outreach services at the Pu'uhonua O Wai'anae (previously houseless village). Time Frame FY 2023 and FY 2024 d. Work to expand the QHS health and wellness services to include traditional Native Hawaiian Healing and the Medical Model by effective partnerships with the Waimanalo, Waianae, Kokua Kalihi Valley FQHCs, and Papa Ola Lokahi and their Kupuna Council. Time Frame FY 2023 and FY 2024 e. Partner with the Ke Kula Nui O Waimanalo and the University of Hawaii's College of Tropical Agricultural and Human Resources (UH CTAHR) Learning Center to develop a strategic plan to advance their vision of a 21st century Native Hawaiian 'ahupu'a'a that serves as a sacred gathering place for the Waimanalo community to attain food stability and ensures trust and equitable access that strengthen families and educate elementary, middle school, high school and college students. Time Frame FY 2023 and FY 2024 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 13BINCOME LEVEL OTHER THAN FPG 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 13HOTHER ELIGIBILITY CRITERIA MEDICARE OR MEDICAID/QUEST ELIGIBILITY
SCHEDULE H, PART V, LINES 16A, 16B & 16CTHE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM, PLAIN LANGUAGE SUMMARY AND TRANSLATIONS ARE WIDELY AVAILABLE ON THE QUEEN'S MEDICAL CENTER WEBSITE AT: https://www.queens.org/locations/hospitals/qmc/pay-your-bill/financial-ass istance/
SCHEDULE H, PART V, SECTION B, LINE 16JOTHER METHOD FOR PUBLICIZING POLICIES 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.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
QMC West Oahu Specialty Clinics
91-2135 Fort Weaver Road Ste 401EWA BEACHHI96706Outpatient Specialty Clinics
QUEEN'S HEARTGERIATRICS
550 S Beretania Street Ste 601HONOLULUHI96813CARDIAC CARE CENTER
QMC - ENDOSCOPY
550 S BERETANIA STREET STE 701HONOLULUHI96813ENDOSCOPY SERVICES
QUEEN'S IMAGING
91-2139 FORT WEAVER ROAD STE 103EWA BEACHHI96706IMAGING SERVICES
QMC - PAIN AND SPINE
550 S Beretania Street Ste 703/704HONOLULUHI96813PAIN AND SPINE CLINIC
QMC - GASTROENTEROLOGY
550 S BERETANIA STREET STE 501HONOLULUHI96813GASTROENTEROLOGY SERVICES
QUEEN'S IMAGING
91-2135 FORT WEAVER ROAD STE 103EWA BEACHHI96706IMAGING SERVICES
QMC - RADIOLOGYPATIENT SVCDIAB ED
1329 LUSITANA STREET STE B-1HONOLULUHI96813RADIOLOGY SERVICES, DIABETES EDUCATION & PATIENT SERVICES
QUEEN'S IMAGING
550 S BERETANIA STREET STE B-1HONOLULUHI96813RADIOLOGY SERVICES
QMC - TRANSPLANT CENTER
550 S Beretania Street Ste 404/406HONOLULUHI96813ORGAN TRANSPLANT CENTER
QMC - NEUROSCIENCE INSTITUTE
550 S BERETANIA STREET STE 400/405HONOLULUHI96813NEUROSCIENCE SERVICES
QMC - ONCOLOGYHEMATOLOGY
1380 LUSITANA STREET STE 608HONOLULUHI96813ONCOLOGY/HEMATOLOGY
QUEEN'S HEART
550 S BERETANIA STREET STE 610HONOLULUHI96813CARDIAC CARE CENTER
QUEEN'S CANCER CENTER INFUSION
321 NORTH KUAKINI STREET STE 402/4HONOLULUHI96817INFUSION CLINIC
QUEEN'S HEART PHYSICIAN PRACTICE
98-1247 KAAHUMANU STREET STE 206AIEAHI96701CARDIAC CARE CENTER
QMC - CWMP
1380 LUSITANA STREET STE 300HONOLULUHI96813COMPREHENSIVE WEIGHT MANAGEMENT
QMC - PATIENT SUPPORT
1329 LUSITANA STREET STE B-8HONOLULUHI96813PATIENT SUPPORT CENTER
QUEEN'S HEART INSTITUTE
1401 S BERETANIA STREET STE 500HONOLULUHI96814CARDIOLOGY CLINIC
QMC - HEAD AND NECK
1380 LUSITANA STREET STE 615HONOLULUHI96813HEAD AND NECK INSTITUTE
QUEEN'S HEALTH CARE CENTER - REHAB
1215 HUNAKAI STREETHONOLULUHI96816ORTHOPEDICS/REHAB
QMC - DIABETES MANAGEMENT & EDUCATION
91-2139 FORT WEAVER ROAD STE 305EWA BEACHHI96706DIABETES MANAGEMENT
QMC - CARDIOLOGY
1329 LUSITANA STREET STE 301HONOLULUHI96813CARDIOLOGY CLINIC
QMC - PRE-SURGICAL
1380 LUSTIANA STREETM STE 709HONOLULUHI96813PRE-SURGICAL AND COVID TESTING
PHYSICAL THERAPY OCEAN POINTE
91-6390 KAPOLEI PARKWAYEWA BEACHHI96706ORTHOPEDICS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6COMMUNITY BENEFIT REPORT - 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 7THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES).
