2024-05-09T17:45:05-05:00 2023-06-30 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2022-07-01 990073524 THE QUEEN'S MEDICAL CENTER % CLINTON YEE QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 PAUL MCDOWELL TREASURER 8085389011 2024-05-08 true PAUL MCDOWELL 999009999 ANDREW JAMESON P01894820 7209314000 2024-05-02 2 2022 2023-04-26 12:10:37Z GEORGE R BRUNO MD 1301 PUNCHBOWL STREET HONOLULU HI 96813 2674133310 false X WWW.QUEENS.ORG X 1859 HI TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. 24 19 6403 240 15987798 0 58361985 52792198 1406210741 1444882136 72975271 25540006 30361821 32767074 1567909818 1555981414 2901901 4405117 0 0 827503708 683894729 0 0 189566 701208796 730690681 1531614405 1418990527 36295413 136990887 3398551042 3937546368 2123653491 2447347810 1274897551 1490198558 X THE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE, IN PERPETUITY, QUALITY HEALTHCARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. false true 1350868587 4405117 1465058687 THE QUEEN'S MEDICAL CENTER IS THE LARGEST PRIVATE, NONPROFIT ACUTE CARE MEDICAL FACILITY IN HAWAII. ITS STAFF IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE PEOPLE OF HAWAII AND THE PACIFIC. SEE SCHEDULE O FOR MORE INFORMATION. 1350868587 true true false true false false false false false true true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false true true false false true true true true false false true X 0 0 6403 true true true false false false false false false false false false false false X 24 19 false false false false true true true true true false false true false false false false false true true X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 KELLY JOHNSON CNO 50.0 0.0 X 2239582 0 56976 JILL HOGGARD GREEN TRUSTEE 25.0 40.0 X 0 1709743 284902 WHITNEY LIMM MD SENIOR VICE PRESIDENT 12.0 48.0 X 0 1218267 61755 JASON CHANG PRESIDENT/TRUSTEE - PART YEAR 24.0 31.0 X X 951232 0 131335 PAUL MCDOWELL TREASURER 44.0 21.0 X 0 842247 128759 KAZUMA NAKAGAWA MD TRUSTEE 1.0 54.0 X 0 849557 24783 JOHN NITAO SECRETARY/GENERAL COUNSEL 2.0 53.0 X 0 688209 111936 OMAR ABDUL GHANI MD CARDIOLOGIST 25.0 25.0 X 403418 353609 40868 GEORGE R BRUNO MD PRESIDENT/TRUSTEE 40.0 15.0 X X 0 701893 78888 JESUS PINO MORENO MD CARDIOLOGIST 25.0 25.0 X 374641 357132 18191 ALAMELU RAMAMURTHI MD Cardiac Electrophysiologist 25.0 25.0 X 326675 295859 41478 DARLENA CHADWICK RN VICE PRESIDENT 13.0 42.0 X 486471 0 67786 T SCOTT GALLACHER MD TRUSTEE/COS 51.0 0.0 X 0 499384 39279 BERYL MUNIZ VP - 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NONPUBLIC 513267630 F 513267630 DUE FROM AFFILIATES 2058071485 OTHER ASSETS-RESTRICTED FOR LT 244505 ROU ASSETS 19582451 RENT RECEIVABLE 11069309 2088967750 0 DUE TO AFFILIATES 1932907498 DUE TO GOVERNMENT 29324511 1962232009 X SCHEDULE D, PART V, LINE 4 INTENDED 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 2 FIN 48(ASC 740) FOOTNOTE QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2023. true true X true X 250. true X true true true false true true 2067428 2067428 0.00150 143617000 88739000 54878000 0.03870 145684428 88739000 56945428 0.04020 19327349 19327349 0.01360 19096065 19096065 0.01350 16983904 12438808 4545096 0.00320 2084588 2084588 0.00150 3994735 3994735 0.00280 61486641 12438808 49047833 0.03460 207171069 101177808 105993261 0.07480 true 36900000 36900000 394418000 439005000 -44587000 X true true 1 1 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 WWW.QUEENS.ORG 29-H X X X X X The Queen's Medical Center 1 false false true X X X X X X X X X 21 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 21 true SEE SCHEDULE H, PART V, SECTION C false true X 250. 400. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT 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 6A CHNA 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 6B CHNA 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 10A WEBSITE 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 11 NEEDS 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 13B INCOME 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 13H OTHER ELIGIBILITY CRITERIA MEDICARE OR MEDICAID/QUEST ELIGIBILITY SCHEDULE H, PART V, LINES 16A, 16B & 16C THE 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 16J OTHER 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. 24 QMC West Oahu Specialty Clinics 91-2135 Fort Weaver Road Ste 401 EWA BEACH HI 96706 Outpatient Specialty Clinics QUEEN'S HEARTGERIATRICS 550 S Beretania Street Ste 601 HONOLULU HI 96813 CARDIAC CARE CENTER QMC - ENDOSCOPY 550 S BERETANIA STREET STE 701 HONOLULU HI 96813 ENDOSCOPY SERVICES QUEEN'S IMAGING 91-2139 FORT WEAVER ROAD STE 103 EWA BEACH HI 96706 IMAGING SERVICES QMC - PAIN AND SPINE 550 S Beretania Street Ste 703/704 HONOLULU HI 96813 PAIN AND SPINE CLINIC QMC - GASTROENTEROLOGY 550 S BERETANIA STREET STE 501 HONOLULU HI 96813 GASTROENTEROLOGY SERVICES QUEEN'S IMAGING 91-2135 FORT WEAVER ROAD STE 103 EWA BEACH HI 96706 IMAGING SERVICES QMC - RADIOLOGYPATIENT SVCDIAB ED 1329 LUSITANA STREET STE B-1 HONOLULU HI 96813 RADIOLOGY SERVICES, DIABETES EDUCATION & PATIENT SERVICES QUEEN'S IMAGING 550 S BERETANIA STREET STE B-1 HONOLULU HI 96813 RADIOLOGY SERVICES QMC - TRANSPLANT CENTER 550 S Beretania Street Ste 404/406 HONOLULU HI 96813 ORGAN TRANSPLANT CENTER QMC - NEUROSCIENCE INSTITUTE 550 S BERETANIA STREET STE 400/405 HONOLULU HI 96813 NEUROSCIENCE SERVICES QMC - ONCOLOGYHEMATOLOGY 1380 LUSITANA STREET STE 608 HONOLULU HI 96813 ONCOLOGY/HEMATOLOGY QUEEN'S HEART 550 S BERETANIA STREET STE 610 HONOLULU HI 96813 CARDIAC CARE CENTER QUEEN'S CANCER CENTER INFUSION 321 NORTH KUAKINI STREET STE 402/4 HONOLULU HI 96817 INFUSION CLINIC QUEEN'S HEART PHYSICIAN PRACTICE 98-1247 KAAHUMANU STREET STE 206 AIEA HI 96701 CARDIAC CARE CENTER QMC - CWMP 1380 LUSITANA STREET STE 300 HONOLULU HI 96813 COMPREHENSIVE WEIGHT MANAGEMENT QMC - PATIENT SUPPORT 1329 LUSITANA STREET STE B-8 HONOLULU HI 96813 PATIENT SUPPORT CENTER QUEEN'S HEART INSTITUTE 1401 S BERETANIA STREET STE 500 HONOLULU HI 96814 CARDIOLOGY CLINIC QMC - HEAD AND NECK 1380 LUSITANA STREET STE 615 HONOLULU HI 96813 HEAD AND NECK INSTITUTE QUEEN'S HEALTH CARE CENTER - REHAB 1215 HUNAKAI STREET HONOLULU HI 96816 ORTHOPEDICS/REHAB QMC - DIABETES MANAGEMENT & EDUCATION 91-2139 FORT WEAVER ROAD STE 305 EWA BEACH HI 96706 DIABETES MANAGEMENT QMC - CARDIOLOGY 1329 LUSITANA STREET STE 301 HONOLULU HI 96813 CARDIOLOGY CLINIC QMC - PRE-SURGICAL 1380 LUSTIANA STREETM STE 709 HONOLULU HI 96813 PRE-SURGICAL AND COVID TESTING PHYSICAL THERAPY OCEAN POINTE 91-6390 KAPOLEI PARKWAY EWA BEACH HI 96706 ORTHOPEDICS SCHEDULE H, PART I, LINE 6 COMMUNITY 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 7 THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES). SCHEDULE H, PART I, LINE 7G THE QUEEN EMMA CLINICS PROVIDE COMPREHENSIVE PATIENT CARE TO INDIGENT PATIENTS AND SERVE A LARGE HOMELESS POPULATION. SCHEDULE H, PART II, LINE 10 COMMUNITY 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 2 QMC PROVIDES AN ALLOWANCE AGAINST ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE BY ESTABLISHING AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. QMC ESTIMATES THE ALLOWANCE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER QMC'S FINANCIAL ASSISTANCE POLICY IS CALCULATED BASED ON THE COST-TO-CHARGE RATIO. THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JULY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS PRIOR TO ASSESSING THE CREDIT RISK OF INDIVIDUALS WITHIN THE PORTFOLIO. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. THE AMOUNT SHOWN ON PART III, LINE 2 IS THE PRICE CONCESSION AMOUNT FOR THE TAX YEAR ENDED JUNE 30, 2023. SCHEDULE H, PART III, LINE 3 BAD 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 4 BAD 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 8 MEDICARE 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 9B APPLICATION 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 2 NEEDS ASSESSMENT QMC'S MISSION IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTH CARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. USING PUBLICLY AVAILABLE REPORTS AND DATA, AND THROUGH DISCUSSION WITH STAKEHOLDERS, QMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE BY FOCUSING ON FIVE STRATEGIC DIMENSIONS INCLUDING SUPERIOR QUALITY AND PERFORMANCE, BEING THE PROVIDER OF CHOICE, EMPLOYER OF CHOICE, DISPLAYING RESPONSIBLE CITIZENSHIP AND FOCUSING ON FINANCIAL PERFORMANCE. CORE STRATEGIES INVOLVING RESPONSIBLE CITIZENSHIP TO THE COMMUNITY INCLUDE HARDWIRING OUR NATIVE HAWAIIAN HEALTH STRATEGIC PLAN THROUGHOUT QUEEN'S ENTITIES, CREATING A SUSTAINABLE INFRASTRUCTURE THAT ALLOWS QUEEN'S TO QUANTIFY AND ARTICULATE COMMUNITY BENEFIT, AND STRENGTHENING GOVERNMENT AND COMMUNITY PARTNERSHIPS TO SUPPORT ACCESS AND AVAILABILITY OF PROGRAMS AND SERVICES THAT HELP ADDRESS UNMET COMMUNITY HEALTH NEEDS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MEDICAID, MEDICARE AND VARIOUS STATE PROGRAM ELIGIBILITY REQUIREMENTS ARE DISCUSSED WITH INPATIENTS AND/OR INPATIENT'S FAMILY MEMBERS. QMC HAS A CONTRACTED VENDOR WHO PERFORMS MEDICAID ELIGIBILITY ASSESSMENTS AND WORKS WITH PATIENTS TO SUBMIT AN APPLICATION AND THE REQUIRED DOCUMENTS. PATIENTS WHO MAY QUALIFY FOR MEDICARE ARE PROVIDED CONTACT INFORMATION FOR THE SOCIAL SECURITY OFFICE. SIGNS ARE POSTED IN REGISTRATION AREAS THROUGHOUT THE HOSPITAL ADVISING THAT QMC HAS A DISCOUNTED CARE POLICY. APPROPRIATE STAFF MEMBERS THAT COMMUNICATE WITH THE PUBLIC REGARDING THEIR BILLS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. STAFF MEMBERS DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION QMC IS THE LEADING MEDICAL REFERRAL CENTER IN THE PACIFIC BASIN. LOCATED IN DOWNTOWN HONOLULU, IT'S THE LARGEST PRIVATE HOSPITAL IN HAWAII. ACCORDING TO RECENT DEMOGRAPHIC CENSUS DATA, THE STATE OF HAWAII IS VERY DIVERSE AND INCLUDES A POPULATION THAT IS APPROXIMATELY 10% 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 5 PROMOTION OF COMMUNITY HEALTH TO SUPPORT THE QUEEN'S MISSION AND TO FULFILL THE TAX-EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEEN'S PROVIDES A NUMBER OF COMMUNITY BENEFITS. THIS INCLUDES UNCOMPENSATED CARE, WHERE QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBT). QUEEN'S IS ALSO HOME TO THE QUEEN EMMA CLINICS, WHERE QMC PROVIDES OUTPATIENT SERVICES TO INDIGENT PATIENTS. OTHER EXAMPLES INCLUDE EMERGENCY PREPAREDNESS COSTS AND AMOUNTS EXPENDED TO EXPAND AND TEST BACK-UP POWER THAT CAN SERVICE PATIENTS IN TIMES OF EMERGENCY. IN ADDITION, QMC PROVIDES MANY FREE INFORMATIONAL SEMINARS AND EDUCATIONAL