QUEENS NORTH HAWAII COMMUNITY HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: QUEENS NORTH HAWAII COMMUNITY HOSPITAL (EIN 99-0260423)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202521359349308847
Schema version: 2023v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T12:47:11+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	990260423	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	QUEE	BusinessNameControlTxt
Phone	8088814400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	67-1125 MAMALAHOA HIGHWAY	AddressLine1Txt
City	KAMUELA	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	967438496	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANY VAIOLETI	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8088814400	PhoneNum
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2025-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANY VAIOLETI	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	67-1125 MAMALAHOA HIGHWAY	AddressLine1Txt
City	KAMUELA	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	967438496	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$106,232,239	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.queens.org/locations/hospitals/north-hawaii/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	ACUTE CARE HOSPITAL WITH THE MISSION TO IMPROVE HEALTH AND WELLNESS OF THE PEOPLE OF NORTH HAWAII.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	475	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$36,353	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$31,908	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,886,064	PYContributionsGrantsAmt
CY Contributions Grants	$2,197,723	CYContributionsGrantsAmt
PY Program Service Revenue	$94,282,675	PYProgramServiceRevenueAmt
CY Program Service Revenue	$102,652,050	CYProgramServiceRevenueAmt
PY Investment Income	$526,504	PYInvestmentIncomeAmt
CY Investment Income	$258,491	CYInvestmentIncomeAmt
PY Other Revenue	$2,824,007	PYOtherRevenueAmt
CY Other Revenue	$1,123,975	CYOtherRevenueAmt
PY Total Revenue	$99,519,250	PYTotalRevenueAmt
CY Total Revenue	$106,232,239	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,395,959	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,960,195	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$103,962	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,501,810	PYOtherExpensesAmt
CY Other Expenses	$55,472,462	CYOtherExpensesAmt
PY Total Expenses	$94,897,769	PYTotalExpensesAmt
CY Total Expenses	$101,432,657	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,621,481	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,799,582	CYRevenuesLessExpensesAmt
Total Assets BOY	$229,183,587	TotalAssetsBOYAmt
Total Assets EOY	$211,541,500	TotalAssetsEOYAmt
Total Liabilities BOY	$116,629,927	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$92,616,991	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$112,553,660	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$118,924,509	NetAssetsOrFundBalancesEOYAmt
Mission	ACUTE CARE HOSPITAL WITH THE MISSION TO IMPROVE HEALTH AND WELLNESS OF THE PEOPLE OF NORTH HAWAII.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$75,946,868	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$103,015,984	RevenueAmt
Desc	QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (THE HOSPITAL), LOCATED IN KAMUELA, HAWAII ON THE ISLAND OF HAWAII, IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS AND VISITORS OF NORTH HAWAII. THE HOSPITAL WAS CHARTERED IN NOVEMBER 1987 AND COMMENCED OPERATIONS IN MAY 1996. THE HOSPITAL IS CURRENTLY LICENSED FOR 35 BEDS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. THE NUMBER OF PATIENTS SERVED FROM 7/1/2023 - 6/30/2024 THROUGH OUTPATIENT VISITS WAS 110,364 AND THE NUMBER OF ADMISSIONS WAS 1,964. SEE SCHEDULE O FOR MORE INFORMATION.	Desc
Total Program Service Expenses	$75,946,868	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	475	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONEY ATWAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8088814400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	67-1125 MAMALAHOA HIGHWAY	AddressLine1Txt
City	KAMUELA	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	967438496	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CYNTHIA KAMIKAWA
PRESIDENT/TRUSTEE - PART YEAR	54.0	1.0	Yes (X)	Yes (X)	$0	$583,183	$44,093
JILL HOGGARD GREEN
TRUSTEE/CHAIR	3.0	62.0	Yes (X)	Yes (X)	$0	$2,044,615	$279,915
STEPHANY VAIOLETI
PRESIDENT/TRUSTEE	54.0	1.0	Yes (X)	Yes (X)	$0	$75,055	$5,214
DARLENA CHADWICK RN
TRUSTEE	1.0	54.0	Yes (X)		$0	$624,414	$98,607
JASON CHANG
TRUSTEE - PART YEAR	1.0	52.0	Yes (X)		$0	$893,262	$141,888
JENAI WALL
TRUSTEE	1.0	8.0	Yes (X)		$0	$0	$0
KAHU BILLY MITCHELL
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
KYLE CHOCK
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
NEIL KUYPER
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
RICHARD LEVY PHD
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
ROBERT DEAN
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
ROBERT HASTINGS II
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
TODD ALLEN MD
TRUSTEE	1.0	50.0	Yes (X)		$0	$657,506	$103,765
MONEY ATWAL
TREASURER	45.0	10.0		Yes (X)	$0	$234,660	$35,570
SHARIANN GONSALVES
SECRETARY	40.0	0		Yes (X)	$72,416	$0	$8,863