SCHEDULE H, PART I, LINE 7GTHE QUEEN EMMA CLINICS PROVIDE COMPREHENSIVE PATIENT CARE TO INDIGENT PATIENTS AND SERVE A LARGE HOMELESS POPULATION.
SCHEDULE H, PART II, LINE 10COMMUNITY BUILDING ACTIVITIES IN ORDER TO MAINTAIN NECESSARY LIFE SUPPORT, DIAGNOSTIC AND OPERATING SYSTEMS, IN THE EVENT OF AN EMERGENCY, QMC SIGNIFICANTLY UPGRADED ITS POWER PLANT BY ADDING TWO NEW GENERATORS THAT ARE CAPABLE OF PROVIDING ELECTRICAL POWER FOR THE MEDICAL CENTER. QMC IS THE ONLY LEVEL I TRAUMA CENTER IN THE STATE OF HAWAII. IN ORDER TO PROVIDE ACCESS TO ITS EMERGENCY DEPARTMENT AND HOSPITAL, QMC, IN CONJUNCTION WITH THE STATE DEPARTMENT OF TRANSPORTATION AND CITY DEPARTMENT OF TRANSPORTATION SERVICES, SUPPORTED THE CONSTRUCTION OF THE KINAU OFF-RAMP.
SCHEDULE H, PART III, LINE 2QMC 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, 2023.
SCHEDULE H, PART III, LINE 3BAD DEBT AS COMMUNITY BENEFIT 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 FY2023, QMC REPORTED BAD DEBT EXPENSE OF $36,900,000.
SCHEDULE H, PART III, LINE 4BAD DEBT EXPENSE 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 8MEDICARE COSTING METHODOLOGY THE MEDICARE AMOUNTS ABOVE ARE CALCULATED WITH DATA FROM THE JUNE 30, 2023 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 $190,668,000. 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 9BAPPLICATION OF THE COLLECTION PRACTICES TO THOSE QUALIFYING 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 VI, LINE 2NEEDS 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 3PATIENT 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 4COMMUNITY 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% NATIVE HAWAIIAN, OTHER PACIFIC ISLANDER, NATIVE ALASKAN AND AMERICAN INDIAN. OTHER DEMOGRAPHIC INFORMATION REGARDING HAWAII IS AS FOLLOWS: - MEDIAN AGE: 39.4 YEARS OLD (1) - 37.6% ASIAN, 24.1 % WHITE, 10.4% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER, 24.3% TWO OR MORE RACES (1) - MEDIAN HOUSEHOLD INCOME: $81,276 (2015 - 2019) (2) - 9.4% OF HAWAII'S POPULATION LIVES IN POVERTY (2) - OTHER THAN OAHU, THE ENTIRETY OF EACH ISLAND IS CONSIDERED UNDERSERVED (2) - NUMBER OF HOSPITALS (BY COUNTY) HAWAII COUNTY: 6 MAUI COUNTY: 4 C&C HONOLULU: 9 KAUAI COUNTY: 3 (1) US CENSUS 2020 (2) HEALTHCARE ASSOCIATION OF HAWAII: HAWAII STATE COMMUNITY HEALTH NEEDS ASSESSMENT 2021
SCHEDULE H, PART VI, LINE 5PROMOTION 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 6AFFILIATED 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. 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.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ALOHA UNITED WAY
200 NORTH VINEYARD BLVDHonoluluHI96817990073494501(c)(3)$30,000GENERAL SUPPORT
American Cancer Society
3380 CHASTAIN MEADOWS PKWY NWKEMMESAWGA30144131788491501(c)(3)$25,000General Support
American Diabetes Association
2451 CRYSTAL DRIVE STE 901ARLINGTONVA22202131623888501(c)(3)$15,000Sponsorship "2022 ADA Hawaii Year Round Sponsorship Proposal"
