2025-05-15T12:20:06+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2023-07-01 990073524 THE QUEEN'S MEDICAL CENTER QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 CLINTON YEE ASSISTANT TREASURER 8085389011 2025-05-15 true Kara Adams P00023315 9497942300 2025-05-12 2023 2025-03-06 01:10:19Z JASON CHANG 1301 PUNCHBOWL STREET HONOLULU HI 96813 3126040096 false X https://www.queens.org X 1859 HI TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. 20 15 6501 269 14527188 0 52792198 76632753 1444882136 1550574167 25540006 78205840 32767074 45759120 1555981414 1751171880 4405117 4737746 0 0 683894729 717522988 0 0 76657 730690681 807255794 1418990527 1529516528 136990887 221655352 3937546368 4798755665 2447347810 3006267646 1490198558 1792488019 X THE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE, IN PERPETUITY, QUALITY HEALTHCARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. true false 1454236364 4737746 1584334915 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. 1454236364 true true false true false false false false true true true false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false true true true true false false true X 0 0 6501 true true true false false false false false false false false false false false X 20 15 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 GEORGE R BRUNO MD PRESIDENT/TRUSTEE 40.0 15.0 X X 0 934625 112100 JENAI WALL TRUSTEE/CHAIR 1.0 8.0 X X 0 0 0 PATRICK CHING TRUSTEE / VICE CHAIR 1.0 3.0 X X 0 0 0 A CATHERINE NGO TRUSTEE 1.0 2.0 X 0 0 0 ALLEN UYEDA TRUSTEE - PART YEAR 1.0 3.0 X 0 0 0 CAMERON NEKOTA TRUSTEE 1.0 2.0 X 0 0 0 JILL HOGGARD GREEN TRUSTEE 5.0 60.0 X 0 2044615 279915 JIM YATES TRUSTEE 1.0 3.0 X 0 0 0 KAMANI KUALA'AU TRUSTEE 1.0 2.0 X 0 0 0 KAZUMA NAKAGAWA MD TRUSTEE 51.0 4.0 X 0 839747 48563 KEAWE KAHOLOKULA PHD TRUSTEE - 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PATIENT CARE 50.0 0 X 413002 0 63244 LINDA PUU VP - QUALITY & PATIENT SAFETY / CNO 50.0 0 X 631259 0 44921 VICTORIA LUNA RN REGISTERED NURSE 50.0 0 X 412680 0 47880 JASON CHANG FORMER OFFICER 0.0 53.0 X 0 893262 141888 2386743 9452174 1412424 2119 true true false 0 66894673 7523903 2214177 43892 76632753 NET PATIENT REVENUE 622110 1430233653 1430233653 INTERCOMPANY PURCHASED SVCS 561000 20620914 20620914 PATHOLOGY LABS 621500 4149942 4149942 SUSTAINABILITY FEE 622110 95569658 95569658 0 0 0 0 1550574167 36426501 372976 36053525 3081 3081 2207425 2207425 0 2207425 216404 1991021 1416647555 0 1374556678 311538 42090877 -311538 41779339 41779339 FOOD SERVICE REVENUE 621500 7485824 7485824 340B REVENUE 621500 11332998 11332998 ACO INCOME 621500 8847415 8847415 15882377 14941926 940451 0 43548614 1751171880 1580184973 14527188 79826966 X 4737746 4737746 0 0 0 0 563336498 559819126 3517372 36224585 35972856 251729 78590487 74364353 4226134 39371418 39154582 216836 1803077 1803077 1471367 303508 1167859 394859 394859 168163 168163 939982 939982 167106164 162768105 4338059 0 115774 54480 61294 7560352 7462601 97751 4475370 4470980 4390 29383152 29383152 651370 619831 31539 574066 556063 18003 25568721 1861 25566860 50420833 48893710 1527123 14552842 305682 14247160 MEDICAL SUPPLIES 290778895 290778895 INTERCOMPANY EXPENSES 171491149 155525769 15888723 76657 TAXES 28700046 28359612 340434 UBI TAX EXPENSE 13905 13905 11085707 8900375 2185332 0 1529516528 1454236364 75203507 76657 5220 0 9250759 14535129 186397801 211645746 0 0 18723190 20428494 14345733 14159237 1249474512 767791541 422987525 481682971 673733863 780190720 513267630 526114545 1084273 -1243629 8782624 7476361 2088967750 2743766091 3937546368 4798755665 145761038 171836402 3336728 3983872 309161724 0 0 26856311 25028406 1962232009 2805418966 2447347810 3006267646 X 1465849204 1769520676 24349354 22967343 1490198558 1792488019 3937546368 4798755665 X 221655352 86722293 -6088184 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 168163 176123 168163 176123 1454068201 2081453985 1454236364 2081630108 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 166517 194808 225544 176123 762992 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 6683300 1000 868355 27925 680000 0 6844730 8408003 47000 452697 499328 1725072 0 6683300 8888174 0 -468111 12000 60 0 8408003 7497023 1000 2045704 12305 643248 0 8888174 7443521 2100 189611 12500 125709 0 7497023 0.0 0.87 0.13 false false 55130138 55130138 762300899 500413154 261887745 36114579 15221662 20892917 334774677 252156725 82617952 61154219 0 61154219 481682971 POOLED INVESTMENTS - NONPUBLIC 526114545 F 526114545 DUE FROM AFFILIATES 2715802821 OTHER ASSETS RESTRICTED FOR LT 256371 ROU ASSETS 14824775 PENSION PLAN ASSET 12682709 RENT RECEIVABLE 199415 2743766091 DUE TO AFFILIATES 2480159043 INTERCOMPANY - TAX EXEMPT BOND LIABILITY 298714886 TAIL LIABILITY 619 DUE TO GOVERNMENT 26544418 2805418966 