JENNIFER KRATZER
NURSE MIDWIFE	40.0	0			$163,246	$0	$28,644	Yes (X)
MARY OHIA
DIRECTOR - QUALITY & RISK	40.0	0			$171,625	$0	$28,369	Yes (X)
TONI KALAULI
DIRECTOR OF NURSING	40.0	0			$199,603	$0	$14,596	Yes (X)
TRAVIS CASTLE
PHARMACY MANAGER	40.0	0			$169,729	$0	$13,511	Yes (X)
WAYNE HIGAKI
ASST ADMIN, FUND DEVELOP & SUPPORT SVC	40.0	0			$198,712	$0	$13,556	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$975,331	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,112,695	TotReportableCompRltdOrgAmt
Total Other Compensation	$816,591	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	91	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$343,486	GovernmentGrantsAmt
All Other Contributions	$1,854,237	AllOtherContributionsAmt
Noncash Contributions	$70,418	NoncashContributionsAmt
Total Contributions	$2,197,723	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$98,386,866	$98,386,866
STATE OF HI SUSTAINABILITY	900099	$4,043,663	$4,043,663
INTERCOMPANY INCOME	561000	$221,521	$221,521

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$102,652,050	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,314	TotalRevenueColumnAmt
Unrelated Business Revenue	$36,353	UnrelatedBusinessRevenueAmt
Exclusion	$220,961	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$409,805	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$409,805	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$409,805	TotalRevenueColumnAmt
Exclusion	$409,805	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,177	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,177	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,177	TotalRevenueColumnAmt
Exclusion	$1,177	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDING MACHINE/CAFETERIA	900099	$306,134	$306,134
INSURANCE REIMBURSEMENT	900099	$167,740		$167,740
CREDIT CARD REBATES	900099	$44,102	$44,102

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$196,194	TotalRevenueColumnAmt
Related Or Exempt Func Income	$196,194	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$714,170	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,232,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$103,015,984	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,353	UnrelatedBusinessRevenueAmt
Exclusion	$982,179	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$74,604	TotalAmt
Management And General	$74,604	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,568,295	TotalAmt
Program Services	$31,423,856	ProgramServicesAmt
Management And General	$6,066,711	ManagementAndGeneralAmt
Fundraising	$77,728	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,104,266	TotalAmt
Program Services	$1,073,608	ProgramServicesAmt
Management And General	$28,379	ManagementAndGeneralAmt
Fundraising	$2,279	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,784,359	TotalAmt
Program Services	$3,074,724	ProgramServicesAmt
Management And General	$1,696,232	ManagementAndGeneralAmt
Fundraising	$13,403	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,428,671	TotalAmt
Program Services	$1,971,575	ProgramServicesAmt
Management And General	$451,530	ManagementAndGeneralAmt
Fundraising	$5,566	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,185	TotalAmt
Management And General	$8,185	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,805	TotalAmt
Management And General	$30,805	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,002	TotalAmt
Management And General	$9,002	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$932	TotalAmt
Management And General	$932	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,972,895	TotalAmt
Program Services	$10,654,493	ProgramServicesAmt
Management And General	$2,314,160	ManagementAndGeneralAmt
Fundraising	$4,242	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$48,371	TotalAmt
Program Services	$3,099	ProgramServicesAmt
Management And General	$45,272	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,035,145	TotalAmt
Program Services	$692,387	ProgramServicesAmt
Management And General	$342,042	ManagementAndGeneralAmt
Fundraising	$716	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$280,898	TotalAmt
Program Services	$85,385	ProgramServicesAmt
Management And General	$195,513	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,562,073	TotalAmt
Program Services	$633,681	ProgramServicesAmt
Management And General	$2,928,392	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$230,459	TotalAmt
Program Services	$196,829	ProgramServicesAmt
Management And General	$33,630	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$95,090	TotalAmt
Program Services	$54,448	ProgramServicesAmt
Management And General	$40,642	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$695,134	TotalAmt
Management And General	$695,134	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,202,572	TotalAmt
Program Services	$6,054,100	ProgramServicesAmt
Management And General	$148,472	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,283,823	TotalAmt
Management And General	$1,283,823	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$18,497,293	$18,326,130	$171,163
PROVIDER TAX	$1,527,593	$1,527,593
INTERCOMPANY CHARGES	$8,240,831		$8,240,831
BANK FEES	$354,666	$1,750	$352,916

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$396,695	TotalAmt
Program Services	$173,210	ProgramServicesAmt