American Heart Association
PO BOX 4002030DES MOINESIA50340135613797501(c)(3)$40,000Sponsorship "Heart of Hawaii and Heart Walk 2022 - 2025"
American Red Cross
431 18TH STREET NWWASHINGTONDC200065009530196605501(c)(3)$15,000Sponsorship "2023 Red Cross Corporate Partner Program"
Arthritis Foundation
1355 Peachtree Street NE Ste 600AtlantaGA30309581341679501(c)(3)$20,000Sponsorship "2022 Taste of the Town"2023 Walk to Cure Arthritis"
Assistance Dogs of Hawaii
675 Kealaloa AvenueMakawaoHI96768990353694501(c)(3)$10,000General Support
Boy Scouts of America Aloha Council
42 Puiwa RdHonoluluHI96817990073482501(c)(3)$11,500Sponsorship "2022 Distinguished Citizens' Dinner" Sponsorship "7th Onizuka Day of Exploration"
Boys and Girls Club of Hawaii
1000 Bishop Street Ste 550HonoluluHI96813996005407501(c)(3)$6,000Sponsorship "26TH Annual Walk in the Country"
Child and Family Service
91-1841 Fort Weaver RdEwa BeachHI96706990073483501(c)(3)$25,000Sponsorship "MARATHON OF HOPE"2023 CHILD & FAMILY FALL GALA"
Friends of Iolani Palace The
PO Box 2259HonoluluHI96804990115665501(c)(3)$10,000Contribution "Hau'oli La Hanau e King Kalakaua"1001 Bishop Street
Girl Scouts of Hawaii
410 Atkinson Drive Suite 2E1 BoxHonoluluHI96814990073488501(c)(3)$60,000GENERAL SUPPORT
Hawaii Academy of Science
1776 University Avenue UA4 Rm 4HonoluluHI96822996006863501(c)(3)$178,591Sponsorship "2023 support for the Hawaii State Science & Engineering Fair" & GENERAL SUPPORT
Hawaii Cancer Consortium
55 Merchant StreetHonoluluHI96813452280259501(c)(3)$500,000General Support
Hawaii Executive COLLABORATIVE
827 FORT STREET MALL 2FHonoluluHI96813844041099501(c)(3)$85,000Contribution "2023 Hawaii Executive Conference"
Island Pacific Academy
909 Haumea StKapoleiHI96707680534162501(c)(3)$10,000GENERAL SUPPORT
Kokua Mau
PO Box 62155HonoluluHI96839990339201501(c)(3)$15,000General Support
Navian Hawaii
860 Iwilei RoadHonoluluHI96817990203930501(c)(3)$10,000General Support
Public Schools of Hawaii Foundation
PO Box 4148HonoluluHI96812880243449501(c)(3)$10,000Sponsorship "30th Annual Kulia I Ka Nu'u Awards Banquet"
St Andrews Schools
224 Queen Emma SquareHonoluluHI96813990073525501(c)(3)$125,000General Support
St Francis Healthcare Foundation of HI
2228 Liliha Street Ste 205HonoluluHI96817990240060501(c)(3)$25,000General Support
Susan G Komen Hawaii
13770 NOEL ROAD STE 801889DALLASTX75380751835298501(c)(3)$25,000General Support
University of Hawaii Foundation
2440 CAMPUS ROAD BOX 368HonoluluHI96822990085260501(c)(3)$996,596General Support
University of Hawaii JABSOM
PO Box 11270HonoluluHI968280270996000354GOVT$645,075Project Ola Kulu
Young Womens Christian Association
1040 Richard StreetHonoluluHI96813990073534501(c)(3)$20,000General Support
Waikiki Community Center
310 Paoakalani AvenueHonoluluHI96815990179392501(C)(3)$5,500GENERAL SUPPORT
Healthcare Association of Hawaii
707 Richards StreetHonoluluHI96813990105817501(c)(6)$20,000GENERAL SUPPORT