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE QUEEN'S MEDICAL CENTER USES THE EARNINGS ON PERMANENTLY ENDOWED INVESTMENTS FOR THE PURPOSES INTENDED BY THE DONORS OF THESE FUNDS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2024. true true X true X 250 true X true true true false true true 2599094 0 2599094 0.0017 150191286 97569658 52621628 0.0344 0 0.0 0 0 152790380 97569658 55220722 0.0361 26962094 0 26962094 0.0176 21887910 0 21887910 0.0143 16784657 12920325 3864332 0.0025 2041782 0 2041782 0.0013 4581211 0 4581211 0.0030 0 0 72257654 12920325 59337329 0.0388 0 0 225048034 110489983 114558051 0.0749 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 51885678 51885678 429204187 447889073 -18684886 X true true 4 1 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 WWW.QUEENS.ORG 29-H X X X X X A 4 THE QUEEN'S MEDICAL CENTER - WEST OAHU 91-2141 FORT WEAVER ROAD EWA BEACH HI 96706 WWW.QUEENS.ORG 29-H-WO X X X A 2 THE QUEEN'S MEDICAL CENTER - WAHIAWA 128 LEHUA STREET WAHIAWA HI 96786 WWW.QUEENS.ORG 9-H X X B 3 THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU 347 N KUAKINI STREET 7TH FLOOR HONOLULU HI 96817 WWW.QUEENS.ORG 29-H-HPM X A A 3 false false true X X X X X X X X X 21 true true true true X www.queens.org/about/community-benefit-qhs/ (CHNA FOR QMC ALSO APPLIES TO HALE PALAMA MAU) X true 21 true www.queens.org/about/community-benefit-qhs/ (CHIP FOR QMC ALSO APPLIES TO HALE PALAMA MAU) false true X 250.0 400.0 X X X X X X true true X X X X true X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X X X X X X X true X false X X X true X false false B 1 false true false false true X 250.0 450.0 X X X X X X true true X X X X true X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X https://www.queens.org/financial-resources/ X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility reporting group A. COMMUNITY MEETINGS - ORGANIZATIONS THROUGHOUT THE STATE, CALLED "COMMUNITY CONNECTORS," HELPED TO REACH INDIVIDUALS FROM KEY COMMUNITIES FOR GROUP TALK STORY SESSIONS. THESE ORGANIZATIONS WERE INVALUABLE PARTNERS, EACH TRUSTED AND RECOGNIZED WITHIN THEIR TARGET COMMUNITIES, AND WILLING BOTH TO PROVIDE INPUT FROM THEIR OWN WORK AS WELL AS CREATE SPACE AND ENCOURAGE THEIR CLIENTS, PARTNERS, STAFF, AND STAKEHOLDERS TO PARTICIPATE. EACH MEETING FOCUSED ON BOTH A GEOGRAPHIC REGION AND EITHER AN ETHNIC COMMUNITY OR A VULNERABLE POPULATION. 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 A, 1 Facility A, 1 - Facility reporting group A. 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 (FACILITY 1 AND 4) THE QUEEN'S MEDICAL CENTER - WEST O'AHU (FACILITY 2) REHABILITATION HOSPITAL OF THE PACIFIC SHRINERS HOSPITALS FOR CHILDREN - HONOLULU STRAUB MEDICAL CENTER SUTTER KAHI MOHALA WAHIAWA GENERAL HOSPITAL (NOW THE QUEEN'S MEDICAL CENTER - WAHIAWA) WILCOX MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility reporting group A. THE HEALTHCARE ASSOCIATION OF HAWAII PARTNERED WITH SOLUTIONS PACIFIC AND WARD RESEARCH TO CONDUCT A CHNA FOR THE STATE OF HAWAII. IN ADDITION, THE REPORT INVOLVED NUMEROUS OTHER HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT WERE ABLE TO RESPOND TO THE HEALTHCARE NEEDS IN THE COMMUNITY. THESE RESOURCES ARE LISTED ON PAGE 94 OF THE CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility reporting group A. 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). TIME FRAME FY2022, FY 2023 AND FY 2024 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 13 Facility A, 1 Facility A, 1 - Facility reporting group A. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Facility reporting group A. MEDICARE OR MEDICAID/QUEST ELIGIBILITY Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Facility reporting group A. NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION. Schedule H, Part V, Section B, Line 2 THE QUEEN'S MEDICAL CENTER - WAHIAWA WAS ACQUIRED ON APRIL 2, 2024. IT BEGAN PROVIDING PATIENT CARE ON MAY 28, 2024. THE HOSPITAL WAS PREVIOUSLY LICENSED BY THE STATE OF HAWAII. THE STATE RE-ISSUED ITS LICENSE UNDER ITS NEW OWNERSHIP IN MAY 2024. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED UNDER THE PREVIOUS OWNERSHIP. THE NEXT CHNA WILL BE COMPLETED IN 2024 AS THE QUEEN'S MEDICAL CENTER - WAHIAWA. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. MEDICARE OR MEDICAID/QUEST ELIGIBILITY Schedule H, Part V, Section B, Line 16 Facility B, 1 Facility B, 1 - THE QUEEN'S MEDICAL CENTER - WAHIAWA. NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION. 26 QMC West Oahu Specialty Clinincs 91-2135 Fort Weaver Road Ste 401 Ewa Beach HI 96716 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 103/10 4/108 Ewa Beach HI 96706 Imaging Services QMC - Pain & Spine 550 S Beretania Street Ste 703/704 Honolulu HI 96813 Pain and Spine Clinic QMC - Gastroenterology 550 S Beretania Street Ste 501 Honolulu HI 96813 Gastroenterology Services Queen's Imaging 91-2135 Fort Weaver Road Ste 103 Ewa Beach HI 96706 Imaging Services QMC - RadiologyDiabetes EducationPatient Services 1329 Lusitana Street Ste B-1/B-5 Honolulu HI 96813 Imaging, Diabetes Education, Swallowing, Advance Care Planning Queen's Imaging 550 S Beretania Street Ste B-1/B-5 Honolulu HI 96813 Imaging Services QMC Transplant Center 550 S Beretania Street Ste 404/406 Honolulu HI 96813 Transplant Services QMC - OncologyHematology 1380 Lusitana Street Ste 608 Honolulu HI 96813 Oncology/Hematology Queen's Heart 550 S Beretania Street Ste 610 Honolulu HI 96813 Cardiac Care Center Queen's Cancer Center Infusion 321 North Kuakini Street Suite 402 Honolulu HI 96817 Infusion Clinic Queen's Heart Physician Practice 98-1247 Kaahumanu Street Ste 206 Aiea HI 96701 Cardiac Care Center QMC - CWMP 1380 Lusitana Street Ste 300 Honolulu HI 96813 Comprehensive Weight Management QMC West Radiation Oncology 91-2139 Fort Weaver Road Ste 101 Ewa Beach HI 96706 Radiation Oncology QMC - Patient Support 1329 Lusitana Street Ste B-8 Honolulu HI 96813 Patient Support Center Queen's Heart Insitute 1401 S Beretania Street Ste 500 Honolulu HI 96814 Cardiology QMC - Head and Neck 1380 Lusitana Street Ste 615 Honolulu HI 96813 Head and Neck Institute Queen's Health Care Center - Rehab 1215 Hunakai Street Honolulu HI 96816 Orthopedics QMC - Diabetes Management & Education 91-2139 Fort Weaver Road Ste 305 Ewa Beach HI 96706 Diabetes Management QMC - Pulmonology 91-2139 Fort Weaver Road Ste 205 Ewa Beach HI 96706 Pulmonology QMC - Cardiology 1329 Lusitana Street Ste 301 Honolulu HI 96813 Cardiology QMC - Infusion 91-2139 Fort Weaver Road Ste 300 Ewa Beach HI 96706 Infusion Clinic QMC - Pre-Surgical 1380 Lusitana Street 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 VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A Schedule H, Part V, Section B, Line 3 THE QUEEN'S MEDICAL CENTER - WAHIAWA THE QUEEN'S MEDICAL CENTER - WAHIAWA WAS ACQUIRED IN APRIL 2024. THE PRIOR CHNA WAS CONDUCTED BY THE PREVIOUS FACILITY IN 2021. THE NEXT CHNA WILL BE CONDUCTED IN 2024 WITH THE QUEEN'S MEDICAL CENTER. Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE THE CHNA FOR THE QUEEN'S MEDICAL CENTER APPLIES TO THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU. Schedule H, Part I, Line 6a Community benefit report prepared by related organization COMMUNITY BENEFITS ARE REPORTED ANNUALLY AS PART OF THE FORM 990. THIS IS NOT SEPARATELY AVAILABLE TO THE PUBLIC. A FORMAL REPORT ISSUED BY THE PARENT COMPANY, THE QUEEN'S HEALTH SYSTEMS, INCLUDES THE COMMUNITY BENEFITS OF THE QUEEN'S MEDICAL CENTER. THIS REPORT IS PUBLISHED PERIODICALLY AND IS SEPARATELY AVAILABLE TO THE PUBLIC. Schedule H, Part I, Line 7g Subsidized Health Services THE QUEEN EMMA CLINICS PROVIDE COMPREHENSIVE PATIENT CARE TO INDIGENT PATIENTS AND SERVE A LARGE HOMELESS POPULATION. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES). Schedule H, Part II 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 Bad debt expense - methodology used to estimate amount QMC PROVIDES AN ALLOWANCE AGAINST ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE BY ESTABLISHING AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. QMC ESTIMATES THE ALLOWANCE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER QMC'S FINANCIAL ASSISTANCE POLICY IS CALCULATED BASED ON THE COST-TO-CHARGE RATIO. THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JULY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS PRIOR TO ASSESSING THE CREDIT RISK OF INDIVIDUALS WITHIN THE PORTFOLIO. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. THE AMOUNT SHOWN ON PART III, LINE 2 IS THE PRICE CONCESSION AMOUNT FOR THE TAX YEAR ENDED JUNE 30, 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 QMC'S MISSION, PATIENTS RECEIVE CARE REGARDLESS OF WHETHER QMC COLLECTS PAYMENT FOR SERVICES PERFORMED. FOR FY2024, QMC REPORTED BAD DEBT EXPENSE OF $51,885,678. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). THE AUDITED FINANCIAL STATEMENTS DO NOT DESCRIBE BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS DO DESCRIBE THE RECEIVABLES FOR PATIENT SERVICES. "ACCOUNTS RECEIVABLE PRIMARILY COMPRISE AMOUNTS DUE FOR HEALTHCARE SERVICES FROM PATIENTS AND THIRD-PARTY PAYORS AND ARE RECORDED NET OF AMOUNTS FOR CONTRACTUAL ADJUSTMENTS, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE COSTING METHODOLOGY THE MEDICARE AMOUNTS ABOVE ARE CALCULATED WITH DATA FROM THE JUNE 30, 2024 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 $190,227,000. TREATMENT OF MEDICARE SHORTFALL COMMUNITY BENEFIT THE HOSPITAL MUST TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE GOVERNMENT SETS NON-NEGOTIABLE MEDICARE RATES AND THE REIMBURSEMENT HAS NOT KEPT PACE WITH THE RISING COSTS OF PROVIDING THESE SERVICES. DUE