Your PLAN

The Queen’s Health Systems 401(k) and 403(b) Retirement Plans

S

THE QUEEN’S

HEALTH SYSTEMSHEALTH SYSTEMS

QUEEN’S

THE

Your FUTURE

TRANSITION GUIDE

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Guiding you through exciting Plan changes aheadFidelity Investments will soon become the exclusive service provider for The

Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans (the Plans).

Inside this Transition Guide are details about the changes coming your way and

how they will affect you — as well as action steps you can take today.

Important notice regarding your rights under The Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans: This notice is to inform you that The Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans will be moving to Fidelity Investments.

Table of ContentsExciting Changes to Your Plans 5

Frequently Asked Questions 6–7

Important Plan Transition Dates 8–10

How to Use the New Website 11

Your Plans’ Investment Options 12–17

Exploring Plan Features and Benefits 18

Steps to a Healthier Financial Future 20

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It’s a great time to take advantage of The Queen’s Health Systems Retirement Savings Plans’ benefits

We encourage you to use this guide as a resource to help you make the best

investment decisions for your future.

Take action

1. Carefully review this guide, the frequently asked questions, and the key transition dates. Be aware of which services may be temporarily unavailable.

2. Understand how your current investment lineup may change during the transition period.

3. Understand how some of your current investment choices will transfer to your new 401(k) and 403(b) Plans at Fidelity. Some of the investment options available in the Plans will remain the same.

4. Prepare to take advantage of all the new services and investment options your Plans will offer after the transition to Fidelity.

Why The Queen’s Health Systems chose Fidelity

Investments as your new service provider• Queen’s is Hawaii’s health care leader, and Fidelity is the leader in retirement.

• Queen’s sees Fidelity’s service offerings as best-in-class, which includes: on-site one-on-one counseling sessions for Queen’s

employees; unparalleled online planning and guidance assistance; workshops (online or in person); seminars (online or in

person); on-site departmental meetings; and much more.

• Queen’s called on existing Fidelity clients for input, and their feedback was overwhelmingly positive.

• Queen’s employees will have access to top-tier tools and services.

• Most importantly, Fidelity will be available to help Queen’s employees however they want to be helped.

At The Queen’s Health Systems, we believe in offering a strong benefits

program to our employees. We are pleased to announce exciting changes

in The Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans

and have chosen Fidelity Investments as the new provider of recordkeeping

services for the Plans. Together with Fidelity, we will offer a new level of

service and commitment to help you prepare for retirement.

Who is being affected by this transition?

Plan highlights

*Contributions to the Plans are subject to the annual IRS limit.

†In return for ongoing management of your workplace savings, an annual net advisory fee will be paid from your account.‡ Fidelity Portfolio Advisory Service at Work is a service of Strategic Advisers, Inc., a registered investment adviser and a Fidelity Investments company. This service provides discretionary money management for a fee.

§ Although consultations provided by Fidelity are educational in nature, guidance is not individualized and is not intended to serve as the primary or sole basis for your investment or tax-planning decisions.

There are some exciting changes ahead

• A new investment lineup, including a variety of investment options to choose from.

• The flexibility of a self-directed brokerage account through Fidelity BrokerageLink.® You’ll have expanded investment choices and the opportunity to manage your retirement contributions more actively.

• Access to the Fidelity Freedom Funds,® an all-in-one approach for simple investing.

• A full-time dedicated on-site Fidelity Representative who will work exclusively with Queen’s employees.

• The Annual Increase Program, an optional participant-elected service that helps you keep pace with your goals by increasing your contri-bution amount each year.*

• The Fidelity® Portfolio Advisory Service at Work managed account service, which gives you professional investment management of your account.† The Service will place you in an invest-ment strategy that’s designed to help you manage risk while seeking to enhance growth as you move toward retirement. For more information, go to https://netbenefits.fidelity.com/pas or call 1-866-811-6041.‡

• Portfolio Review online tool that helps you identify your savings goals, analyzes your current invest-ment mix, and suggests an investment mix to help you better align your portfolio with your goals.§

• Rebalance Notification alerts you by e-mail any time your account’s investment mix strays from your original strategy. You decide whether to rebalance, and you can take action immediately by clicking on the link delivered with the e-mail message.

• A new array of account and planning services available online and by phone.

• Access to Fidelity’s comprehensive educational website dedicated to retirement planning. At Fidelity NetBenefits,® you will find historical invest-ment performance, articles on financial markets, and interactive tools and calculators to help you better determine your savings goals.

• Full View,® an online service available through Fidelity NetBenefits,® allows you to view and man-age your finances in one place, including retirement, bank, brokerage, and credit card accounts.