Native Hawaiian Chamber of Commerce
PO BOX 597HONOLULUHI96809990207564501(C)(6)$11,000Sponsorship "45TH Annual O'o Awards"
ASSETS SCHOOL
1 OHANA NUI WAYHONOLULUHI96818996001152501(C)(3)$15,000GENERAL SUPPORT
BISHOP MUSEUM
1525 BERNICE STREETHONOLULUHI96817990161980501(C)(3)$6,000GENERAL SUPPORT
DOMESTIC VIOLENCE ACTION CENTER
PO BOX 3198HONOLULUHI96801990290389501(C)(3)$16,000SPONSORSHIP 2022/2023 ANNUAL GALA
HAWAII PARKINSON ASSOCIATION INC
2228 LILIHA ST 206HONOLULUHI96817990327454501(C)(3)$7,500GENERAL SUPPORT
JORDAN & CARA ODO SCHOLARSHIP FOUNDATION
726 11TH AVENUE APT CHONOLULUHI96816471870059501(C)(3)$36,500GENERAL SUPPORT
MAULIOLA KEEHI
94-115 PUANANE LOOPMILILANIHI96789834690376501(C)(3)$66,000GENERAL SUPPORT
AMERICAN LUNG ASSOCIATION IN HAWAII
201 Merchant Street Ste 901HONOLULUHI96813131632524501(C)(3)$6,000Contribution "2023 Outstanding Mother's Awards"
HAWAII ACADEMY OF RECORDING ARTS
521 Ala Moana Boulevard 429HONOLULUHI96813990210166501(C)(3)$20,000Sponsorship "2023 Na Hoku Hanohano Awards"
NATIONAL KIDNEY FOUNDATION OF HAWAII
1314 S King Street Ste 1555HONOLULUHI96814990266733501(C)(3)$25,000Sponsorship "2023 Kidney Walk Lace Up"
PROJECT VISION HAWAII
PO BOX 23212HONOLULUHI96823272831637501(C)(3)$10,000Sponsorship "Eye Ball 2022"
Shidler College of Business Alumni Assn
2404 Maile Way A303FHONOLULUHI96822990339302501(C)(3)$12,000Sponsorship "2022 Hall of Honor Awards"
ALOHA MEDICAL MISSION
810 NORTH VINEYARD BLVDHONOLULUHI96817990234811501(C)(3)$15,000GENERAL SUPPORT
ALZHEIMERS ASSOCIATION
225 N MICHIGAN AVENUE FL 17CHIGAGOIL60601133039601501(C)(3)$21,000SPONSOR WALK TO END ALZHEIMERS
HAWAII LGBT LEGACY FOUNDATION
310 PAOAKALANI AVENUE STE 206EHONOLULUHI96815223969736501(C)(3)$17,500SPONSORSHIP HONOLULU PRIDE
HILO MEDICAL CENTER FOUNDATION
140 RAINBOW DRIVEHILOHI96720990323155501(C)(3)$5,550GENERAL SUPPORT
HOMEAID HAWAII
PO BOX 11811HONOLULUHI96828474980676501(C)(3)$100,000SUPPORT KAUHALE TINY HOUSES
MOLOKAI COMMUNITY SERVICE COUNCIL
PO BOX 2047KAUNAKAKAIHI96748237426312501(C)(3)$12,000GENERAL SUPPORT
PAPA OLA LOKAHI
894 QUEEN STREETHONOLULUHI96813990273765501(C)(3)$20,000GENERAL SUPPORT
PARTNERS IN DEVELOPMENT FOUNDATION
2040 BACHELOT STREETHONOLULUHI96817943271325501(C)(3)$10,000GENERAL SUPPORT
UNIVERSITY CLINICAL EDUCATION & RESEARCH
677 ALA MOANA BOULEVARD STE 1001HONOLULUHI96813990307152501(C)(3)$695,971HI KEIKI MENTAL HEALTH PROGRAM
WAIANAE COAST COMP HEALTH CENTER
86-260 FARRINGTON HIGHWAYWAIANAEHI96792990148164501(C)(3)$10,000GENERAL SUPPORT
INSTITUTE FOR HUMAN SERVICES
PO BOX 17040HONOLULUHI96817990199107501(C)(3)$173,591GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org48Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
KELLY JOHNSON
CNO$225,710$0$0$0$2,013,872$0$46,925$0$10,051$0$2,296,558$0
JILL HOGGARD GREEN
TRUSTEE$0$1,166,644$0$535,575$0$7,524$0$267,373$0$17,529$0$1,994,645
WHITNEY LIMM MD
