Velarion Records

1 associated location — data as of October 5, 2026

Disproportionate share hospital · KAMUELA, HI

QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL

Taking partYesLast certifiedAugust 14, 2026

  • 0Registered locations
  • 1Associated locations
  • 5Contract pharmacies
  • 2With no end date
  • October 1, 2011In 340B since

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended June 30, 2025.

FigureAs filedWhere it comes from
Total patient revenue$366,290,528CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$256,768,632CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$109,521,896CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$109,432,694CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$89,202CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$1,241,880CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$330,054CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$3,818,982CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$979,009CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$1,309,063CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds33CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.2532CMS-2552-10 worksheet S100001 line 100 column 100
Allowable disproportionate share percentage0.12CMS-2552-10 worksheet E00A18A line 3300 column 100

Cost report filed under CMS certification number 120028 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (employer identification number 990260423) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$7,578,905IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$17,172IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$7,561,733IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$7,578,905IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0799IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202421309349305262. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (employer identification number 990260423) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
CARROL MARTINNURSEHighest-compensated employee$160,206$0$13,059
CYNTHIA KAMIKAWAPRESIDENT/TRUSTEETrustee/director, Officer$0$563,181$48,453
JASON CHANGTRUSTEETrustee/director$0$951,232$131,335
JENAI WALLTRUSTEETrustee/director$0$0$0
JILL HOGGARD GREENTRUSTEE/CHAIRTrustee/director, Officer$0$1,709,743$284,902
KAHU BILLY MITCHELLTRUSTEETrustee/director$0$0$0
KYLE CHOCKTRUSTEETrustee/director$0$0$0
MARY OHIADIRECTOR - QUALITY & RISKHighest-compensated employee$165,871$0$21,807
MONEY ATWALTREASUREROfficer$0$227,419$31,763
NEIL KUYPERTRUSTEETrustee/director$0$0$0
RICHARD LEVY PHDTRUSTEETrustee/director$0$0$0
ROBERT DEANTRUSTEETrustee/director$0$0$0
ROBERT HASTINGS IITRUSTEETrustee/director$0$0$0
ROBERT MOMSENTRUSTEE - PART YEARTrustee/director$0$0$0
SHARIANN GONSALVESSECRETARYOfficer$70,600$0$8,443
SHARLENE TSUDAFORMER OFFICERFormer$0$285,577$6,974
TONI KALAULIDIRECTOR OF NURSINGHighest-compensated employee$188,173$0$13,627
WAYNE HIGAKIASST ADMIN, FUND DEV & SUP SVCHighest-compensated employee$177,315$0$13,375
YOWANDA GRAHAM-CORTEZDIRECTOR - AMBULATORYHighest-compensated employee$161,166$0$21,608

E-file object id 202421309349305262. The IRS archive it was read from.

The full report for QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Hawaii beside it — each figure with the cell it came from — are in the report above.

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
October 1, 2011
Certification date
August 14, 2026
Record last edited
August 14, 2026

Identifiers

340B ID
DSH120028
Entity type as filed
DSH
CMS certification number
120028
NPI
1477559029 (HI)
Rural
No

67-1125 MAMALAHOA HWY, KAMUELA HI 96743

Associated locations

QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL67-1125 MAMALAHOA HWYKAMUELA HI 96743

Pharmacy contracts

No end date filed2

LONGS DRUG STORES CALIFORNIA, L.L.C.KAMUELA, HIJanuary 1, 2019no end date filed
QUEEN'S POB III PHARMACYHONOLULU, HIJanuary 1, 2025no end date filed

An end date is filed3

An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.

WALGREEN OF HAWAII LLCHILO, HIJanuary 1, 2019July 8, 2022
WALGREEN OF HAWAII LLCHONOLULU, HIJanuary 1, 2019July 8, 2022
WALGREENS SPECIALTY PHARMACY, LLCBEAVERTON, ORJanuary 1, 2019July 8, 2022

How this page is built

What is counted
One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
As of
October 5, 2026 — the date of the register file this record was last listed in.
Contract-pharmacy arrangements
Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.

Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.

How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.

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