• An opportunity to consolidate your accounts and make it easier for you to keep your planning on track.

• All current employees, regardless if currently participating in the 401(k) Plan

• Any participant with a balance in the 401(k) Plan and/or the 403(b) Plan

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Q. What happens to my money during the Plans’

transition? Am I still invested in the market?

A. Some of the Plans’ investment options are being replaced, while others will remain available. Your account balances will be moved directly to Fidelity from your current investment options at ING. In general, investment options will be able to remain fully invested during the transition period. However, there will be a period of time (the blackout period) when you won’t have access to your accounts.

Q. Why isn’t there an exact date for when the

transition period will end?

A. The effective date of the Plans’ changes and the end of the transition period depend on the accurate and timely transfer of data between ING, the current service provider, and Fidelity. By project-ing completion within the week of March 13, 2011, we’re allowing ample time for the information to be transferred, checked and tested before the Plans reopen for transactions.

Q. Can I make withdrawals from my account?

A. Withdrawals from the Plans are generally permitted when you terminate your employment, retire, reach age 59½, or if you have severe financial hardship as defined by your Plan. A change of provider, like the upcoming change from ING to Fidelity, is not recognized by the IRS as a reason for an allowable distribution. Keep in mind that withdrawals are subject to income taxes and possibly to early withdrawal penalties. Please see the “Important Plan transition dates” section of this guide for specific details.

Q. Will I need to complete a beneficiary designation

when the Plans move to Fidelity?

A. Yes, your current beneficiary designation on file with ING will not transfer to your Fidelity account. Beginning the week of March 6, 2011, you will need to enter a beneficiary for each Plan in which you are participating. To designate your beneficiary, simply log on to NetBenefits® at www.fidelity.com/queenshealth and click on “Beneficiaries” in the About You section of Your Profile.

Q. What are the IRS contribution limits?

A. If you are under age 50, the IRS contribution limit is $16,500 for 2011. If you will be at least age 50 during the year, your Plan does allow you to defer an additional $5,500 as catch-up contributions.

Q. What are Fidelity Freedom Funds®?

A. Freedom Funds are lifecycle funds designed to provide an investment mix based on target retire-ment dates. Just pick the fund with the target date closest to your expected year of retirement. Fidelity’s experienced managers adjust the asset allocation to become more conservative as the fund moves closer to its target year — so you don’t have to.

Q. What if I don’t make an investment election?

A. We encourage you to take an active role in your account and choose investment options that best suit your goals, time horizon, and risk tolerance. If you do not select specific investment options in the Plans, your contributions will be invested in the Fidelity Freedom Fund with the target retirement date closest to the year you might retire, based on your current age and assuming a retirement age of 65, at the direction of The Queen’s Health Systems. Keep in mind that your current investment options for future contributions will be directed to the new investment options at Fidelity. Please refer to the chart in the “Your Plans’ investment options” section for more details on how your current ING investment options will be mapped to the new Fidelity investment options.

Q. Can I move money from another retirement plan

into my account?

A. Yes, you can consolidate your account balance from a former employer’s plan into your Queen’s Health Systems Retirement Savings Plans. Bringing all your accounts together makes it easier to manage your money to meet your savings goals.

Q. Can I establish a Fidelity BrokerageLink® account

and set up automatic contributions through

NetBenefits?

A. While you can direct all or a portion of your future contributions to your BrokerageLink account online, you must first complete the Fidelity BrokerageLink® Participant Acknowledgment Form and then establish the automatic contribution feature through a Fidelity Representative. To learn more about the BrokerageLink option, please contact Fidelity at 1-800-343-0860.

Frequently asked questions

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Q. What happens to my money that is invested

in the self-directed brokerage account at

TD Ameritrade?

A. Investments held in the Plans at TD Ameritrade will transfer in kind to Fidelity BrokerageLink.® An in-kind transfer means your holdings will not be bought or sold; the same number of shares will simply be transferred to your new BrokerageLink account. Participants with assets in the self-directed broker-age account at TD Ameritrade will be sent additional information about Fidelity BrokerageLink,® including the Participant Acknowledgement Form required to open your new Fidelity BrokerageLink® account.

Q. What happens with my loan?

A. Outstanding loans will be transferred to Fidelity. Loan repayments will continue to be made; however, when they are transferred to Fidelity, your monthly loan repayments will be reamortized, and repayments will be made according to your payroll schedule (weekly or biweekly) via payroll deduction. In the event a loan repayment cannot be made via payroll deduction, participants will need to contact Fidelity at 1-800-343-0860 to make arrangements for the missed payment.