SENIOR VICE PRESIDENT$0$953,835$0$249,954$0$14,478$0$43,226$0$18,529$0$1,280,022
JASON CHANG
PRESIDENT/TRUSTEE - PART YEAR$692,791$0$257,631$0$810$0$106,493$0$24,842$0$1,082,567$0
PAUL MCDOWELL
TREASURER$0$612,070$0$227,855$0$2,322$0$104,236$0$24,523$0$971,006
KAZUMA NAKAGAWA MD
TRUSTEE$0$364,143$0$484,655$0$759$0$13$0$24,770$0$874,340
JOHN NITAO
SECRETARY/GENERAL COUNSEL$0$497,012$0$186,295$0$4,902$0$84,492$0$27,444$0$800,145
OMAR ABDUL GHANI MD
CARDIOLOGIST$249,498$223,781$153,360$129,409$560$419$15,855$0$14,582$10,431$433,855$364,040
GEORGE R BRUNO MD
PRESIDENT/TRUSTEE$0$532,622$0$168,029$0$1,242$0$69,220$0$9,668$0$780,781
JESUS PINO MORENO MD
CARDIOLOGIST$236,504$200,420$137,853$156,509$284$203$507$8,643$5,274$3,767$380,422$369,542
ALAMELU RAMAMURTHI MD
Cardiac Electrophysiologist$295,548$264,146$30,618$31,285$509$428$24,400$0$9,934$7,144$361,009$303,003
DARLENA CHADWICK RN
VICE PRESIDENT$378,243$0$105,906$0$2,322$0$50,871$0$16,915$0$554,257$0
T SCOTT GALLACHER MD
TRUSTEE/COS$0$449,583$0$38,258$0$11,543$0$14,398$0$24,881$0$538,663
BERYL MUNIZ
VP - PATIENT CARE$375,903$0$97,153$0$6,858$0$24,400$0$4,648$0$508,962$0
MICHEL RICCIONI
FORMER OFFICER$0$0$0$0$0$376,796$0$0$0$0$0$376,796
NADINE TENN SALLE MD
TRUSTEE$0$198,245$0$137,937$0$1,428$0$0$0$5,122$0$342,732
SHARLENE TSUDA
FORMER OFFICER$0$0$0$0$0$285,577$0$6,969$0$5$0$292,551
CLINTON YEE
ASSISTANT TREASURER$0$204,194$0$23,464$0$3,313$0$17,720$0$26,541$0$275,232

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE 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 7OTHER 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 & FORM 990, PART VIICOMPENSATION 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 FOR QUMG, MGH, NHCH AND QEL. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR HER VARIOUS SERVICES. GEORGE R BRUNO, MD DR. BRUNO SERVES AS PRESIDENT/TRUSTEE OF QMC 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. 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. PAUL MCDOWELL MR. MCDOWELL 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. MICHEL RICCIONI MR. RICCIONI SERVED AS TREASURER OF QMC, TREASURER/CHIEF FINANCIAL OFFICER OF QHS AND TRUSTEE OF QEL THROUGH AUGUST 2020. HE WAS A VOLUNTEER TRUSTEE AND WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED WAS HIS TOTAL COMPENSATION FOR ALL SERVICES. DARLENA CHADWICK MS. CHADWICK SERVES AS EVP AND COO OF QHS, VICE PRESIDENT OF QMC AND TRUSTEE OF 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. 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. 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 WAS HER 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. T SCOTT GALLACHER, MD DR. GALLACHER SERVES AS A TRUSTEE AND CHIEF OF STAFF 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 AND MEDICAL DIRECTOR, MICU OF QMC. 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 COMPENSATE FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR SERVICES AS CHIEF OF PEDIACTRICS FOR QUMG.
