The Queen's Health Systems

Nonprofit profile at a glance

EIN
990073524
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Honolulu, HI, USA
Phone
808-691-5300
Rating
79
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Health Support Services

Official website

Reported finances

Revenue
$1,861,679,716
Expenses
$1,643,881,007
Assets
$5,760,579,747
Liabilities
$3,672,031,462

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

38 people listed

Executive titles in this filing

  • GEORGE R BRUNO MD (PRESIDENT/TRUSTEE - PART YEAR)
  • JASON CHANG (PRESIDENT/TRUSTEE)
  • ALEXANDRA WROE (VICE PRESIDENT)
  • DARLENA CHADWICK RN (VICE PRESIDENT)
  • WHITNEY LIMM MD (SENIOR VICE PRESIDENT)

Highest reported compensation

  • JILL HOGGARD GREEN (TRUSTEE - PART YEAR): $1,759,879 total reported compensation
  • JASON CHANG (PRESIDENT/TRUSTEE): $1,362,661 total reported compensation
  • WHITNEY LIMM MD (SENIOR VICE PRESIDENT): $1,136,781 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our Mission 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 of the people of Hawai‘i. Our Vision. It all started in 1859 when Queen Emma and King Kamehameha IV founded The Queen’s Hospital to address the health care needs of the people of Hawai‘i during a time when epidemics plagued the island of O‘ahu. Little did they know that their efforts more than 165 years ago would grow into the legacy it has become today. In 1967, it was renamed The Queen’s Medical Center and then in 1985, the nonprofit The Queen’s Health Systems was established. Today, we are a health care leader throughout Hawai‘i and the Pacific Basin, delivering comprehensive health care services and programs to Native Hawaiians and all people of Hawai‘i. Our Mission To fulfill the intent of Queen Emma...

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 93% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 72
  • Accountability: 65
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.3%; rating input score 85
  • Program expense ratio: 96%; rating input score 96
  • Fundraising efficiency: $133.13 raised per $1 spent on fundraising; rating input score 86; 86th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 91.7%; rating input score 92; 24th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
  • Governance controls: 4 of 9 controls in place; rating input score 44
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 11.7%; rating input score 76; 76th percentile among comparable filings
  • Total-asset coverage ratio: 3.5; rating input score 79; 79th percentile among comparable filings
  • Liabilities to assets ratio: 0.64; rating input score 26; 26th percentile among comparable filings
  • Officer compensation ratio: 0.3%; rating input score 89; 89th percentile among comparable filings

Growth

  • Program expense growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
  • Revenue growth: 6.5% per year; rating input score 100; 56th percentile among comparable filings
  • Asset growth: 12.2% per year; rating input score 100; 79th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 85.3% of revenue deployed · 96% of spending went to programs
  • Governance: 16 of 20 board members independent · 4 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.6B in reported program spending
  • Leadership: top reported pay $1.8M · 38 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 38 of 39 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 44 filed money-flow records
  • Related organizations: 48 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Governance controls: 5 of 9 not reported.
  • High — Sustainability: Liabilities to assets ratio scored 26/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.