Any repayments received during the blackout period will be invested in the Fidelity Money Market Trust Retirement Money Market Portfolio until the blackout period ends. At that time, loan repayments and any associated earnings will be posted to your account according to your investment elections on file with Fidelity. If you do not have any elections on file, your loan repayments and any associated earnings will be invested in one of the Fidelity Freedom Funds indicated in the chart on page 15 of this guide.

Q. Will the ING Fixed Interest Option transfer

to Fidelity?

A. All assets in the ING Fixed Interest Option will be transferred into the Queen’s Health Systems Fixed Annuity Blend at Fidelity. This is a fixed-interest option similar to the ING Fixed Interest option. For a complete description of the Queen’s Health Systems Fixed Annuity Blend, please refer to the enclosed Investment Options Guide. Once the transition is complete (scheduled for the week of March 13, 2011), you will be able to request loans and/or withdrawals as allowed by the Plans. You also may make exchanges from the Queen’s Health Systems Fixed Annuity Blend to other noncompeting investment options within the Plans. However, you are not permitted to make a direct exchange from the Queen’s Health Systems Fixed Annuity Blend to Fidelity BrokerageLink® (which is considered a “competing” fund). Any exchange from the Queen’s Health Systems Fixed Annuity Blend must be made to a “noncompeting” fund and may not subsequently be exchanged to a competing fund prior to the expiration of 90 days. While these requirements may seem restrictive, they are typically imposed by issuers such as insurance companies, banks or other approved financial institutions as a condition for issuing investment contracts to retirement plans.

Q. How do I access my Fidelity account?

A. Once the transition period has ended, you can access your account online through Fidelity NetBenefits® at www.fidelity.com/queenshealth, or by calling the Fidelity Retirement Benefits Line at 1-800-343-0860 to speak with a representative. Or you may use the automated voice response system, which is generally available 24 hours, seven days a week, at 1-800-343-0860.

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Important Plan transition dates

To ensure that all information is transferred accurately from your current Plan accounts at ING to your new Plan accounts at Fidelity, there will be a period of time when you will be unable to direct or diversify investments in your individual accounts, obtain a loan from the Plans, or obtain a distribution from the Plans. This time during which you will be unable to exercise your rights otherwise available under the Plans is called a “blackout period” and begins at 11 a.m. Hawaii time, February 18, 2011, and is expected to end the week of March 13, 2011. During this time, you can determine whether the blackout period has started or ended by calling the Fidelity Retirement Benefits Line at 1-800-343-0860 or by checking online at www.fidelity.com/queenshealth.

During the blackout period, you will be unable to direct or diversify the assets held in the Plans. For this reason, it is very important that you review and consider the appropriateness of your current investments in light of your inability to direct or diversify those investments during the blackout period. For your long-term retirement security, you should give careful consideration to the importance of a well-balanced and diversified investment portfolio, taking into account all your assets, income and investments.

Whether or not you are planning retirement in the near future, we encourage you to carefully consider how this blackout period may affect your retirement planning and your overall financial plan.

You should be aware that there is a risk to holding a substantial portion of your assets in the securities of any one company, as individual securities tend to have wider price swings, up and down, in shorter periods of time than investments in diversified funds. Stocks that have wide price swings might have a large loss during the blackout period, and you would not be able to direct the sale of such stocks from your account during that period of time.

Plan transition activity calendarReview the calendar of events to understand how account activities may be affected during the transition period.

KEY DATE PLAN ACTIVITY WHAT IT MEANS TO YOU

February 1, 2011, through February 28, 2011

Transition Workshop: “Making the Most of Your Workplace Savings Plan” gives you an overview of your Plan benefits.

Attend a workshop to learn more about the important changes to your Plans. Check The Queen’s Health Systems website for a schedule of workshops. Visit www.fidelity.com/queenshealth for a schedule of when the workshops will be offered.

February 14, 2011 Last day at ING to:• Enroll in the 401(k) Plan.

After this date, you will not be able to begin participation in the 401(k) Plan until the week of March 6, 2011.

February 18, 2011, at 11 a.m. Hawaii time

Last day at ING to:• Accept paperwork required to process

a loan, in-service withdrawal, hardship withdrawal or distribution.

• Change how your future contributions will be invested.1

• Request an exchange (transfer) between investment options.

Blackout period begins.

After this date, you cannot conduct any of these activities until the transition period ends and your account is available at Fidelity, which is expected to be the week of March 13, 2011.

Please allow enough time to request, receive, complete and return any paperwork to ING prior to this deadline.