SCHEDULE J, PART I, LINE 4ATHE TERMS OF THE SEVERANCE AGREEMENT ARE SUBJECT TO NON-DISCLOSURE AGREEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DEPARTMENT OF BUDGET AND FINANCE STATE OF HIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN990266961BondIssuerEIN
CUSIP419800LM7CUSIPNum
Bond Issued2015-01-29BondIssuedDt
Issue Price$350,356,476IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$31,675,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$350,362,507TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$4,726,000IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$185,627,500CapitalExpendituresAmt
Other Spent Proceeds$160,009,007OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1ML CAPITAL SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge6.5TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule K, Part I-V-19, Line 1DESCRIPTION OF ARRANGEMENT RELATED ORGANIZATION REPORTING SCHEDULE K QUEEN'S MEDICAL CENTER'S (QMC) SOLE CORPORATE MEMBER, THE QUEEN'S HEALTH SYSTEMS (QHS) BORROWED ON BEHALF OF ITSELF AND ITS AFFILIATES, QMC AND QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH). INFORMATION REPORTED ON SCHEDULE K IS FOR THE ENTIRE BOND ISSUE. THE OUTSTANDING BOND LIABILITY IS ALLOCATED BETWEEN ENTITIES AND REPORTED SEPERATELY ON FORM 990, PART X. QMC'S SHARE OF THE OUTSTANDING LIABILITY IS $309,161,724.
PART I, LINE A, COLUMN (F)DESCRIPTION OF PURPOSE THE BONDS ARE ISSUED FOR THE BENEFIT OF THE BORROWER (THE QUEEN'S HEALTH SYSTEMS) AND THE FOLLOWING ORGANIZATIONS, EACH OF WHICH IS CONTROLLED BY THE BORROWER AND WHICH IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE: THE QUEEN'S MEDICAL CENTER AND QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (TOGETHER WITH THE BORROWER, THE "OBLIGATED GROUP MEMBERS"). ON JANUARY 23, 2015, QHS ISSUED SPECIAL PURPOSE REVENUE BONDS 2015 SERIES A, 2015 SERIES B AND 2015 SERIES C. THE PURPOSE OF THIS ISSUE WAS TO REFUND ALL DEBT OBLIGATIONS PREVIOUSLY ISSUED UNDER THE MASTER TRUST INDENTURE DATED JULY 1, 1996, AS AMENDED AMONG THE BORROWER, THE QUEEN'S MEDICAL CENTER, AND OTHER AFFILIATED CORPORATIONS, AND THE MASTER TRUSTEE NAMED THEREIN, FINANCE, REFINANCE OR REIMBURSE THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING FACILITIES BENEFITTING THE OBLIGATED GROUP MEMBERS AND PAY COSTS OF ISSUANCE OF THE BOND'S OBLIGATED GROUP MEMBERS AND PAY COSTS OF ISSUANCE OF THE BONDS. THE ISSUANCE DATES FOR THE BONDS WERE: 12/11/2003 05/06/2009 03/16/2006
PART IV, LINE 2CTHE REBATE CALCULATION WAS PERFORMED ON JANUARY 29, 2020.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$3,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$109,556NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$86,920NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3CHANGES TO HOW WE CONDUCT PROGRAM SERVICES On July 1, 2022, QMC transferred its physisicans to The Queen's University Medical Group (QUMG), the academic medical group practice of The Queen's Health Systems. QUMG is a separately incorporated, wholly owned subsidiary of QHS and provides health care services to the patients of QMC.
FORM 990, PART III, LINE 4APROGRAM 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. 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 $187M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2023. 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, 2023, THE ESTIMATED COST OF PROVIDING CHARITY CARE WAS $2,067,000 AND BAD DEBT EXPENSE WAS $36,900,000. 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 $13,353,000 IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2023. 3. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $17,909,000 DURING THE YEAR ENDED JUNE 30, 2023 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, 2023 WAS $1,187,000. 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, 2023 WAS $1,008,000. 6. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2023, RESEARCH COSTS WERE $2,085,000. 7. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2023, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS CONSISTENT WITH QMC'S EXEMPT PURPOSE WERE $3,741,000. OF THIS AMOUNT, $645,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $500,000 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 $54,878,000 DURING THE YEAR ENDED JUNE 30, 2023.
