The Queen'S Health Systems

“Process used to review the form 990 the form 990 for the queen's health systems (qhs) and the separate forms for each of the not-for-profit subsidiaries of qhs were reviewed by the governing body prior to the filing of the tax return. The qhs risk management 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 qhs return was made available to each of the members of the qhs board of trustees prior to the returns being filed with the internal revenue service.”

“Monitoring and enforcement of compliance with conflict of interest policy all qhs companies are subject to a written conflict of interest policy. All trustees, officers, designated employees and contractors are required to complete an annual disclosure form. The designated employees are those selected by executives in the organization who identify those employees (typically manager level and above) who may be in a position to select or influence the selection of a vendor. Disclosures are summarized and maintained by each company's corporate secretary. The contracts management department and legal department have the conflict of interest summaries and check for conflicts of interest at the beginning of the contract process. Any conflict of interest involving a trustee is presented to the board of trustees. Any conflict of interest involving a disqualified person is subject to the process of establishing a rebuttable presumption of reasonableness. Any trustee with a conflict of interest is excused for the portion of the meeting where the subject matter is discussed and voted on.”

“Process for determining 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. Qhs' executive compensation is reviewed annually for its president/ceo, executive vp/coo, executive vp/cfo, qhs senior vp endowment, qhs senior vp corporate development, qhs vp general counsel, qhs vp human resources, qhs vp information technology/cio, qhs vp community development, qhs vp medical affairs and qhs vp clinical integration. 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 2022. Outside counsel assists with the review process and documents the decisions of the committee.”

“Availability of governing documents, conflict of interest policy, & financial statements to the public qhs' governing documents are available upon request and the qhs' consolidated audited financial statements are attached to the queen's medical center ("qmc"), molokai general hospital ("mgh") and queen's north hawaii community hospital ("nhch") tax returns, as required. Qhs does not make its conflict of interest policy available to the public.”

“The mission of queen's health systems ("qhs") 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. Qhs fulfills its exempt purpose by supporting the queen's medical center ("qmc"), molokai general hospital ("mgh") and queen's north hawaii community hospital ("nhch"). In addition, qhs supports its subsidiaries by providing administrative and support services (including legal, accounting and human resources). 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. The queen's medical center - west oahu was opened in may 2014. Qhs was able to extend its mission by opening qmc - west o'ahu, a community hospital that provides west o'ahu residents and visitors with high quality, state-of-the-art health care close to home. Qmc - west o'ahu features completely new and convenient facilities with a caring, dedicated staff who demonstrate commitment to the legacy of our founders, queen emma and king kamehameha iv. 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 $202m on a system-wide basis, for the year ended june 30, 2022. 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, 2022, the estimated cost of providing charity care and for services that were bad debts was $1,151,000 and $28,190,000 respectively. 2. Queen emma clinics - qmc provides outpatient services to indigent patients and others through the queen emma clinics. The estimated cost of operation of the queen emma clinics was approximately $550,000 for the year ended june 30, 2022. 3. 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 $11,884,000 in on call physician coverage during the year ended june 30, 2022. 4. Fellowship, resident and intern costs - qmc incurred costs in excess of reimbursement of approximately $18,790,000 during the year ended june 30, 2022 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. 5. Hawaii medical libra”

“19. Queen's medical respite kalihi uka recovery home - the kalihi-uka recovery homes (kurh) offer homeless individuals a safe and welcoming place to stay while going through substance abuse treatment. Residents are enrolled in outpatient behavioral health programs and participate in daily activities to help maintain their sobriety. For the year ended june 30, 2022 costs incurred for the program were $552,000. 20. 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, 2022 costs incurred for the program were $621,000. 21. 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, 2022, the cost of providing health and wellness education was $302,000. 22. 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, 2022, the cost related to kahula ola was $222,000. 23. 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 $3,434,000 during the year ended june 30, 2022. 24. 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 $3,855,000 during the tax year ended june 30, 2022. 25. 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, 2022, these program costs totaled $1,766,000. 26. Community outreach - qhs employees volunteer their time and experience providing free lectures to members of the community including professionals, students and members of the public.”

“Other changes in net assets pension fas 87 adjustment $ 1,279,286 change in other comprehensive income $ 21,577,623 rounding $ 2 ------------- total $ 22,856,911”

“Description:consulting services total fees:3463405”

“Description:purchased services total fees:19034812”

“Description:other services total fees:1031813”