You can continue to make loan repayments and contributions to the Plans during the blackout period.2

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KEY DATE PLAN ACTIVITY WHAT IT MEANS TO YOU

February 25, 2011, at 5 p.m. Hawaii time

Last day to:• Change your future contribution

deferral percentages with the HR Service Center or your respective Human Resources Department.1

If you would like to change your contribution amount, please return a completed salary reduction form to the HR Service Center or to your respective Human Resources Depart ment. Beginning the week of March 6, 2011, you will be able to make changes to your contribution amount online through Fidelity NetBenefits® at www.fidelity.com/queenshealth.

February 28, 2011 Account balances will be valued after the close of the market, usually 11 a.m. Hawaii time.

Your 401(k) and 403(b) Plan assets will remain invested in your current investment options, and you will be unable to request changes.

March 1, 2011 Your Plan assets are scheduled to be transferred to Fidelity. Please refer to the section titled “Your Plans’ invest-ment options,” which includes a mapping schedule and investment information.

Your 401(k) and 403(b) Plan assets are scheduled to be invested in the invest-ment options at Fidelity on this date.

Week of March 6, 2011 The Fidelity Retirement Benefits Line and NetBenefits® website will be open for certain Plan services.• www.fidelity.com/queenshealth• 1-800-343-0860

You can now:• Enroll in the 401(k) Plan.• Designate your beneficiaries. Your

beneficiary designation on file at ING will not transfer to Fidelity. You will need to enter a beneficiary for each Plan in which you are participating.

• Set up your e-mail preferences.• Change your contribution deferral

percentage and future investment elections.

• Set up a personal identification number (PIN).

• Review investment option information and request mutual fund prospectuses.

Week of March 13, 2011

The blackout period is expected to end and the Fidelity Retirement Benefits Line and NetBenefits® website will be open for all Plan services.• www.fidelity.com/queenshealth• 1-800-343-0860

You can now:• Access your account.• Request exchanges (transfers) among

investment options.• Review your account balances.• Request loans, withdrawals and

distributions.• Roll over eligible balances from other

employer-sponsored plans.

Ongoing Meet with a dedicated on-site Fidelity Representative.

A Fidelity Representative will be on site to answer your questions. To schedule an appointment, call 1-800-642-7131 or visit www.fidelity.com/atwork/reservations.

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Important information about account statements

Once the transition is complete, account statements for the Plans will be available online at www.fidelity.com/queenshealth. A quarterly paper statement will not be automatically mailed to your home. Only annual account statements will be automatically mailed to your home in January. You may request a paper statement of your account at any time.

Note that you can change your mail preferences and request that quarterly statements be mailed to your home address. You can do this by calling Fidelity at 1-800-343-0860 or going online to www.fidelity.com/queenshealth. Simply click “Mail Preferences” in the Preferences section of Your Profile.

KEY DATE PLAN ACTIVITY WHAT IT MEANS TO YOU

March 2011 Final account statement from ING. Your final account statement will be mailed from ING to you in March.

March 2011 Online account statement from Fidelity is available.

Compare the online account statement from Fidelity with your final account statement from ING. Contact Fidelity immediately with any questions.

• You may also request an account statement through Fidelity.

• Go online to access “Statement On Demand” for your account on NetBenefits® and set your delivery preference.

1This restriction is not considered a blackout that requires 30 days’ notice under federal law.

2Loan repayments received during the blackout period will be invested in the Fidelity Money Market Trust Retirement Money Market Portfolio until the blackout period ends. At that time, loan repayments and any associated earnings will be posted to your account according to your investment elections on file with Fidelity. If you do not have any elections on file, your loan repayments and any associated earnings will be invested in the Fidelity Freedom Fund based on your retirement date.

The effective date of the Plans’ changes and the end of the blackout period depends on the accurate, timely transfer of data. If this does not occur, the delivery of services and investment options described here could be delayed.

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How to use the new website

Beginning the week of January 16, 2011, you can access the transition website provided by Fidelity Investments at www.fidelity.com/queenshealth for important Plan transition information, including links to this transition guide and a transition workshop schedule.

Beginning the week of March 6, 2011, the new website, www.fidelity.com/queenshealth, and Fidelity NetBenefits® online account access will enable you to enroll in the 401(k) Plan, change your investment allocations for future contributions or change your payroll contribution percentage, designate your beneficiary, and much more! You also may schedule an appointment with a dedicated on-site Fidelity Representative.

How do you access and use Fidelity NetBenefits®?

Simply follow these easy steps:

You will need the last four digits of your Social Security number and your date of birth in order to complete this process.

• Go to www.fidelity.com/queenshealth and click on Access your account.

• Click New User Registration on the left-hand side of your screen.