Management And General	$223,457	ManagementAndGeneralAmt
Fundraising	$28	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$101,432,657	TotalAmt
Program Services	$75,946,868	ProgramServicesAmt
Management And General	$25,381,827	ManagementAndGeneralAmt
Fundraising	$103,962	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,284,869	BOYAmt
EOY	-$157,239	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,327,339	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,943,824	BOYAmt
EOY	$2,171,684	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,389,281	BOYAmt
EOY	$12,284,292	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,087,665	BOYAmt
EOY	$2,086,741	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$685,026	BOYAmt
EOY	$882,844	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$128,133,640	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$62,227,210	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$70,793,077	BOYAmt
EOY	$65,906,430	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$709,164	BOYAmt
EOY	$991,616	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$127,963,342	BOYAmt
EOY	$127,375,132	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,183,587	BOYAmt
EOY	$211,541,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,476,152	BOYAmt
EOY	$9,667,395	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,150,399	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$51,474,840	BOYAmt
EOY	$51,533,916	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,528,536	BOYAmt
EOY	$31,415,680	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$116,629,927	BOYAmt
EOY	$92,616,991	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$13,310,230	BOYAmt
EOY	-$5,958,022	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,863,890	BOYAmt
EOY	$124,882,531	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$112,553,660	BOYAmt
EOY	$118,924,509	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$229,183,587	BOYAmt
EOY	$211,541,500	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,799,582	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,305	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,569,962	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,002	OtherActivitiesAmt
Total Lobbying Expenditures	$9,002	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,488,859	BeginningYearBalanceAmt
Investment Earnings Or Losses	$544,342	InvestmentEarningsOrLossesAmt
Other Expenditures	$204,515	OtherExpendituresAmt
Administrative Expenses	$44,835	AdministrativeExpensesAmt
End Year Balance	$4,783,851	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,812,238	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$141,641	InvestmentEarningsOrLossesAmt
Other Expenditures	$150,716	OtherExpendituresAmt
Administrative Expenses	$31,022	AdministrativeExpensesAmt
End Year Balance	$4,488,859	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,790,211	BeginningYearBalanceAmt
Investment Earnings Or Losses	$239,949	InvestmentEarningsOrLossesAmt
Other Expenditures	$192,494	OtherExpendituresAmt
Administrative Expenses	$25,428	AdministrativeExpensesAmt
End Year Balance	$4,812,238	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,129,637	BeginningYearBalanceAmt
Investment Earnings Or Losses	$860,882	InvestmentEarningsOrLossesAmt
Other Expenditures	$177,845	OtherExpendituresAmt
Administrative Expenses	$22,463	AdministrativeExpensesAmt
End Year Balance	$4,790,211	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,391,892	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$44,257	InvestmentEarningsOrLossesAmt
Other Expenditures	$195,249	OtherExpendituresAmt
Administrative Expenses	$22,749	AdministrativeExpensesAmt
End Year Balance	$4,129,637	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,210,000	OtherCostOrOtherBasisAmt
Book Value	$12,210,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,012,313	OtherCostOrOtherBasisAmt
Depreciation	$30,321,635	DepreciationAmt
Book Value	$42,690,678	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,189,884	OtherCostOrOtherBasisAmt
Depreciation	$585,723	DepreciationAmt
Book Value	$604,161	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,404,630	OtherCostOrOtherBasisAmt
Depreciation	$31,319,852	DepreciationAmt
Book Value	$9,084,778	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,316,813	OtherCostOrOtherBasisAmt
Book Value	$1,316,813	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$65,906,430	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
NEW MARKET TAX CREDIT FEE RESERVE	$1,276,250
EQUITY IN PARKER RANCH FDN TRUST	$111,765,125
INVESTMENT IN LIBERTY DIALYSIS	$42,106
BENEFICIAL INTERESTS	$4,783,850
CONTRIBUTED USE OF LAND	$6,284,133
DUE FROM AFFILIATES	$2,103,639
ROU ASSETS	$817,242
OTHER RECEIVABLES	$302,787

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$127,375,132	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
LEASE LIABILITY	$912,741
GENERAL & PROFESSIONAL TAIL LIABILITY	$41,742
DUE TO GOVERNMENT PROGRAMS	$267,958
DUE TO AFFILIATES	$26,295,182
INTERCOMPANY - TAX EXEMPT BOND LIABILITY	$3,898,057

Field	Value	IRS element (for citing)
Total Liability	$31,415,680	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ORGANIZATION HAS BENEFICIAL INTERESTS IN SEVERAL ENDOWMENTS, ALL WITH THE PURPOSE OF PROVIDING RESOURCES TO BE USED TO ENHANCE HEALTH CARE SERVICES IN NORTH HAWAII.