OPPORTUNITIES TO THE PUBLIC TO PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE SPECIFICALLY DIRECTED TO ADDRESS HEALTH ISSUES WITHIN THE COMMUNITY INCLUDING DIABETES, CANCER AND WOMEN'S HEALTH ISSUES. A MAJORITY OF QMC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN QMC'S PRIMARY SERVICE AREA (OAHU) WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF QMC. QMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM QMC IS A MEMBER OF THE QUEEN'S HEALTH SYSTEMS (QHS) AFFILIATED GROUP. THE GROUP ALSO INCLUDES QUEEN EMMA LAND COMPANY (QEL), QUEEN'S INSURANCE EXCHANGE (QIE), QUEEN'S DEVELOPMENT CORPORATION (QDC), MOLOKAI GENERAL HOSPITAL (MGH), QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH) AND QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG). QHS PROVIDED LEGAL, ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO QMC AND QIE PROVIDED MEDICAL MALPRACTICE INSURANCE TO QMC. QUMG PROVIDED MEDICAL SERVICES TO ALL AFFILIATED HOSPITALS. 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 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A true ALOHA UNITED WAY 200 NORTH VINEYARD BLVD Honolulu HI 96817 990073494 501(c)(3) 30000 GENERAL SUPPORT American Cancer Society 3380 CHASTAIN MEADOWS PKWY NW KEMMESAW GA 30144 131788491 501(c)(3) 25000 General Support American Diabetes Association 2451 CRYSTAL DRIVE STE 901 ARLINGTON VA 22202 131623888 501(c)(3) 15000 Sponsorship "2022 ADA Hawaii Year Round Sponsorship Proposal" American Heart Association PO BOX 4002030 DES MOINES IA 50340 135613797 501(c)(3) 40000 Sponsorship "Heart of Hawaii and Heart Walk 2022 - 2025" American Red Cross 431 18TH STREET NW WASHINGTON DC 200065009 530196605 501(c)(3) 15000 Sponsorship "2023 Red Cross Corporate Partner Program" Arthritis Foundation 1355 Peachtree Street NE Ste 600 Atlanta GA 30309 581341679 501(c)(3) 20000 Sponsorship "2022 Taste of the Town"2023 Walk to Cure Arthritis" Assistance Dogs of Hawaii 675 Kealaloa Avenue Makawao HI 96768 990353694 501(c)(3) 10000 General Support Boy Scouts of America Aloha Council 42 Puiwa Rd Honolulu HI 96817 990073482 501(c)(3) 11500 Sponsorship "2022 Distinguished Citizens' Dinner" Sponsorship "7th Onizuka Day of Exploration" Boys and Girls Club of Hawaii 1000 Bishop Street Ste 550 Honolulu HI 96813 996005407 501(c)(3) 6000 Sponsorship "26TH Annual Walk in the Country" Child and Family Service 91-1841 Fort Weaver Rd Ewa Beach HI 96706 990073483 501(c)(3) 25000 Sponsorship "MARATHON OF HOPE"2023 CHILD & FAMILY FALL GALA" Friends of Iolani Palace The PO Box 2259 1001 Bishop Street Honolulu HI 96804 990115665 501(c)(3) 10000 Contribution "Hau'oli La Hanau e King Kalakaua" Girl Scouts of Hawaii 410 Atkinson Drive Suite 2E1 Box Honolulu HI 96814 990073488 501(c)(3) 60000 GENERAL SUPPORT Hawaii Academy of Science 1776 University Avenue UA4 Rm 4 Honolulu HI 96822 996006863 501(c)(3) 178591 Sponsorship "2023 support for the Hawaii State Science & Engineering Fair" & GENERAL SUPPORT Hawaii Cancer Consortium 55 Merchant Street Honolulu HI 96813 452280259 501(c)(3) 500000 General Support Hawaii Executive COLLABORATIVE 827 FORT STREET MALL 2F Honolulu HI 96813 844041099 501(c)(3) 85000 Contribution "2023 Hawaii Executive Conference" Island Pacific Academy 909 Haumea St Kapolei HI 96707 680534162 501(c)(3) 10000 GENERAL SUPPORT Kokua Mau PO Box 62155 Honolulu HI 96839 990339201 501(c)(3) 15000 General Support Navian Hawaii 860 Iwilei Road Honolulu HI 96817 990203930 501(c)(3) 10000 General Support Public Schools of Hawaii Foundation PO Box 4148 