2025-05-29T19:32:38-05:00 2024-09-30 990292318 KIRIO & COMPANY INC 1150 S KING ST 1102 HONOLULU HI 96814 990 2023-10-01 996002291 LUCY K HENRIQUES TRUST C/O THE QUEEN'S HEALTH SYSTEMS LUCY 8086915975 1301 PUNCHBOWL ST HONOLULU HI 96813 THE QUEEN'S HEALTH SYSTEMS CO-TRUSTEE 8086915975 2025-05-29 1 0 CLAYTON T KIRIO P00941324 8089444026 2025-05-29 2023 2025-03-06 01:10:19Z THE QUEEN'S HEALTH SYSTEM 1301 PUNCHBOWL ST HONOLULU HI 96813 230202 0 X N/A X 1933 HI TO PROVIDE SUPPORT FOR THE CHARITABLE PURPOSES AND PROGRAMS OF THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 2 2 0 1 0 0 0 0 0 0 89085 149270 0 0 89085 149270 96000 96000 0 0 0 1400 0 0 0 22328 7616 118328 105016 -29243 44254 2093843 2138097 0 0 2093843 2138097 TO PROVIDE SUPPORT FOR THE CHARITABLE PURPOSES AND PROGRAMS OF THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 0 0 100624 96000 TO PROVIDE SUPPORT FOR THE CHARITABLE PURPOSES AND PROGRAMS OF THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. 100624 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 1 0 X THE QUEEN'S HEALTH SYSTEMS - CO-TRUSTEE 8086915975 1301 PUNCHBOWL ST HONOLULU HI 96813 PATRICIA RICHARD GILES CO-TRUSTEE 0.20 X 1400 0 0 THHE QUEEN'S HEALTH SYSTEMS CO-TRUSTEE 1.00 X 0 0 0 1400 0 0 0 0 0 0 0 59557 59557 170645 80932 89713 89713 89713 149270 0 0 149270 96000 96000 1400 840 560 4986 2493 2493 2582 1291 1291 39 39 GENERAL EXCISE TAX 9 9 105016 100624 4392 0 11853 14837 96000 96000 96000 1985990 2027260 2093843 2138097 0 0 X 1931724 1931724 0 0 162119 206373 2093843 2138097 2093843 2138097 44254 0 X 0 0 0 X X X 1 QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL 990260423 3 1 96000 0 1 96000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 1 1 PART IV, SECTION D, LINE 2: THE ORGANIZATION MAINTAINED A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE SUPPORTED ORGANIZATION(S) BY PROVIDING PERIODIC PERFORMANCE REPORTS ON THE INVESTMENT PORTFOLIO, PROVIDING STATEMENTS DETAILING ALL ACTIVITIES IN THE ACCOUNT, MEETING EITHER FACE TO FACE OR BY CONFERENCE CALL WITH THE DECISION MAKERS OF THE SUPPORTED ORGANIZATION TO DISCUSS THE INVESTMENTS AND GRANTS MADE THROUGHOUT THE YEAR, AND CORRESPONDING VIA EMAIL OR TELEPHONICALLY WHEN ISSUES, CONCERNS OR QUESTIONS AROSE. PART IV, SECTION D, LINE 3: THE ORGANIZATION PROVIDED PERIODIC PERFORMANCE REPORTS ON THE INVESTMENT PORTFOLIO AND MET WITH THE SUPPORTED ORGANIZATION(S) EITHER FACE TO FACE OR BY CONFERENCE CALL TO DISCUSS INVESTMENT PERFORMANCE. IN ADDITION, THE SUPPORTED ORGANIZATION(S) WERE GIVEN DISCRETION AS TO THE TIMING OF THE GRANTS. PART IV, SECTION E, LINE 2A: THE SUPPORTING ORGANIZATION DIRECTLY FURTHERED ACTIVITIES CONDUCTED BY QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL, THE SUPPORTED ORGANIZATION, BY HOLDING TITLE TO AND MANAGING THE REAL ESTATE ON WHICH THE HOSPITAL IS LOCATED. PART IV, SECTION E, LINE 2B: IF THE SUPPORTING ORGANIZATION DID NOT HOLD TITLE AND MANAGE THE PROPERTY IN WHICH THE HOSPITAL IS LOCATED, THE HOSPITAL ITSELF WOULD'VE HAD TO MANAGE THE REAL ESTATE. 96000 96000 96000 1 QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL INC 67-1125 MAMALAHOA HWY KAMUELA HI 96743 990260423 170(B)(1)(A)(III) 96000 0 HOSPITAL SERVICES, MAINTENANCE AND UPKEEP PART I, LINE 2: GRANTS ARE MADE SOLELY TO THE QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL, INC. AS THE TRUST'S CHARITABLE BENEFICIARY. THE TRUST DOCUMENT DOES NOT RESTRICT GRANTS TO SPECIFIC PURPOSES; FUNDS MAY BE USED FOR HOSPITAL SERVICES AND GENERAL MAINTENANCE AND UPKEEP. FORM 990, PART VI, SECTION A, LINE 8B PART VI, SECTION A, LINE 8B IS NOT APPLICABLE TO THE ORGANIZATION AS THERE ARE NO SEPARATE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY OUTSIDE ACCOUNTANT HIRED BY THE CO-TRUSTEE, THE QUEEN'S HEALTH SYSTEM. BEFORE IT IS FILED, THE RETURN IS REVIEWED BY A TAX MANAGER AND A VICE PRESIDENT FROM THE QUEEN'S HEALTH SYSTEMS. FORM 990, PART VI, SECTION B, LINE 12C THE CO-TRUSTEE, THE QUEEN'S HEALTH SYSTEM, HAS A CONFLICT OF INTEREST POLICY IN PLACE. ALL OF THE QUEEN'S HEALTH SYSTEMS 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 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, SECTION B, LINE 15B FEES FOR THIS TRUST ARE SUBJECT TO HAWAII STATUTE FOR CHARITABLE TRUSTS, WHICH DESIGNATES THAT UNLESS INDICATED OTHERWISE IN A CHARTIABLE TRUST DOCUMENT, TRUSTEE FEES ARE TO BE REASONABLE. IN ESTABLISHING THE TRUSTEE'S FEE SCHEDULE, CONSIDERATION WAS GIVEN TO THE DUTIES, LIABILITIES, AND EXPERTISE OF THE TRUSTEE, AS WELL AS TO COMPARABLE FEES FOR SIMILAR SERVICES PROVIDED BY SIMILAR ORGANIZATIONS. THE PROCESS OF ESTABLISHING AN APPROPRIATE FEE AS "REASONABLE" WAS ALSO PRESENTED TO THE HAWAII ATTORNEY GENERAL, WHOSE OFFICE IS RESPONSIBLE FOR THE OVERSIGHT OF HAWAII'S CHARITABLE TRUSTS. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST DOCUMENT AND ACCOUNT STATEMENTS ARE PROVIDED TO THE BENEFICIARY ORGANIZATION (QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL INC.). THE QUEEN'S HEALTH SYSTEMS (CO-TRUSTEE), HAS A CONFLICT OF INTEREST POLICY, WHICH IS AVAILABLE TO THE BENEFICIARY ORGANIZATION UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE NOT PREPARED FOR THE TRUST. QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL INC 67-1125 MAMALAHOA HWY KAMUELA HI 96743 990260423 HOSPITAL HI 170(B)(1)(A) N/A 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0