FORM 990, PART III, LINE 4A - CONTINUED9. 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 $44,587,000 DURING THE YEAR ENDED JUNE 30, 2023. 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, 2023, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $63,000. 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 $1,770,000 FOR THE YEAR ENDED JUNE 30, 2023. 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, 2023, THE VALUE OF THE USE OF THE CENTER WAS $190,000. 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, 2023 COSTS INCURRED FOR THE PROGRAM WERE $1,378,000. 14. QUEEN'S MEDICAL RESPITE KALIHI UKA RECOVERY HOME - THE KALIHI-UKA RECOVERY HOMES (KURH) OFFER HOMELESS INDIVIDUALS A SAFE AND WELCOMING PLACE 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, 2023 COSTS INCURRED FOR THE PROGRAM WERE $594,000. 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, 2023 COSTS INCURRED FOR THE PROGRAM WERE $597,000. 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, 2023, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $187,000. 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, 2023, THE COST RELATED TO KAHULA OLA WAS $70,000. 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 $260,000 DURING THE YEAR ENDED JUNE 30, 2023. 19. TELESTROKE PROGRAM - QUEEN'S NEUROSCIENCE INSTITUTE PROVIDES STATE-OF-THE-ART MEDICAL CARE TO PATIENTS WITH NEUROLOGICAL DISEASES THROUGH THE INTEGRATION OF CLINICAL EXCELLENCE, EDUCATION AND RESEARCH. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT AND STATE GRANTS OF APPROXIMATELY $1,256,000 DURING THE TAX YEAR ENDED JUNE 30, 2023. 20. 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, 2023, THESE PROGRAM COSTS TOTALED $1,870,000. 21. 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 $1,519,000 FOR THE YEAR ENDED JUNE 30, 2023. 22. MENTAL HEALTH EMERGENCY WORKERS PROGRAM - Mental Health Emergency Workers (MHEWs) are LCSWs, APRNs and PsyDs certified by HI DOH to provide 24/7 phone consultation to law enforcement officers responding to behavioral health crises on Honolulu, Kauai and Maui counties. MHEWs coach officers in techniques for crisis intervention, engage in real-time problem solving to support least-restrictive safety planning, and are authorized to initiate MH1s for involuntary evaluation by an LMP or licensed psychologist at an emergency department if they believe someone is imminently dangerous to self, others or gravely disabled. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT AND STATE GRANTS OF APPROXIMATELY $11,000 DURING THE TAX YEAR ENDED JUNE 30, 2023 23. 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 VI, LINE 6MEMBERS OR STOCKHOLDERS QMC HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS").
FORM 990, PART VI, LINE 7APOWER TO ELECT OR APPOINT MEMBERS QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QMC BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7BDESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 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 11BPROCESS USED TO REVIEW THE FORM 990 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 ENTERPRISE RISK MANAGEMENT AND CYBERSECURITY 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 12, 13 AND 14APPROVED 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, LINES 12CMONITORING AND ENFORCEMENT OF COMPLIANCE WITH 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 15BPROCESS USED FOR DETERMINING COMPENSATION 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. THE MOST RECENT REVIEW TOOK PLACE IN OCTOBER 2023. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE.
FORM 990, PART VI, LINE 19AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS 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 V, LINE 1VENDOR 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 2022.