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, 2024.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,475	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,475	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,163,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,921,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,242,256	NetCommunityBenefitExpnsAmt
Total Expense	0.0714	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$20,276,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,921,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,355,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0725	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$581,796	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,863,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$581,796	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,863,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$20,858,564	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,784,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,355,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0725	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,026,032	BadDebtExpenseAmt
Bad Debt Expense Attributable	$398,843	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,063,116	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,024,888	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,961,772	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	67-1125 MAMALAHOA HIGHWAY	AddressLine1Txt
City	KAMUELA	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	967438496	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.queens.org/locations/hospitals/north-hawaii/	WebsiteAddressTxt
State License	39-H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	NORTH HAWAII MEDICAL GROUP AND KOHALA HOME HEALTH AGENCY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.queens.org/about/community-benefit-qhs/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.queens.org/about/community-benefit-qhs/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.queens.org/financial-resources/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.queens.org/financial-resources/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.queens.org/financial-resources/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 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 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 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 HEALTH KAHI MOHALA WAHIAWA GENERAL HOSPITAL WILCOX MEDICAL CENTER
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 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 11 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 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 PHASES OF THE QHS NHH KAHUA OLA 2.0 STRATEGIC PLAN AND DEIJ ROAD MAP TO DEVELOP AND SUSTAIN RELATIONS AND TRUST (I.E., PILINA) BETWEEN QHS AND THE COMMUNITIES IT SERVES. ACTION PLAN - FY 2022/2023/2024 A. RECRUIT PRIMARY CARE PHYSICIANS, PEDIATRICIANS AND SPECIALISTS TO PROVIDE ACCESS ON ISLAND FOR THESE SERVICES (E.G., ENT AND NEUROLOGY). B. INTEGRATE PHYSICIAN SERVICES/COVERAGE WITH THE MANAMANA CAMPUS TO PROVIDE ACCESS TO SPECIALISTS (E.G., MATERNAL FETAL MEDICINE FOR OB/ GYN PROGRAM). C. CONTINUE TO REDUCE BARRIERS FOR ACCESSING PRIMARY CARE THROUGH THE CULTURALLY SENSITIVE PROGRAMS (KAHUA OLA) FOR OUR NATIVE HAWAIIANS, WHICH INCLUDES SOCIAL AND NAVIGATION SUPPORT. D. 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 ON HAWAI'I ISLAND. E. 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 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 CARE AFTER DISCHARGE TO PROMOTE PATIENT ENGAGEMENT IN FOLLOWING HEALTH CARE INSTRUCTIONS THAT ARE CULTURALLY APPROPRIATE. B. WORKFORCE DEVELOPMENT FOR STUDENTS AT THE MIDDLE SCHOOL, HIGH SCHOOL, COLLEGE, AND PROFESSIONAL SCHOOLS ON HAWAI'I ISLAND: 1) HIRE A QHS HUMAN RESOURCES AND NHH/DEIJ-CW COORDINATOR WHO WILL OVERSEE THIS WORKFORCE DEVELOPMENT PROGRAM. 2) DEVELOP RELATIONSHIPS WITH MIDDLE AND HIGH SCHOOLS TO RECRUIT VOLUNTEERS AND PART-TIME EMPLOYMENT AND ESTABLISH A POOL OF COMMUNITY HEALTH CARE WORKERS, NAVIGATORS, AND A CADRE OF STUDENTS ENTERING THE QHS NHH AND JABSOM NH CENTER OF EXCELLENCE AND ITS HEALTH PROFESSIONALS PROGRAM. 3) CONTINUE TO ENHANCE THE COLLABORATION WITH UNIVERSITY OF HAWAI'I CAMPUSES THAT INCLUDES A COMPREHENSIVE STUDENT SCHOLARSHIP AND RECRUITMENT PROGRAM, ALONG WITH TRAINING ROTATIONS FOR CLINICAL LEARNERS IN ADDITION TO THE TRAINING PROGRAMS FOR NURSES, MEDICAL STUDENTS, RESIDENTS, AND OTHER HEALTH CARE PROFESSIONS. 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. A. QNHCH' S TJC QUALITY MANAGEMENT, PATIENT SAFETY AND RELIABILITY TEAM IS WORKING WITH THE EXECUTIVE VICE PRESIDENT AND DIRECTOR OF DEIJ-CW TO ENSURE COMPLIANCE WITH THE NEW TJC HEALTH EQUITIES REQUIREMENTS AND PREPARE FOR THE UPCOMING TJC SITE VISIT. TIME FRAME FY 2022, FY 2023, FY2024 B. SCALE-UP THE KAHU A OLA PROGRAM WITH THE NEEDED CLINICAL AND NON-CLINICAL STAFF TO INCREASE THE NUMBERS OF NATIVE HAWAIIANS BEING SERVED FOR PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTH COUNSELING, AND TREATMENT INTERVENTIONS THAT ARE GROUNDED IN NATIVE HAWAIIAN CULTURAL TRADITIONS AND ALLOPATHIC MEDICINE. C. EXPAND CLINICAL PROGRAM BY INCREASING THE NUMBERS OF NATIVE HAWAIIANS WHO CAN ACCESS PRIMARY CARE, AMBULATORY CARE, AND INPATIENT SERVICES. 