Honolulu HI 96812 880243449 501(c)(3) 10000 Sponsorship "30th Annual Kulia I Ka Nu'u Awards Banquet" St Andrews Schools 224 Queen Emma Square Honolulu HI 96813 990073525 501(c)(3) 125000 General Support St Francis Healthcare Foundation of HI 2228 Liliha Street Ste 205 Honolulu HI 96817 990240060 501(c)(3) 25000 General Support Susan G Komen Hawaii 13770 NOEL ROAD STE 801889 DALLAS TX 75380 751835298 501(c)(3) 25000 General Support University of Hawaii Foundation 2440 CAMPUS ROAD BOX 368 Honolulu HI 96822 990085260 501(c)(3) 996596 General Support University of Hawaii JABSOM PO Box 11270 Honolulu HI 968280270 996000354 GOVT 645075 Project Ola Kulu Young Womens Christian Association 1040 Richard Street Honolulu HI 96813 990073534 501(c)(3) 20000 General Support Waikiki Community Center 310 Paoakalani Avenue Honolulu HI 96815 990179392 501(C)(3) 5500 GENERAL SUPPORT Healthcare Association of Hawaii 707 Richards Street Honolulu HI 96813 990105817 501(c)(6) 20000 GENERAL SUPPORT Native Hawaiian Chamber of Commerce PO BOX 597 HONOLULU HI 96809 990207564 501(C)(6) 11000 Sponsorship "45TH Annual O'o Awards" ASSETS SCHOOL 1 OHANA NUI WAY HONOLULU HI 96818 996001152 501(C)(3) 15000 GENERAL SUPPORT BISHOP MUSEUM 1525 BERNICE STREET HONOLULU HI 96817 990161980 501(C)(3) 6000 GENERAL SUPPORT DOMESTIC VIOLENCE ACTION CENTER PO BOX 3198 HONOLULU HI 96801 990290389 501(C)(3) 16000 SPONSORSHIP 2022/2023 ANNUAL GALA HAWAII PARKINSON ASSOCIATION INC 2228 LILIHA ST 206 HONOLULU HI 96817 990327454 501(C)(3) 7500 GENERAL SUPPORT JORDAN & CARA ODO SCHOLARSHIP FOUNDATION 726 11TH AVENUE APT C HONOLULU HI 96816 471870059 501(C)(3) 36500 GENERAL SUPPORT MAULIOLA KEEHI 94-115 PUANANE LOOP MILILANI HI 96789 834690376 501(C)(3) 66000 GENERAL SUPPORT AMERICAN LUNG ASSOCIATION IN HAWAII 201 Merchant Street Ste 901 HONOLULU HI 96813 131632524 501(C)(3) 6000 Contribution "2023 Outstanding Mother's Awards" HAWAII ACADEMY OF RECORDING ARTS 521 Ala Moana Boulevard 429 HONOLULU HI 96813 990210166 501(C)(3) 20000 Sponsorship "2023 Na Hoku Hanohano Awards" NATIONAL KIDNEY FOUNDATION OF HAWAII 1314 S King Street Ste 1555 HONOLULU HI 96814 990266733 501(C)(3) 25000 Sponsorship "2023 Kidney Walk Lace Up" PROJECT VISION HAWAII PO BOX 23212 HONOLULU HI 96823 272831637 501(C)(3) 10000 Sponsorship "Eye Ball 2022" Shidler College of Business Alumni Assn 2404 Maile Way A303F HONOLULU HI 96822 990339302 501(C)(3) 12000 Sponsorship "2022 Hall of Honor Awards" ALOHA MEDICAL MISSION 810 NORTH VINEYARD BLVD HONOLULU HI 96817 990234811 501(C)(3) 15000 GENERAL SUPPORT ALZHEIMERS ASSOCIATION 225 N MICHIGAN AVENUE FL 17 CHIGAGO IL 60601 133039601 501(C)(3) 21000 SPONSOR WALK TO END ALZHEIMERS HAWAII LGBT LEGACY FOUNDATION 310 PAOAKALANI AVENUE STE 206E HONOLULU HI 96815 223969736 501(C)(3) 17500 SPONSORSHIP HONOLULU PRIDE HILO MEDICAL CENTER FOUNDATION 140 RAINBOW DRIVE HILO HI 96720 990323155 501(C)(3) 5550 GENERAL SUPPORT HOMEAID HAWAII PO BOX 11811 HONOLULU HI 96828 474980676 501(C)(3) 100000 SUPPORT KAUHALE TINY HOUSES MOLOKAI COMMUNITY SERVICE COUNCIL PO BOX 2047 KAUNAKAKAI HI 96748 237426312 501(C)(3) 12000 GENERAL SUPPORT PAPA OLA LOKAHI 894 QUEEN STREET HONOLULU HI 96813 990273765 501(C)(3) 20000 GENERAL SUPPORT PARTNERS IN DEVELOPMENT FOUNDATION 2040 BACHELOT STREET HONOLULU HI 96817 943271325 501(C)(3) 10000 GENERAL SUPPORT UNIVERSITY CLINICAL EDUCATION & RESEARCH 677 ALA MOANA BOULEVARD STE 1001 HONOLULU HI 96813 990307152 501(C)(3) 695971 HI KEIKI MENTAL HEALTH PROGRAM WAIANAE COAST COMP HEALTH CENTER 86-260 FARRINGTON