TO THE REQUIREMENT TO PROVIDE CARE AND THE INABILITY OF THE MEDICARE REIMBURSEMENT TO KEEP PACE WITH THE COST OF PROVIDING SERVICES, WE FEEL THAT THE LOSS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES IS PART OF QMC'S MISSION AND IS A BENEFIT TO THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance EVERY ATTEMPT IS MADE BEFORE DISCHARGE TO SCREEN PATIENTS WHO HAVE NO DOCUMENTATION OF MEDICAL INSURANCE FOR POSSIBLE ELIGIBILITY FOR DISCOUNTED CARE. NON-ER OUTPATIENTS WITH NO MEDICAL INSURANCE ARE REFERRED TO THE PATIENT'S PHYSICIAN FOR A DETERMINATION OF URGENT OR EMERGENCY CARE STATUS. CHARITY CARE DISCOUNTS ARE BASED ON FINANCIAL NEED WHICH IS DETERMINED BY INCOME AND ASSET THRESHOLDS BASED ON FEDERAL POVERTY LEVELS AND IN COMPLIANCE WITH FEDERAL RULES AND REGULATIONS. PATIENTS ARE REQUESTED TO COMPLETE A DISCOUNTED CARE APPLICATION AND MUST SUBMIT INCOME AND ASSET VERIFICATION DOCUMENTS. PATIENTS MAY ALSO BE DEEMED ELIGIBLE FOR QMC DISCOUNTED CARE BASED ON PRIOR OR SUBSEQUENT MEDICAID ELIGIBILITY. ONCE ELIGIBILITY FOR QMC DISCOUNTED CARE IS CONFIRMED, A PAYMENT PLAN IS DISCUSSED WITH THE PATIENT. BILLING STATEMENTS FOR PATIENTS ARE MAILED MONTHLY TO ALL PATIENTS WITH SELF PAY BALANCES; INCLUDING PATIENTS WITH BALANCES AFTER QMC DISCOUNTED CARE IS APPLIED. BILLING STATEMENTS FOR PATIENTS WITH NO INSURANCE INCLUDE A STATEMENT ADVISING THEM TO CALL THE NUMBER ON THE STATEMENT TO DISCUSS OPTIONS FOR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16a FAP website A - THE QUEEN'S MEDICAL CENTER: Line 16a URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16a URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU: Line 16a URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER - WEST OAHU: Line 16a URL: https://www.queens.org/financial-resources/; Schedule H, Part V, Section B, Line 16b FAP Application website A - THE QUEEN'S MEDICAL CENTER: Line 16b URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16b URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU: Line 16b URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER - WEST OAHU: Line 16b URL: https://www.queens.org/financial-resources/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - THE QUEEN'S MEDICAL CENTER: Line 16c URL: https://www.queens.org/financial-resources/; B - THE QUEEN'S MEDICAL CENTER - WAHIAWA: Line 16c URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER AT HALE PALAMA MAU: Line 16c URL: https://www.queens.org/financial-resources/; A - THE QUEEN'S MEDICAL CENTER - WEST OAHU: Line 16c URL: https://www.queens.org/financial-resources/; Schedule H, Part VI, Line 2 Needs assessment QMC'S MISSION IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTH CARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. USING PUBLICLY AVAILABLE REPORTS AND DATA, AND THROUGH DISCUSSION WITH STAKEHOLDERS, QMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE BY FOCUSING ON FIVE STRATEGIC DIMENSIONS INCLUDING SUPERIOR QUALITY AND PERFORMANCE, BEING THE PROVIDER OF CHOICE, EMPLOYER OF CHOICE, DISPLAYING RESPONSIBLE CITIZENSHIP AND FOCUSING ON FINANCIAL PERFORMANCE. CORE STRATEGIES INVOLVING RESPONSIBLE CITIZENSHIP TO THE COMMUNITY INCLUDE HARDWIRING OUR NATIVE HAWAIIAN HEALTH STRATEGIC PLAN THROUGHOUT QUEEN'S ENTITIES, CREATING A SUSTAINABLE INFRASTRUCTURE THAT ALLOWS QUEEN'S TO QUANTIFY AND ARTICULATE COMMUNITY BENEFIT, AND STRENGTHENING GOVERNMENT AND COMMUNITY PARTNERSHIPS TO SUPPORT ACCESS AND AVAILABILITY OF PROGRAMS AND SERVICES THAT HELP ADDRESS UNMET COMMUNITY HEALTH NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MEDICAID, MEDICARE AND VARIOUS STATE PROGRAM ELIGIBILITY REQUIREMENTS ARE DISCUSSED WITH INPATIENTS AND/OR INPATIENT'S FAMILY MEMBERS. QMC HAS A CONTRACTED VENDOR WHO PERFORMS MEDICAID ELIGIBILITY ASSESSMENTS AND WORKS WITH PATIENTS TO SUBMIT AN APPLICATION AND THE REQUIRED DOCUMENTS. PATIENTS WHO MAY QUALIFY FOR MEDICARE ARE PROVIDED CONTACT INFORMATION FOR THE SOCIAL SECURITY OFFICE. SIGNS ARE POSTED IN REGISTRATION AREAS THROUGHOUT THE HOSPITAL ADVISING THAT QMC HAS A DISCOUNTED CARE POLICY. APPROPRIATE STAFF MEMBERS THAT COMMUNICATE WITH THE PUBLIC REGARDING THEIR BILLS ARE TRAINED AND KNOWLEDGEABLE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. STAFF MEMBERS DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. Schedule H, Part VI, Line 4 Community information QMC IS THE LEADING MEDICAL REFERRAL CENTER IN THE PACIFIC BASIN. LOCATED IN DOWNTOWN HONOLULU, IT'S THE LARGEST PRIVATE HOSPITAL IN HAWAII. ACCORDING TO RECENT DEMOGRAPHIC CENSUS DATA, THE STATE OF HAWAII IS VERY DIVERSE AND INCLUDES A POPULATION THAT IS APPROXIMATELY 10% 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. QMC IS THE ONLY LEVEL I TRAUMA CENTER IN THE STATE OF HAWAII AND PROVIDES MEDICAL SERVICES TO THE STATE OF HAWAII AND THE PACIFIC BASIN. AFFILIATE