1) INCREASE THE NUMBERS NATIVE HAWAIIANS SERVED BY EXPANDING THE KAHU A OLA CLINICAL AND NON-CLINICAL STAFF. 2) ESTABLISH A REMOTE PATIENT MONITORING OF PATIENTS TO OPEN ACCESS TO HEALTH CARE WITHIN THEIR HOMES. 3) CARE COORDINATION AND NAVIGATION THAT ASSESSES AND SYSTEMATICALLY ADDRESSES SOCIAL AND CULTURAL DETERMINANTS OF HEALTH (E.G., TRANSPORTATION, HOUSING, AND FAMILY COUNSELING) TO STRENGTHEN SUPPORT THAT ENHANCE WELLNESS AND CLINICAL CARE ENGAGEMENT. 4) TRANSITIONAL CARE . ED/INPATIENT DISCHARGES FOLLOW-UP WITH PATIENTS 5) HOME VISITS & OUTREACH FOR CARE COORDINATION + PRIMARY CARE VISITS (HIGH-RISK PATIENTS) D. 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. E. WORK TO EXPAND THE QHS HEALTH AND WELLNESS SERVICES TO INCLUDE TRADITIONAL NATIVE HAWAIIAN HEALING AND THE MEDICAL MODEL BY EFFECTIVE PARTNERSHIPS WITH THE NEWLY MERGED HAWAI'I EAST AND WEST ISLAND FQHC AND HUI MALAMA OLA NA OIWI (THE HAWAI'I HEALTH CENTER OF PAPA OLA LOKAHI) AND THEIR KUPUNA COUNCIL. F. FORMALLY DEVELOP STRATEGIC RELATIONSHIPS WITH NATIVE HAWAIIAN COMMUNITY ORGANIZATIONS, SUCH AS HUI MALAMA I KE ALA 'ULILI, TO ADVANCE THEIR VISION OF A 21ST CENTURY NATIVE HAWAIIAN 'AHUPU'A'A THAT SERVES AS A SACRED GATHERING PLACE FOR THE NORTH AND WEST HAWAI'I COMMUNITIES, ENHANCES FOOD STABILITY VIA ECO-AGRICULTURE AND TRADITIONAL NATIVE HAWAIIAN LA'AU (HERBAL MEDICINE), AND PROMOTES TRUST AND EQUITABLE ACCESS THAT STRENGTHENS FAMILIES AND EDUCATES ELEMENTARY, MIDDLE SCHOOL, HIGH SCHOOL AND COLLEGE STUDENTS. NEEDS NOT ADDRESSED ALTHOUGH NHCH WILL NOT DIRECTLY BE ADDRESSING ALL OF THE AREAS OF NEEDS LISTED ON THE CHNA REPORT, WE HAVE SUPPORTED AND PARTNERED WITH OTHERS TO ADDRESS SEVERAL OF THEM AND WILL CONTINUE TO SUPPORT OPPORTUNITIES TO ADDRESS COMMUNITY HEALTH NEEDS IN COLLABORATION WITH OTHERS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. MEDICARE OR MEDICAID/QUEST ELIGIBILITY
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HALE OLA PONO
65-1267 KAWAIHAE ROAD	WAIMEA	HI	96743	PRIMARY CARE CLINIC
NORTH HAWAII COMMUNITY HOSPITAL SPECIALTY CARE CLINIC
67-1185 MAMALAHOA HIGHWAY	KAMUELA	HI	96743	SPECIALTY CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	N/A
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	COMMUNITY BENEFITS ARE REPORTED ANNUALLY AS PART OF THE FORM 990. THIS IS NOT SEPARATELY AVAILABLE TO THE PUBLIC. A FORMAL REPORT ISSUED BY THE PARENT COMPANY, THE QUEEN'S HEALTH SYSTEMS, INCLUDES THE COMMUNITY BENEFITS OF THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. THIS REPORT IS PUBLISHED PERIODICALLY AND IS SEPARATELY AVAILABLE TO THE PUBLIC.
Schedule H, Part I, Line 7g Subsidized Health Services	KOHALA HOME HEALTH CARE PROVIDES QUALITY CARE FOR HOMEBOUND PATIENTS BY OFFERING SERVICES DESIGNED TO MEET THE PATIENT'S MEDICAL NEEDS. ITS SERVICE AREA INCLUDES HILO, HAMAKUA, KOHALA, WAIMEA, KONA AND SURROUNDING AREAS OF WAIKOLOA. FOR THE YEAR ENDED JUNE 30, 2024, COSTS ATTRIBUTED TO KOHALA HOME HEALTH CARE TOTALLED $581,796. NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED ON SCHEDULE H, PART I.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES).
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	NHCH 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. NHCH ESTIMATES THE ALLOWANCE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. NHCH 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 NHCH'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, 2024.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE PORTION OF THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO THE TOTAL BAD DEBT EXPENSE. BAD DEBT PERTAINING TO PATIENT CARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE, CONSISTENT WITH NHCH'S MISSION, PATIENTS RECEIVE CARE REGARDLESS OF WHETHER NHCH COLLECTS PAYMENT FOR SERVICES PERFORMED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NHCH PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). THE AUDITED FINANCIAL STATEMENTS DO NOT DESCRIBE BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS DO DESCRIBE THE RECEIVABLES FOR PATIENT SERVICES. "ACCOUNTS RECEIVABLE PRIMARILY COMPRISE AMOUNTS DUE FOR HEALTHCARE SERVICES FROM PATIENTS AND THIRD-PARTY PAYORS AND ARE RECORDED NET OF AMOUNTS FOR CONTRACTUAL ADJUSTMENTS, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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 NHCH'S MISSION AND IS A BENEFIT TO THE COMMUNITY. MEDICARE COSTING METHODOLOGY THE MEDICARE AMOUNTS ABOVE ARE CALCULATED WITH DATA FROM THE JUNE 30, 2024 COST REPORT USING THE STEP DOWN METHOD.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	CHARITY CARE WILL BE GRANTED TO ALL UNDERINSURED AND UNINSURED PATIENTS. THE SCREENING PROCESS WILL OPTIMALLY OCCUR AT THE TIME OF SERVICE, BUT MAY OCCUR ANYTIME DURING THE COLLECTION PROCESS INCLUDING POST ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE IDENTIFIED FOR A YEAR AND ASSESSED ANNUALLY AND/OR DURING SUBSEQUENT VISITS TO THE HOSPITAL. PROMPT PAYMENT DISCOUNTS ARE AVAILABLE FOR PATIENTS WHO PAY FOR SERVICE AT THE TIME OF TREATMENT. THE CARE PAYMENT PROGRAM IS AVAILABLE FOR ELIGIBLE PATIENTS AND PROVIDES LOW MONTHLY PAYMENTS WITH 0% INTEREST.