HIGHWAY WAIANAE HI 96792 990148164 501(C)(3) 10000 GENERAL SUPPORT INSTITUTE FOR HUMAN SERVICES PO BOX 17040 HONOLULU HI 96817 990199107 501(C)(3) 173591 GENERAL SUPPORT 48 2 SCHEDULE I, PART I, LINE 2 DESRIPTION 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. true false false false false false false true false KELLY JOHNSON CNO 225710 0 0 0 2013872 0 46925 0 10051 0 2296558 0 JILL HOGGARD GREEN TRUSTEE 0 1166644 0 535575 0 7524 0 267373 0 17529 0 1994645 WHITNEY LIMM MD SENIOR VICE PRESIDENT 0 953835 0 249954 0 14478 0 43226 0 18529 0 1280022 JASON CHANG PRESIDENT/TRUSTEE - PART YEAR 692791 0 257631 0 810 0 106493 0 24842 0 1082567 0 PAUL MCDOWELL TREASURER 0 612070 0 227855 0 2322 0 104236 0 24523 0 971006 KAZUMA NAKAGAWA MD TRUSTEE 0 364143 0 484655 0 759 0 13 0 24770 0 874340 JOHN NITAO SECRETARY/GENERAL COUNSEL 0 497012 0 186295 0 4902 0 84492 0 27444 0 800145 OMAR ABDUL GHANI MD CARDIOLOGIST 249498 223781 153360 129409 560 419 15855 0 14582 10431 433855 364040 GEORGE R BRUNO MD PRESIDENT/TRUSTEE 0 532622 0 168029 0 1242 0 69220 0 9668 0 780781 JESUS PINO MORENO MD CARDIOLOGIST 236504 200420 137853 156509 284 203 507 8643 5274 3767 380422 369542 ALAMELU RAMAMURTHI MD Cardiac Electrophysiologist 295548 264146 30618 31285 509 428 24400 0 9934 7144 361009 303003 DARLENA CHADWICK RN VICE PRESIDENT 378243 0 105906 0 2322 0 50871 0 16915 0 554257 0 T SCOTT GALLACHER MD TRUSTEE/COS 0 449583 0 38258 0 11543 0 14398 0 24881 0 538663 BERYL MUNIZ VP - PATIENT CARE 375903 0 97153 0 6858 0 24400 0 4648 0 508962 0 MICHEL RICCIONI FORMER OFFICER 0 0 0 0 0 376796 0 0 0 0 0 376796 NADINE TENN SALLE MD TRUSTEE 0 198245 0 137937 0 1428 0 0 0 5122 0 342732 SHARLENE TSUDA FORMER OFFICER 0 0 0 0 0 285577 0 6969 0 5 0 292551 CLINTON YEE ASSISTANT TREASURER 0 204194 0 23464 0 3313 0 17720 0 26541 0 275232 SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEMS (QHS, PARENT COMPANY) TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. QHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND STUDY, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 7 OTHER 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 VII COMPENSATION PAID FOR SERVICES JILL HOGGARD GREEN MS. HOGGARD GREEN SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MS. HOGGARD GREEN ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) AND CHAIR 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 4A THE TERMS OF THE SEVERANCE AGREEMENT ARE SUBJECT TO NON-DISCLOSURE AGREEMENT. A DEPARTMENT OF BUDGET AND FINANCE STATE OF HI 990266961 419800LM7 2015-01-29 350356476 SEE PART VI false false false A 31675000 0 350362507 0 0 0 4726000 0 0 185627500 160009007 0 2019 true false true true A false false false true true 0 false false true A false false false true true true ML CAPITAL SERVICES 6.5 false false false 0 false true A true Form 990, Schedule K, Part I-V-19, Line 1 DESCRIPTION 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 2C THE REBATE CALCULATION WAS PERFORMED ON JANUARY 29, 2020. X 1 3000 FMV X 1 109556 FMV X 2 86920 FMV 0 false false false SCHEDULE M, PART I, COLUMN B THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 3 CHANGES 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 4A PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, THE QUEEN'S MEDICAL CENTER (QMC) IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. THE QUEEN'S MEDICAL CENTER HAS 505 ACUTE CARE BEDS AND 28 SUB-ACUTE CARE BEDS. WITH OVER 3,000 EMPLOYEES AND OVER 1,200 PHYSICIANS ON STAFF (INCLUDING PHYSICIANS EMPLOYED BY