ORGANIZATIONS OF THE QUEEN'S HEALTH SYSTEMS OPERATE THE ONLY HOSPITAL ON THE ISLAND OF MOLOKA'I, OPERATE THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ON THE BIG ISLAND, PROVIDE DIAGNOSTIC LABORATORY SERVICES, OPERATE PHARMACIES, PROVIDE HEALTH CARE SERVICES FOR AFFILIATED HOSPITALS, AND PROVIDE THE HOSPITALS WITH GENERAL AND PROFESSIONAL LIABILITY INSURANCE. true American Cancer Society 3380 Chastain Meadows Pkwy NW Ste Kennesaw GA 30144 131788491 501(c)(3) 25000 2024 Hope Gala Honolulu American Heart Association PO Box 4002030 Des Moines IA 50340 135613797 501(c)(3) 70000 Heart of Hawaii American Lung Association in Hawaii 201 Merchant Street Ste 901 Honolulu HI 96813 131632524 501(c)(3) 12000 2024 Outstanding Mother's Awards Arthritis Foundation 1355 Peachtree Street NE Suite 600 Atlanta GA 30309 581341679 501(c)(3) 10000 2023 Taste of the Town Boy Scouts of America Aloha Council 42 Puiwa Road Honolulu HI 96817 990073482 501(c)(3) 26500 GENERAL SUPPORT Boys & Girls Club of Hawaii 1000 Bishop Street Ste 505 Honolulu HI 96813 996005407 501(c)(3) 6000 27th Annual Walk in the Country, dinner and auction Chaminade University of Honolulu 3140 Waialae Avenue Honolulu HI 96826 990272261 501(c)(3) 10000 2024 Silverswords Gala Council for Native Hawaiian Advancement 91-1270 Kinoiki St Bldg 1 Kapolei HI 96707 910313383 501(c)(3) 50000 Kako'o Maui Friends of Iolani Palace The PO Box 2259 Honolulu HI 96804 990115665 501(c)(3) 13230 GENERAL SUPPORT Girl Scouts of Hawaii 410 Atkinson Drive Ste 2E1 Box 3 Honolulu HI 96814 990073488 501(c)(3) 50000 Support for Girl Scouts ProgramS Hawaii Executive Collaborative 827 Fort Street Mall 2nd Floor Honolulu HI 96813 844041099 501(c)(3) 50000 Rediscovering Hawaii's Soul initiative Hawaii Food & Wine Festival 3538 Waialae Ave 202 Honolulu HI 96816 460618609 501(c)(3) 15000 13th Annual HFWF, The Art of Food & Wine Hawaii Meals on Wheels Inc 2728 Huapala Street 209 Honolulu HI 96822 990198132 501(c)(3) 10000 2023 Thanksgiving Benefit Community Matching Gift Challenge Hawaii Parkinson Association Inc 2228 Liliha Street Ste 206 Honolulu HI 96817 990327454 501(c)(3) 10000 2024 Symposium and 2024 Annual Walk Hawaiian Mission Houses 553 S King Street Honolulu HI 96813 990073491 501(c)(3) 10000 Huaka'i: Ka Huaka'i Na Ohana (Journey with your Ohana) Lunalilo Home 501 Kekauluohi Street Honolulu HI 96825 990075244 501(c)(3) 25000 Delivery of Medically Tailored Meals (MTMs) by Lunalilo Kitchens Ma'O Organic Farms 86-148 Puhawai Road Waianae HI 96792 990350803 501(c)(3) 6000 2023 Town ma MA'O, E Opu Ali'i Partners in Development Foundation 2040 Bachelot Street Honolulu HI 96817 943271325 501(c)(3) 10000 2023 Ulu Hana Pewa Awards Project Vision Hawaii PO Box 23212 Honolulu HI 96823 272831637 501(c)(3) 17500 Eye Ball 2023/2024 Shidler College of Business Alumni Assn 2404 Maile Way A303F Honolulu HI 96822 990339302 501(c)(3) 7500 2023 Hall of Honor Awards St Andrews Schools 224 Queen Emma Square Honolulu HI 96813 990073525 501(c)(3) 100000 Proposal to establish a scholarship endowment fund Susan G Komen Hawaii 13770 Noel Road Suite 801889 Dallas TX 75380 751835298 501(c)(3) 15000 2024 Pink Tie Ball, Monaco in May University Clinical Education & Research 677 Ala Moana Blvd Ste 1001 Honolulu HI 96813 990307152 501(c)(3) 1087913 GENERAL SUPPORT University of Hawaii Foundation 2440 Campus Road Box 368 Honolulu HI 96822 990085260 501(c)(3) 1415053 GENERAL SUPPORT Young Womens Christian Association 1040 Richards Street Honolulu HI 96813 990073534 501(c)(3) 20000 2024 YWCA Leader Luncheon Hawaii Cancer Consortium 55 Merchant Street Honolulu HI 96813 452280259 501(c)(3) 1500000 GENERAL SUPPORT Chamber of Commerce of Hawaii 733 Bishop St Makai Tower Ste 1200 Honolulu HI 96813 990035510 501(c)(6) 17000 2024 Hawaii on the Hill Native Hawaiian Chamber of Commerce PO Box 597 Honolulu HI 96813 990207564 501(c)(6) 13000 46th Annual O'o Awards Healthcare Association of Hawaii 707 Richards Street PH2 Honolulu HI 96813 990105817 501(c)(6) 22000 2024 Annual Health Care Awards & Scholarship Dinner State of Hawaii Department of Education 1390 Miller Street Honolulu HI 96813 990266482 GOV'T 7500 Support 3 students to attend the HOSA International Leadership Conference KAPOLEI CHAMBER OF COMMERCE 1001 KAMOKILA BOULEVARD STE 250 KAPOLEI HI 96707 262216335 501(C)(6) 10000 Sponsorship "Platinum level Leader's Circle Membership" HAWAII MEDICAL ASSOCIATION 1360 S BERETANIA STREET 200 HONOLULU HI 96814 990067306 501(C)(6) 25000 Sponsorship "2023 Ola Pono Ike Medical Gala" 27 5 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE QUEEN'S MEDICAL CENTER MAKES DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS WITH THE PURPOSE OF PROVIDING OPPORTUNITIES FOR BETTER HEALTH AND WELLNESS TO ALL THE PROPLE OF HAWAII. THERE ARE GENERALLY NO RESTRICTIONS PLACED