Schedule H, Part V, Section B, Line 16a FAP website	- QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL: Line 16a URL: https://www.queens.org/financial-resources/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL: Line 16b URL: https://www.queens.org/financial-resources/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL: Line 16c URL: https://www.queens.org/financial-resources/;
Schedule H, Part VI, Line 2 Needs assessment	ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA AND THE BOARD IS COMPRISED OF COMMUNITY MEMBERS. THIS ALLOWS THE HOSPITAL TO ASSESS THE NEEDS OF THE COMMUNITY THAT IT SERVES. IN ADDITION, MANY COMMUNITY HEALTH SERVICES ARE OFFERED IN THE FORMS OF ACTIVITIES OR PROGRAMS THAT HELP TO ASSESS AND IMPROVE COMMUNITY HEALTH. AS REPORTED IN SCHEDULE H, PART V, SECTION B, QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL COMPLETED A CHNA WITH THE ASSISTANCE OF THE HEALTHCARE ASSOCIATION OF HAWAII.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	NOTICES ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME AND UNINSURED PATIENTS. THIS INFORMATION IS ALSO POSTED ON THE HOSPITAL WEBSITE AND ON PATIENT BILLING STATEMENTS. 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	QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL IS A RURAL ACUTE CARE HOSPITAL LOCATED IN KAMUELA, HAWAII, ALSO KNOWN AS WAIMEA, HAWAII, IN THE KOHALA DISTRICT OF THE NORTHEASTERN REGION OF THE ISLAND OF HAWAII. IT IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR ABOUT 30,000 RESIDENTS AND VISITORS OF NORTH HAWAII. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF APPROXIMATELY ONE-FOURTH, OR 1,000 SQUARE MILES, OF THE BIG ISLAND'S 4,028 TOTAL SQUARE MILES. QNHCH IS ONE OF SIX ACUTE CARE HOSPITALS ON THE ISLAND PROVIDING 24-HOUR CARE SERVICES TO A POPULATION OF 201,350. THE MEDIAN AGE ON THE ISLAND IS 42.8 YEARS OLD. THE AVERAGE HOUSEHOLD INCOME ON THE ISLAND IS $65,400 WITH 34% OF THE POPULATION REPORTING THEY ARE OF NATIVE HAWAIIAN ANCESTRY (MULTIPLE RACE) IN 2020. THE HOSPITAL WAS CHARTERED IN NOVEMBER 1987 AND COMMENCED OPERATIONS IN MAY 1996. THE HOSPITAL IS CURRENTLY LICENSED FOR 35 BEDS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA.
Schedule H, Part VI, Line 5 Promotion of community health	THE MAJORITY OF THE ORGANIZATION'S BOARD IS COMPRISED OF COMMUNITY MEMBERS FROM THE NORTHERN HAWAII AREA AND HAS AN OPEN MEDICAL STAFF. THE HOSPITAL CONDUCTED DIFFERENT EVENTS INCLUDING HEALTH FAIRS AND EDUCATION DAYS IN THE LOCAL COMMUNITY, HOTELS AND SCHOOLS OF THE AREA AS WELL AS TAKING A LEAD ROLE IN BREAST CANCER AWARENESS MONTH. QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL COMPLETED A CHNA WITH THE ASSISTANCE OF THE HEALTHCARE ASSOCIATION OF HAWAII.
Schedule H, Part VI, Line 6 Affiliated health care system	NHCH IS A MEMBER OF THE QUEEN'S HEALTH SYSTEMS (QHS) AFFILIATED GROUP. THE GROUP INCLUDES QUEEN'S MEDICAL CENTER (QMC), QUEEN EMMA LAND COMPANY (QEL), QUEEN'S INSURANCE EXCHANGE (QIE), QUEEN'S DEVELOPMENT CORPORATION (QDC), MOLOKAI GENERAL HOSPITAL (MGH) AND QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG). QHS PROVIDED LEGAL, ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO NHCH AND QIE PROVIDED MEDICAL MALPRACTICE INSURANCE TO NHCH. IN RETURN, NHCH ASSISTED QMC IN FULFILLING ITS MISSION TO PROVIDE IN PERPETUITY QUALITY HEALTH CARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JILL HOGGARD GREEN
TRUSTEE/CHAIR	$0	$1,402,083	$0	$628,054	$0	$14,478	$0	$261,090	$0	$18,825	$0	$2,324,530	$0	$0
CYNTHIA KAMIKAWA
PRESIDENT/TRUSTEE - PART YEAR	$0	$458,195	$0	$118,130	$0	$6,858	$0	$26,400	$0	$17,693	$0	$627,276	$0	$0
TODD ALLEN MD
TRUSTEE	$0	$477,001	$0	$168,223	$0	$12,282	$0	$75,323	$0	$28,442	$0	$761,271	$0	$0
DARLENA CHADWICK RN
TRUSTEE	$0	$449,678	$0	$172,994	$0	$1,742	$0	$84,934	$0	$13,673	$0	$723,021	$0	$0
JASON CHANG
TRUSTEE - PART YEAR	$0	$607,786	$0	$284,265	$0	$1,211	$0	$120,599	$0	$21,289	$0	$1,035,150	$0	$0
MONEY ATWAL
TREASURER	$0	$211,456	$0	$22,158	$0	$1,046	$0	$18,632	$0	$16,938	$0	$270,230	$0	$0
TRAVIS CASTLE
PHARMACY MANAGER	$158,216	$0	$11,190	$0	$323	$0	$4,723	$0	$8,788	$0	$183,240	$0	$0	$0
WAYNE HIGAKI
ASST ADMIN, FUND DEVELOP & SUPPORT SVC	$170,845	$0	$16,840	$0	$11,027	$0	$4,867	$0	$8,689	$0	$212,268	$0	$0	$0
TONI KALAULI
DIRECTOR OF NURSING	$180,919	$0	$17,820	$0	$864	$0	$5,975	$0	$8,621	$0	$214,199	$0	$0	$0
JENNIFER KRATZER
NURSE MIDWIFE	$158,532	$0	$4,378	$0	$336	$0	$3,817	$0	$24,827	$0	$191,890	$0	$0	$0
MARY OHIA
DIRECTOR - QUALITY & RISK	$154,106	$0	$15,420	$0	$2,099	$0	$10,618	$0	$17,751	$0	$199,994	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	RESIDENCE FOR PERSONAL USE - STEPHANY VAIOLETI. TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. QHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND STUDY, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 7 Non-fixed payments	RECOGNITION AWARDS WERE PAID TO EMPLOYEES BASED ON ACCOMPLISHMENTS OF PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND DEFINED ELIGIBILITY OF THE EMPLOYEE. RECOGNITION AWARDS ARE DISCRETIONARY AND CONSIDER QUALITY THRESHOLDS WHICH INCLUDE ANNUAL ACCREDITATION AND MINIMUM OPERATING INCOME LEVEL CRITERIA. IN ADDITION, EXECUTIVE AWARDS ARE WEIGHTED BASED ON INDIVIDUAL GOALS ESTABLISHED FOR EACH EXECUTIVE.