FORM 990, PART XI, LINE 9OTHER CHANGES TO NET ASSETS PENSION FAS 87 ADJUSTMENTS $ 8,726,552 CHANGE IN INTEREST IN SUBSIDIARY (2,291,703) NET ASSETS RELEASED FROM RESTRICTION (486,127) ROUNDING (2) ------------- TOTAL $ 5,948,720
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:99005239
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:45067933
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:1851735
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER SERVICES TOTAL FEES:3303844

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
QUEENS MSSP ACO LLC
1301 PUNCHBOWL STREETHONOLULUHI96813830771278ACC. CARE ORGHI$9,075,116$14,672,926QMC
QUEEN'S CLINICALLY INTG PHYS NETWORK LLC
1301 PUNCHBOWL STREETHONOLULUHI96813990073524PHYS NETWORKHI$0$0QMC
QUEEN'S 'AKOAKOA LLC
1301 PUNCHBOWL STREETHONOLULUHI96813990073524PHYS NETWORKHI$437,631$0QMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE QUEEN'S HEALTH SYSTEMS
1301 PUNCHBOWL STREETHONOLULUHI96813990238120ADMIN SERVICEHI501(c)(3)12cNAfalse
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREETHONOLULUHI96813990183769SUPPORT SVCSHI501(c)(3)12aQHSYes (true)
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
67-1125 MAMALAHOA HIGHWAYKAMUELAHI96743990260423MEDICAL SVCSHI501(c)(3)3QHSYes (true)
MOLOKAI GENERAL HOSPITAL
PO BOX 408KAUNAKAKAI MALOKAIHI96748990251372MEDICAL SVCSHI501(c)(3)3QHSYes (true)
QUEEN'S UNIVERSITY MEDICAL GROUP
1301 PUNCHBOWL STREETHONOLULUHI96813880820406MEDICAL SVCSHI501(C)(3)10QHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HAMAMATSUQUEEN'S PET IMAGING
1301 PUNCHBOWL STREETHONOLULUHI96813943266916PET IMAGINGHIQMCRELATED$2,753,552$9,926,129false$0false0.70000
PRIMARY CARE PHYSICIAN ENTERPRISE LLC
1301 PUNCHBOWL STREETHONOLULUHI96813834591861MEDICAL SERVICESHIQMCRELATED-$401,807$2,423,807false$0false0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
THE QUEEN'S DEVELOPMENT CORPORATION
1301 PUNCHBOWL STREETHONOLULUHI96813990240109DEVELOPMENTHINAC CorpYes (true)
QUEEN'S INSURANCE EXCHANGE
1301 PUNCHBOWL STREETHONOLULUHI96813911913839INSURANCEHINAC CorpYes (true)
DIAGNOSTIC LABORATORY SERVICES INC
99-859 IWAIWA STREETHONOLULUHI96701990240499MEDICAL LAB SVCSHINAC CorpYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
QUEEN EMMA LAND COMPANY
c$38,194,958FMV
QUEEN EMMA LAND COMPANY
k$927,710FMV
QUEEN EMMA LAND COMPANY
m$100,896FMV
DIAGNOSTIC LABORATORY SERVICES INC
j$148,687FMV
DIAGNOSTIC LABORATORY SERVICES INC
l$1,327,813FMV
DIAGNOSTIC LABORATORY SERVICES INC
p$32,286,650FMV
THE QUEEN'S DEVELOPMENT CORPORATION
j$3,571,108FMV
THE QUEEN'S DEVELOPMENT CORPORATION
k$5,390,290FMV
THE QUEEN'S DEVELOPMENT CORPORATION
q$1,098,488FMV
MOLOKAI GENERAL HOSPITAL
l$88,135FMV
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
l$346,307FMV
QUEEN'S UNIVERSITY MEDICAL GROUP
K$520,748FMV
QUEEN'S UNIVERSITY MEDICAL GROUP
L$131,745FMV
QUEEN'S UNIVERSITY MEDICAL GROUP
A(IV)$156,235FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPFormAndLineReferenceDesc
ExplanationHAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 PRIMARY CARE PHYSICIAN ENTERPRISE LLC EIN:83-4591861 ADDRESS: 1301 PUNCHBOWL STREET, HONOLULU, HI 96813ExplanationTxt

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
Meduim ExplanationNAME: QUEEN EMMA LAND COMPANY ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0183769 EXPENSES: $39,752,776 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: THE QUEEN'S HEALTH SYSTEMS ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0238120 EXPENSES: $168,512,366 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: THE QUEEN'S MEDICAL CENTER ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0073524 EXPENSES: $1,350,868,587 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: MOLOKAI GENERAL HOSPITAL ADDRESS: P.O. BOX 408 KAUNAKAKAI MOLOKAI, HI 96748 EIN: 99-0251372 EXPENSES: $43,189,070 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ADDRESS: 67-1125 MAMALAHOA HIGHWAY KAMUELA, HI 96743 EIN: 99-0260423 EXPENSES: $70,624,945 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: QUEEN'S UNIVERSITY MEDICAL GROUP ADDRESS: 1301 PUNCHBOWL STREET, HONOLULU, HI 96813 EIN: 88-0820406 EXPENSES: $236,311,765 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0MeduimExplanationTxt