ON THE USE OF THOSE DONATIONS AND THE RECEIVING ORGANIZATION MAY USE THE DONATIONS AT THEIR DISCRETION IN ORDER TO FURTHER THEIR EXEMPT PURPOSE. WHERE RESTRICTIONS ARE PLACED ON THE USE OF THOSE DONATIONS, QMC REQUESTS FINANCIAL REPORTS IN ORDER TO MAINTAIN SUCH USE. false false false false false false false true false GEORGE R BRUNO MD PRESIDENT/TRUSTEE 0 687832 0 244471 0 2322 0 101167 0 10933 0 1046725 0 0 T SCOTT GALLACHER MD TRUSTEE / CHIEF OF STAFF 0 438984 0 40785 0 3917 0 30190 0 25319 0 539195 0 0 JILL HOGGARD GREEN TRUSTEE 0 1402083 0 628054 0 14478 0 261090 0 18825 0 2324530 0 0 KAZUMA NAKAGAWA MD TRUSTEE 0 373423 0 465160 0 1164 0 23344 0 25219 0 888310 0 0 NADINE TENN SALLE MD TRUSTEE 0 281303 0 280292 0 2714 0 24571 0 25112 0 613992 0 0 JASON CHANG FORMER OFFICER 0 607786 0 284265 0 1211 0 120599 0 21289 0 1035150 0 0 DARLENA CHADWICK RN VICE PRESIDENT 0 449678 0 172994 0 1742 0 84934 0 13673 0 723021 0 0 WHITNEY LIMM MD SENIOR VICE PRESIDENT 0 894728 0 306437 0 14478 0 26400 0 19325 0 1261368 0 0 PAUL MCDOWELL TREASURER 0 636578 0 251411 0 2322 0 118498 0 24965 0 1033774 0 0 JOHN NITAO SECRETARY/GENERAL COUNSEL 0 515121 0 205554 0 4902 0 111937 0 27680 0 865194 0 0 CLINTON YEE ASSISTANT TREASURER 0 210045 0 21420 0 4520 0 21694 0 26488 0 284167 0 0 KRISTEN CHUN VP - PATIENT CARE 320092 0 91668 0 1242 0 37995 0 25249 0 476246 0 0 0 VICTORIA LUNA RN REGISTERED NURSE 410073 0 0 0 2607 0 22984 0 24896 0 460560 0 0 0 BERYL MUNIZ VP - PATIENT CARE 389546 0 107196 0 6858 0 26400 0 4638 0 534638 0 0 0 FRANK OKIMOTO VP - CAPITAL CONSTRUCTION & CAMPUS DEVEL 334848 0 90112 0 1242 0 37152 0 24937 0 488291 0 0 0 LINDA PUU VP - QUALITY & PATIENT SAFETY / CNO 468510 0 150192 0 12557 0 26400 0 18521 0 676180 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEMS (QHS, PARENT COMPANY) TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. QHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND STUDY, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 7 Non-fixed payments RECOGNITION AWARDS WERE PAID TO EMPLOYEES BASED ON ACCOMPLISHMENTS PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND DEFINED ELIGIBILITY OF THE EMPLOYEE. RECOGNITION AWARDS ARE DISCRETIONARY AND CONSIDER QUALITY THRESHOLDS WHICH INCLUDE ANNUAL ACCREDITATION AND MINIMUM OPERATING INCOME LEVEL CRITERIA. IN ADDITION, EXECUTIVE AWARDS ARE WEIGHTED BASED ON INDIVIDUAL GOALS ESTABLISHED FOR EACH EXECUTIVE. ALSO, CERTAIN PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON PROFESSIONAL SERVICES COLLECTIONS BY QMC. A MAXIMUM OF SUCH INCENTIVE COMPENSATION IS CAPPED ACCORDING TO QMC POLICY. Schedule J, Part II COMPENSATION PAID FOR SERVICES 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. HE ALSO SERVED AS A TRUSTEE OF MGH, NHCH AND QEL 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. 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. DARLENA CHADWICK MS. CHADWICK SERVES AS EVP AND COO OF QHS, VICE PRESIDENT OF QMC AND TRUSTEE OF QEL, MGH , NHCH AND QUMG. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. WHITNEY LIMM, MD DR. LIMM SERVES AS SENIOR VP OF CLINICAL INTEGRATION AND CHIEF PHYSICIAN EXECUTIVE OF QHS AND QMC AND TRUSTEE OF QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. 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. 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 COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR SERVICES AS CHIEF OF PEDIACTRICS FOR QUMG. X 550 Market value X 1 25942 Market value X 1 600 Market value X GIFT CARDS 1 16800 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Clothing and household goods - Number of contributions received Securities - Publicly traded - Number of contributions received Food inventory - Number of contributions received Other - GIFT CARDS Number of contributions received Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, THE QUEEN'S MEDICAL CENTER (QMC) IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. THE QUEEN'S MEDICAL CENTER HAS 505 ACUTE CARE BEDS AND 28 SUB-ACUTE CARE BEDS. WITH OVER 3,000 EMPLOYEES AND OVER 1,200 PHYSICIANS ON STAFF (INCLUDING PHYSICIANS EMPLOYED BY QUMG), IT IS ALSO ONE OF THE STATE OF HAWAII'S LARGEST EMPLOYERS. AS THE LEADING MEDICAL REFERRAL CENTER IN HAWAII AND THE PACIFIC BASIN, QMC IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE AND WOMEN'S HEALTH. QMC OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTETRICS AND PULMONOLOGY. QMC SERVES AS THE MAIN TRAUMA CENTER IN THE PACIFIC BASIN, ("TRAUMA" IS DEFINED AS A LIFE-THREATENING INJURY OR SHOCK) AND HAS BEEN VERIFIED AS A LEVEL I TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS. QMC IS HOME TO A NUMBER OF RESIDENCY PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN A BURNS SCHOOL OF MEDICINE. QMC IS ACCREDITED BY THE JOINT COMMISION (TJC). QMC IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (QCGME), AND IS A MEMBER OF VHA, A NATIONAL COOPERATIVE OF OVER 1,400 HOSPITALS. QMC SUPPORTS NATIVE HAWAIIAN HEALTH INITIATIVES THROUGH MANY OF ITS PROGRAMS AND SERVICES, PARTICULARLY ITS NATIVE HAWAIIAN HEALTH PROGRAM (NHHP). THE FOCUS AREAS OF NHHP INCLUDE IMPROVEMENTS IN CLINICAL OUTCOMES, HEALTHCARE TRAINING, RESEARCH, AND ACCESS AND OUTREACH. NHHP CONDUCTS ONGOING ASSESSMENT AND DEVELOPMENT OF QMC PROGRAMS AND SERVICES FOCUSED ON NATIVE HAWAIIANS, INCLUDING SPECIFIC CLINICAL PROGRAMS IN AREAS SUCH AS CARDIOLOGY, ONCOLOGY, COMPREHENSIVE WEIGHT MANAGEMENT, MEDICINE, NEUROSCIENCE, AND DIABETES. QMC COLLABORATES AND PARTNERS TO PROVIDE HEALTHCARE TRAINING AND EDUCATION OPPORTUNITIES TO NATIVE HAWAIIAN STUDENTS AND THOSE COMMITTED TO SERVING NATIVE HAWAIIAN COMMUNITIES FROM ADOLESCENCE TO GRADUATE STUDIES, SUCH AS, THE ULU KUKUI PROJECT, WHICH IS A PRE-COLLEGE SCIENCE EDUCATION PROGRAM AT STEVENSON MIDDLE SCHOOL TO PROMOTE EXCELLENCE IN SCIENCE EDUCATION AND THE PURSUIT OF BIOMEDICAL CAREERS BY NATIVE HAWAIIANS AND PACIFIC ISLANDERS. IN ADDITION, NHHP PROGRAMS FOCUS ON QUALITY IMPROVEMENT AND INCREASED ACCESS FOR NATIVE HAWAIIANS TO QMC AND COLLABORATE WITH THE NATIVE HAWAIIAN COMMUNITY IN EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. THROUGH EACH OF THESE AREAS OF FOCUS, NHHP WORKS TO PROVIDE A FRAMEWORK FOR THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF CLINICAL INITIATIVES THAT AIM TO ENHANCE THE OLA PONO (WELL BEING) OF NATIVE HAWAIIANS. IN ADDITION TO NHHP, MANY OF QMC'S PROGRAM SERVICES DESCRIBED BELOW PROVIDE BENEFITS TO NATIVE HAWAIIANS, INCLUDING COMPONENTS OF CHARITY CARE AND UNCOMPENSATED CARE PROVIDED TO OUR PATIENTS. IN JANUARY 2022, THE QUEEN'S HEALTH CARE CLINICS WERE TRANSFERRED FROM THE QUEEN'S DEVELOPMENT CORPORTAION (QDC) TO QMC. IN FEBRUARY 2022 QUEEN'S UNIVERSITY MEDICAL GROUP (QUMG) WAS ESTABLISHED. QUMG'S PURPOSE IS TO EMPLOY A MULTISPECIALTY GROUP OF PHYSICIANS, ALONG WITH OTHER HEALTH CARE PROVIDERS AND STAFF, TO PROVIDE HEALTH CARE SPECIALTY SERVICES IN A CHARITABLE MANNER FOR PATIENTS OF QMC, MGH AND QNHCH AND OTHER HEALTH CARE PROVIDERS WITHIN THE COMMUNITIES SERVED BY QMC, MGH AND QNHCH. IN APRIL 2024 QUEEN'S ACQUIRED THE FORMER WAHIAWA GENERAL HOSPITAL. IN MAY 2024, QUEEN'S MEDICAL CENTER OPENED QUEEN'S MEDICAL CENTER - WAHIAWA. THE NEW LOCATION PROVIDES EMERGENCY DEPARTMENT SERVICES, IMAGING AND LAB SERVICES. 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 $186M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2024. 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, 2024, THE ESTIMATED COST OF PROVIDING CHARITY CARE WAS $2.6M AND BAD DEBT EXPENSE WAS $51M. 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 $20.6M IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2024. 3. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $20.9M DURING THE YEAR ENDED JUNE 30, 2024 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, 2024 WAS $956,000. 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, 2024 WAS $1.5M. 6. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2024, RESEARCH COSTS WERE $2.0M. 7. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2024, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS CONSISTENT WITH QMC'S EXEMPT PURPOSE WERE $4.3M. OF THIS AMOUNT, $455,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $1.5M 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 $52.6M DURING THE YEAR ENDED JUNE 30, 2024. 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 $18.7M DURING THE YEAR ENDED JUNE 30, 2024. 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, 2024, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $68,000. 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 $1,703,646 FOR THE YEAR ENDED JUNE 30, 2024. 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, 2024, THE VALUE OF THE USE OF THE CENTER WAS $255,000. 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, 2024 COSTS INCURRED FOR THE PROGRAM WERE $1.3M. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) 14. QUEEN'S MEDICAL RESPITE KALIHI UKA RECOVERY HOME - THE KALIHI-UKA RECOVERY HOMES (KURH) OFFER HOMELESS INDIVIDUALS A SAFE AND WELCOMINGPLACE TO STAY WHILE GOING THROUGH SUBSTANCE ABUSE TREATMENT. RESIDENTS ARE ENROLLED IN OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND PARTICIPATE IN DAILY ACTIVITIES TO HELP MAINTAIN THEIR SOBRIETY. FOR THE YEAR ENDED JUNE 30, 2024 COSTS INCURRED FOR THE PROGRAM WERE $548,000. 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, 2024 COSTS INCURRED FOR THE PROGRAM WERE $511,000. 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, 2024, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $315,000. 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, 2024, THE COST RELATED TO KAHULA OLA WAS $236,000. 