Schedule J, Part II COMPENSATION PAID FOR SERVICES	JILL HOGGARD GREEN MS. HOGGARD GREEN SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MS. HOGGARD GREEN ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) AND CHAIR OF QUMG, MGH, QEL AND NHCH. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR HER VARIOUS SERVICES. CYNTHIA KAMIKAWA MS. KAMIKAWA SERVED AS VP OF QHS AND AS PRESIDENT AND TRUSTEE OF QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ("NHCH") THROUGH DECEMBER 2023. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. STEPHANY VAIOLETI MS. VAIOLETI SERVES AS VP OF QHS AND AS PRESIDENT AND TRUSTEE OF QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ("NHCH"). SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. DARLENA CHADWICK MS. CHADWICK SERVES AS EVP AND COO OF QHS, VICE PRESIDENT OF QMC AND TRUSTEE OF QUMG, QEL, MGH AND NHCH. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. JASON CHANG MR. CHANG SERVES AS EVP, INNOVATION & STRATEGY FOR THE QUEEN'S HEALTH SYSTEMS AND PRESIDENT OF QUEEN'S INNOVATION INSTITUTE. HE ALSO SERVED AS A TRUSTEE OF QEL, MGH AND NHCH THROUGH DECEMBER 2023 AND PRESIDENT/TRUSTEE OF QMC AND QUMG THROUGH JANUARY 2023. HE WAS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. MONEY ATWAL MR. ATWAL SERVES AS DIRECTOR OF FINANCE AND INFORMATION TECHNOLOGY FOR MOLOKAI GENERAL HOSPITAL ("MGH") AND NHCH AND TREASURER OF NHCH. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. TODD ALLEN, MD DR. ALLEN SERVES AS A TRUSTEE FOR NHCH. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THIS SERVICE. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR SERVICES AS SENIOR VICE PRESIDENT AND CHIEF QUALITY OFFICER FOR QHS.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$425	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$69,993	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - NUMBER OF CONTRIBUTIONS Clothing and household goods - NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4 PROGRAM SERVICE ACCOMPLISHMENTS	TO SUPPORT THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL'S (NHCH) MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, NHCH PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $9.7M FOR THE YEAR ENDED JUNE 30, 2024. 1. UNCOMPENSATED CARE - NHCH 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, 2024, THE ESTIMATED COST OF PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $113,475 AND $398,843 RESPECTIVELY. 2. MEDICAID SHORTFALL IN PAYMENTS - NHCH PROVIDES INPATIENT AND OUTPATIENT SERVICES TO MEDICAID PATIENTS IN THE STATE OF HAWAII. NHCH INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $7,242,256 DURING THE YEAR ENDED JUNE 30, 2024. 3. MEDICARE SHORTFALL IN PAYMENTS - NHCH PROVIDES INPATIENT AND OUTPATIENT SERVICES TO MEDICARE PATIENTS IN THE STATE OF HAWAII. NHCH INCURRED COSTS IN EXCESS OF REIMBURSEMENT BASED ON MEDICARE COST REPORTS OF APPROXIMATELY $1,961,772 DURING THE YEAR ENDED JUNE 30, 2024. CONSISTENT WITH COST REPORT REQUIREMENTS, THERE ARE AMOUNTS THAT ARE EXCLUDED FROM THE COSTS ABOVE. 4. COMMUNITY OUTREACH PROGRAMS - NHCH PROVIDES MEDICAL NUTRITION THERAPY FREE OF CHARGE TO ANYONE ON THE BIG ISLAND. IN ADDITION, NUTRITION CLASSES WERE TAUGHT AT AN ONCOLOGY SUPPORT GROUP, LOCAL SCHOOL AND SENIOR CENTER AND OTHER ACTIVITIES WERE PROVIDED TO COMMUNITY TO SUPPORT NUTRITION EDUCATION.