QUMG), IT IS ALSO ONE OF THE STATE OF HAWAII'S LARGEST EMPLOYERS. AS THE LEADING MEDICAL REFERRAL CENTER IN HAWAII AND THE PACIFIC BASIN, QMC IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE AND WOMEN'S HEALTH. QMC OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTETRICS AND PULMONOLOGY. QMC SERVES AS THE MAIN TRAUMA CENTER IN THE PACIFIC BASIN, ("TRAUMA" IS DEFINED AS A LIFE-THREATENING INJURY OR SHOCK) AND HAS BEEN VERIFIED AS A LEVEL I TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS. QMC IS HOME TO A NUMBER OF RESIDENCY PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN A BURNS SCHOOL OF MEDICINE. QMC IS ACCREDITED BY THE JOINT COMMISION (TJC). QMC IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (QCGME), AND IS A MEMBER OF VHA, A NATIONAL COOPERATIVE OF OVER 1,400 HOSPITALS. QMC SUPPORTS NATIVE HAWAIIAN HEALTH INITIATIVES THROUGH MANY OF ITS PROGRAMS AND SERVICES, PARTICULARLY ITS NATIVE HAWAIIAN HEALTH PROGRAM (NHHP). THE FOCUS AREAS OF NHHP INCLUDE IMPROVEMENTS IN CLINICAL OUTCOMES, HEALTHCARE TRAINING, RESEARCH, AND ACCESS AND OUTREACH. NHHP CONDUCTS ONGOING ASSESSMENT AND DEVELOPMENT OF QMC PROGRAMS AND SERVICES FOCUSED ON NATIVE HAWAIIANS, INCLUDING SPECIFIC CLINICAL PROGRAMS IN AREAS SUCH AS CARDIOLOGY, ONCOLOGY, COMPREHENSIVE WEIGHT MANAGEMENT, MEDICINE, NEUROSCIENCE, AND DIABETES. QMC COLLABORATES AND PARTNERS TO PROVIDE HEALTHCARE TRAINING AND EDUCATION OPPORTUNITIES TO NATIVE HAWAIIAN STUDENTS AND THOSE COMMITTED TO SERVING NATIVE HAWAIIAN COMMUNITIES FROM ADOLESCENCE TO GRADUATE STUDIES, SUCH AS, THE ULU KUKUI PROJECT, WHICH IS A PRE-COLLEGE SCIENCE EDUCATION PROGRAM AT STEVENSON MIDDLE SCHOOL TO PROMOTE EXCELLENCE IN SCIENCE EDUCATION AND THE PURSUIT OF BIOMEDICAL CAREERS BY NATIVE HAWAIIANS AND PACIFIC ISLANDERS. IN ADDITION, NHHP PROGRAMS FOCUS ON QUALITY IMPROVEMENT AND INCREASED ACCESS FOR NATIVE HAWAIIANS TO QMC AND COLLABORATE WITH THE NATIVE HAWAIIAN COMMUNITY IN EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. THROUGH EACH OF THESE AREAS OF FOCUS, NHHP WORKS TO PROVIDE A FRAMEWORK FOR THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF CLINICAL INITIATIVES THAT AIM TO ENHANCE THE OLA PONO (WELL BEING) OF NATIVE HAWAIIANS. IN ADDITION TO NHHP, MANY OF QMC'S PROGRAM SERVICES DESCRIBED BELOW PROVIDE BENEFITS TO NATIVE HAWAIIANS, INCLUDING COMPONENTS OF CHARITY CARE AND UNCOMPENSATED CARE PROVIDED TO OUR PATIENTS. IN JANUARY 2022, THE QUEEN'S HEALTH CARE CLINICS WERE TRANSFERRED FROM THE QUEEN'S DEVELOPMENT CORPORTAION (QDC) TO QMC. IN FEBRUARY 2022 QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG) WAS ESTABLISHED. QUMG'S PURPOSE IS TO EMPLOY A MULTISPECIALTY GROUP OF PHYSICIANS, ALONG WITH OTHER HEALTH CARE PROVIDERS AND STAFF, TO PROVIDE HEALTH CARE SPECIALTY SERVICES IN A CHARITABLE MANNER FOR PATIENTS OF QMC, MGH AND QNHCH AND OTHER HEALTH CARE PROVIDERS WITHIN THE COMMUNITIES SERVED BY QMC, MGH AND QNHCH. 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 - CONTINUED 9. MEDICARE SHORTFALL IN PAYMENTS - QMC PROVIDES INPATIENT AND OUTPATIENT SERVICES TO MEDICARE PATIENTS IN THE STATE OF HAWAII. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT BASED ON MEDICARE COST REPORTS OF APPROXIMATELY $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 6 MEMBERS OR STOCKHOLDERS QMC HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS"). FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QMC BOARD OF TRUSTEES. FORM 990, PART VI, LINE 7B DESCRIPTION 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 11B PROCESS 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 14 APPROVED POLICIES QMC ABIDES BY THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES THAT HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QMC BOARD OF TRUSTEES, BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE QMC BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'. FORM 990, PART VI, LINES 12C MONITORING 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 15B PROCESS 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 19 AVAILABILITY 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 1 VENDOR PAYMENTS ARE PROCESSED AND PAID BY THE QUEEN'S HEALTH SYSTEMS (QHS) FOR ALL AFFILIATES. AS SUCH, FORM 1099S WERE NOT ISSUED BY THE QUEEN'S MEDICAL CENTER (QMC) IN 2022. FORM 990, PART XI, LINE 9 OTHER 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 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:99005239 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:45067933 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1851735 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:3303844 QUEENS MSSP ACO LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 830771278 ACC. CARE ORG HI 9075116 14672926 QMC QUEEN'S CLINICALLY INTG PHYS NETWORK LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 PHYS NETWORK HI 0 0 QMC QUEEN'S 'AKOAKOA LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 PHYS NETWORK HI 437631 0 QMC THE QUEEN'S HEALTH SYSTEMS 1301 PUNCHBOWL STREET HONOLULU HI 96813 990238120 ADMIN SERVICE HI 501(c)(3) 12c NA false QUEEN EMMA LAND COMPANY 1301 PUNCHBOWL STREET HONOLULU HI 96813 990183769 SUPPORT SVCS HI 501(c)(3) 12a QHS true QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 MEDICAL SVCS HI 501(c)(3) 3 QHS true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI MALOKAI HI 96748 990251372 MEDICAL SVCS HI 501(c)(3) 3 QHS true QUEEN'S UNIVERSITY MEDICAL GROUP 1301 PUNCHBOWL STREET HONOLULU HI 96813 880820406 MEDICAL SVCS HI 501(C)(3) 10 QHS true HAMAMATSUQUEEN'S PET IMAGING 1301 PUNCHBOWL STREET HONOLULU HI 96813 943266916 PET IMAGING HI QMC RELATED 2753552 9926129 false 0 false 0.70000 PRIMARY CARE PHYSICIAN ENTERPRISE LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 834591861 MEDICAL SERVICES HI QMC RELATED -401807 2423807 false 0 false 0.51000 THE QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI NA C Corp true QUEEN'S INSURANCE EXCHANGE 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI NA C Corp true DIAGNOSTIC LABORATORY SERVICES INC 99-859 IWAIWA STREET HONOLULU HI 96701 990240499 MEDICAL LAB SVCS HI NA C Corp true true false true false false false false false false true true true true false true true true false false QUEEN EMMA LAND COMPANY c 38194958 FMV QUEEN EMMA LAND COMPANY k 927710 FMV QUEEN EMMA LAND COMPANY m 100896 FMV DIAGNOSTIC LABORATORY SERVICES INC j 148687 FMV DIAGNOSTIC LABORATORY SERVICES INC l 1327813 FMV DIAGNOSTIC LABORATORY SERVICES INC p 32286650 FMV THE QUEEN'S DEVELOPMENT CORPORATION j 3571108 FMV THE QUEEN'S DEVELOPMENT CORPORATION k 5390290 FMV THE QUEEN'S DEVELOPMENT CORPORATION q 1098488 FMV MOLOKAI GENERAL HOSPITAL l 88135 FMV QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL l 346307 FMV QUEEN'S UNIVERSITY MEDICAL GROUP K 520748 FMV QUEEN'S UNIVERSITY MEDICAL GROUP L 131745 FMV QUEEN'S UNIVERSITY MEDICAL GROUP A(IV) 156235 FMV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/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 96813 NAME: 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: $0