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 $24,000 DURING THE YEAR ENDED JUNE 30, 2024. 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 $1.1M DURING THE TAX YEAR ENDED JUNE 30, 2024. 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, 2024, THESE PROGRAM COSTS TOTALED $1.9M. 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 $1.1M FOR THE YEAR ENDED JUNE 30, 2024. 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, 2024. 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 III, Line 2 New program services IN MAY 2024, QUEEN'S MEDICAL CENTER OPENED QUEEN'S MEDICAL CENTER - WAHIAWA. THE NEW LOCATION PROVIDES EMERGENCY DEPARTMENT SERVICES, IMAGING AND LAB SERVICES. Form 990, Part V, Line 1a FORM 1099 REPORTING VENDOR PAYMENTS ARE PROCESSED AND PAID BY THE QUEEN'S HEALTH SYSTEMS (QHS) FOR ALL AFFILIATES. AS SUCH, FORM 1099S WERE NOT ISSUED BY THE QUEEN'S MEDICAL CENTER (QMC) IN 2023. Form 990, Part VI, Line 6 Classes of members or stockholders QMC HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QMC BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN MAJOR DECISIONS APPROVED BY THE QMC BOARD OF TRUSTEES MUST ALSO BE APPROVED BY QHS. SUCH DECISIONS INCLUDE: 1. A CHANGE TO THE PURPOSE OF THE COMPANY; 2. A FINANCING TRANSACTION IN EXCESS OF $500,000; 3. A LEASE TRANSACTION THAT HAS A TERM THAT IS LONGER THAN 3 YEARS OR HAS A RENT OBLIGATION IN EXCESS OF $1,000,000 OVER THE LEASE TERM; 4. A TRANSACTION INVOLVING THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY; 5. ANNUAL OPERATIONAL AND CAPITAL BUDGETS; 6. STRATEGIC PLANS; 7. MERGER OR MAJOR ACQUISITIONS; 8. CREATION OF A NEW ENTITY OR JOINT VENTURE; 9. SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; 10. DISSOLUTION; 11. AMENDMENT OF BYLAWS; 12. ADOPTION, AMENDMENT OR RESCISSION OF A BOARD POLICY; 13. CAPITAL EXPENDITURES IN EXCESS OF $2,000,000 FOR QMC. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 FOR THE QUEEN'S HEALTH SYSTEMS (QHS) AND THE SEPARATE FORMS FOR EACH OF THE NOT-FOR-PROFIT SUBSIDIARIES OF QHS WERE REVIEWED BY THE GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN. THE QHS 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 19 Required documents available to the public QMC'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THE QHS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN, AS REQUIRED. QMC DOES NOT MAKE THE CONFLICT OF INTEREST POLICY THAT IT FOLLOWS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 15882377, Related or Exempt Function Revenue: 14941926, Unrelated Business Revenue: 940451, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 4269584, Fundraising Expenses: ; MEDICAL SERVICES - Total Expense: 55014736, Program Service Expense: 55014736, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1141286, Program Service Expense: 1093250, Management and General Expenses: 48036, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 3846311, Program Service Expense: 3825872, Management and General Expenses: 20439, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION FAS87 ADJUSTMENTS - -908026; CHANGE IN INTEREST IN SUBSIDIARY - -2327902; NET ASSETS RELEASED FROM RESTRICTION - -2852256; FORM 990, PART VI, LINE 12, 13 AND 14 APPROVED POLICIES QMC ABIDES BY THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES THAT HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QMC BOARD OF TRUSTEES, BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE QMC BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ALL QHS COMPANIES ARE SUBJECT TO A WRITTEN CONFLICT OF INTEREST POLICY. ALL TRUSTEES, OFFICERS, DESIGNATED EMPLOYEES AND CONTRACTORS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM. THE DESIGNATED EMPLOYEES ARE THOSE SELECTED BY EXECUTIVES IN THE ORGANIZATION WHO IDENTIFY THOSE EMPLOYEES (TYPICALLY MANAGER LEVEL AND ABOVE) WHO MAY BE IN A POSITION TO SELECT OR INFLUENCE THE SELECTION OF A VENDOR. DISCLOSURES ARE SUMMARIZED AND MAINTAINED BY EACH COMPANY'S CORPORATE SECRETARY. THE CONTRACTS MANAGEMENT DEPARTMENT AND LEGAL DEPARTMENT HAVE THE CONFLICT OF INTEREST SUMMARIES AND CHECK FOR CONFLICTS OF INTEREST AT THE BEGINNING OF THE CONTRACT PROCESS. ANY CONFLICT OF INTEREST INVOLVING A TRUSTEE IS PRESENTED TO THE BOARD OF TRUSTEES. ANY CONFLICT OF INTEREST INVOLVING A DISQUALIFIED PERSON IS SUBJECT TO THE PROCESS OF ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY TRUSTEE WITH A CONFLICT OF INTEREST IS EXCUSED FOR THE PORTION OF THE MEETING WHERE THE SUBJECT MATTER IS DISCUSSED AND VOTED ON. FORM 990, PART VI, LINE 15A AND 15B PROCESS USED FOR DETERMINING COMPENSATION 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 2024. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE. QUEENS MSSP ACO LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 830771278 ACC. 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