Form 990, Part VI, Line 6 Classes of members or stockholders	NHCH HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS (QHS), A HAWAII NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	QHS ELECTS ALL OF THE BOARD MEMBERS OF THE NHCH BOARD OF TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN MAJOR DECISIONS APPROVED BY THE NHCH 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 $1,000,000 FOR NHCH.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 FOR THE QUEEN'S HEALTH SYSTEMS (QHS) AND THE SEPARATE FORMS FOR EACH OF THE NOT-FOR-PROFIT SUBSIDIARIES OF QHS WERE REVIEWED BY THE GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN. THE QHS 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 QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH) RETURN WAS MADE AVAILABLE TO EACH OF THE MEMBERS OF THE NHCH BOARD OF TRUSTEES PRIOR TO THE RETURNS BEING FILED WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 19 Required documents available to the public	NHCH'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THE QHS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN, AS REQUIRED. NHCH DOES NOT MAKE THE CONFLICT OF INTEREST POLICY THAT IT FOLLOWS AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 196194, Related or Exempt Function Revenue: 196194, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 7537218, Program Service Expense: 5305116, Management and General Expenses: 2227860, Fundraising Expenses: 4242; MEDICAL SERVICES - Total Expense: 5348404, Program Service Expense: 5348404, Management and General Expenses: , Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 87273, Program Service Expense: 973, Management and General Expenses: 86300, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN BENEFICIAL INTEREST - 1225170; TEMPORARILY RESTRICTED CONTRIBUTIONS - 344790; ROUNDING - 2;
FORM 990, PART VI, LINE 12, 13 AND 14 APPROVED POLICIES	THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES HAVE BEEN APPROVED BY QHS ON BEHALF OF THE NHCH BOARD OF TRUSTEES BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE NHCH BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	ALL QHS COMPANIES ARE SUBJECT TO A WRITTEN CONFLICT OF INTEREST POLICY. ALL TRUSTEES, OFFICERS, DESIGNATED EMPLOYEES AND CONTRACTORS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM. THE DESIGNATED EMPLOYEES ARE THOSE ELECTED BY EXECUTIVES IN THE ORGANIZATION WHO IDENTIFY THOSE EMPLOYEES (TYPICALLY MANAGER LEVEL AND ABOVE) WHO MAY BE IN A POSITION TO SELECT OR INFLUENCE THE SELECTION OF A VENDOR. DISCLOSURES ARE SUMMARIZED AND MAINTAINED BY EACH COMPANY'S CORPORATE SECRETARY. THE CONTRACTS MANAGEMENT DEPARTMENT AND LEGAL DEPARTMENT HAVE THE CONFLICT OF INTEREST SUMMARIES AND CHECK FOR CONFLICTS OF INTEREST AT THE BEGINNING OF THE CONTRACT PROCESS. ANY CONFLICT OF INTEREST INVOLVING A TRUSTEE IS PRESENTED TO THE BOARD OF TRUSTEES. ANY CONFLICT OF INTEREST INVOLVING A DISQUALIFIED PERSON IS SUBJECT TO THE PROCESS OF ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY TRUSTEE WITH A CONFLICT OF INTEREST IS EXCUSED FOR THE PORTION OF THE MEETING WHERE THE SUBJECT MATTER IS DISCUSSED AND VOTED ON.
FORM 990, PART VI, LINE 15A AND 15B PROCESS USED FOR DETERMINING COMPENSATION	ALTHOUGH NOT COMPENSATED BY QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL, A RELATED ORGANIZATION, THE QUEEN'S HEALTH SYSTEMS GOES THROUGH THE FOLLOWING PROCEDURES FOR DETERMINING THE CEO'S COMPENSATION. A COMMITTEE OF THE BOARD OF TRUSTEES CALLED THE COMPENSATION COMMITTEE MEETS REGULARLY TO REVIEW THE COMPENSATION OF ALL EXECUTIVES OF ALL COMPANIES WITHIN QHS. NHCH'S EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY FOR ITS PRESIDENT. 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 2024. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LUCY K HENRIQUES TRUST
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	996002291	SUPPORT	HI	501(c)(3)	Type III-FI	NA	false
PARKER RANCH FOUNDATION TRUST
66-1304 MAMALAHOA HIGHWAY	KAMUELA	HI	96743	996064620	PROPERTY MGMT	HI	501(c)(3)	Type I	NA	false
THE QUEEN'S HEALTH SYSTEMS
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990238120	ADMIN SVCS	HI	501(c)(3)	Type III-FI	NA	false
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990183769	SUPPORT SVCS	HI	501(c)(3)	Type I	QHS	Yes (true)
THE QUEEN'S MEDICAL CENTER
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990073524	MEDICAL SVCS	HI	501(c)(3)	3	QHS	Yes (true)
MOLOKAI GENERAL HOSPITAL
POBOX 408	KAUNAKAKAI	HI	96748	990251372	MEDICAL SVCS	HI	501(c)(3)	3	QHS	Yes (true)
QUEEN'S UNIVERSITY MEDICAL GROUP
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	880820406	MEDICAL SVCS	HI	501(c)(3)	10	QHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
HAMAMATSUQUEEN'S PET IMAGING CENTER LLC
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	943266916	PET IMAGING	HI	NA	N/A
PRIMARY CARE PHYSICIAN ENTERPRISE LLC
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	834591861	MEDICAL SVCS	HI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
QUEEN'S DEVELOPMENT CORPORATION
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990240109	DEVELOPMENT	HI	NA	C Corporation	Yes (true)
QUEEN'S INSURANCE EXCHANGE INC
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	911913839	INSURANCE	HI	NA	C Corporation	Yes (true)
DIAGNOSTIC LABORATORY SERVICES INC
99-859 IWAIWA STREET	AIEA	HI	96701	990240499	MEDICAL LAB SVCS	HI	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DIAGNOSTIC LABORATORY SERVICES INC
J	$189,714	FMV
THE QUEEN'S MEDICAL CENTER
M	$368,164	FMV