• Enter the last four digits of your Social Security number and your date of birth and follow the prompts for

the rest of your personal information. To better protect your account, we strongly recommend you create a

unique Customer ID when you first register.

• Once you have successfully created a Customer ID and PIN, you will be required to log on to NetBenefits®

using your new Customer ID and PIN.

• Once you have logged on, click on the blue QHS 401(k) hyperlink that appears on your browser’s page.

• To make changes to your investments, select Change Investments at the left-hand side of your screen.

• To make changes to your contribution amount, select Contribution Amount.

• To designate your beneficiary, select “Beneficiaries” in the About You section of Your Profile.

If you have logged on to Fidelity NetBenefits® before, your Customer ID and PIN remain the same.

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Your Plans’ investment options

Before investing in any investment option, please carefully consider the investment objectives, risks, charges and expenses. For more information, call Fidelity at 1-800-343-0860 or visit www.fidelity.com for a free mutual fund prospectus or, if available, a summary prospectus. For information on fixed annuities, contact Fidelity to request a fact sheet. Read the documents carefully before you invest.

After the transition, The Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans’ investment lineup will include some current options, as well as some new investment options. Depending on the funds in which you are currently invested, some of your investments may change.

Please review the information below to see how your investment options will transfer/change when the Plans transition to Fidelity. For a list of all investment options available in your Plans, including descriptions of each option, refer to the enclosed Investment Options Guide. Future contributions and balances that you have in any of the current investment options listed below as of February 28, 2011, will be transferred to the new option.

If you prefer to invest your future contributions, loan repayments (if applicable) or current balances differ-ently prior to the transition to Fidelity, please contact ING at 1-800-584-6001 prior to 11 a.m. Hawaii time on February 18, 2011, to request a change.

CURRENT INVESTMENT

OPTION AS OF

FEBRUARY 28, 2011

TICKER

SYMBOL

WILL TRANSFER TO A NEW

INVESTMENT OPTION EFFECTIVE

MARCH 1, 2011

TICKER

SYMBOL

ING Fixed Plus Account III — A n/a > Queen’s Health Systems Fixed Annuity Blend

n/a

ING Intermediate Bond Fund I IICIX > PIMCO Total Return Fund Institutional Class

PTTRX

Pioneer High Yield Fund A TAHYX > Metropolitan West High Yield Bond M

MWHYX

ING Growth and Income Portfolio I IIVGX > American Funds Fundamental Investors Fund Class R4

RFNEX

Allianz CCM Cap App Fund Admin PICAX > MainStay Large Cap Growth Fund Class I

MLAIX

ING T Rowe Price Equity Growth Port (INIT)

ITGIX > MainStay Large Cap Growth Fund Class I

MLAIX

BlackRock Large Cap Value DCLI MALVX > T. Rowe Price Equity Income Fund Advisor Class

PAFDX

Oppenheimer Main St OPPFD — Y OMSYX > T. Rowe Price Equity Income Fund Advisor Class

PAFDX

ING Van Kampen Growth & Income Prt I

IVGIX > T. Rowe Price Equity Income Fund Advisor Class

PAFDX

ING Russell Mid Cap Growth Index Instit

IRGJX > Spartan® Extended Market Index Fund — Investor Class*

FSEMX

ING Index Plus MidCap Fund I AIMIX > Spartan® Extended Market Index Fund — Investor Class*

FSEMX

ING Real Estate Fund I CRARX > Spartan® Extended Market Index Fund — Investor Class*

FSEMX

Lord Abbett Mid Cap Value Fund LAVLX > RidgeWorth Mid-Cap Value Equity Fund Class I

SMVTX

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CURRENT INVESTMENT

OPTION AS OF

FEBRUARY 28, 2011

TICKER

SYMBOL

WILL TRANSFER TO A NEW

INVESTMENT OPTION EFFECTIVE

MARCH 1, 2011

TICKER

SYMBOL

Oppenheimer Mainstay Small Cap Fund Y

OPMYX > T Rowe Price New Horizons Fund PRNHX

Baron Growth Fund BGRFX > T. Rowe Price New Horizons Fund PRNHX

ING American Century Small Mid Cap INIT

IACIX > T. Rowe Price Small-Cap Value Fund† PRSVX

ING Solution Income Portfolio — Initial Class

ISWIX > Fidelity Freedom Income Fund® FFFAX

ING Solution 2015 Portfolio — Initial Class

ISOIX > Fidelity Freedom 2015 Fund® FFVFX

ING Solution 2025 Portfolio — Initial Class

ISZIX > Fidelity Freedom 2025 Fund® FFTWX

ING Solution 2035 Portfolio — Initial Class

ISQIX > Fidelity Freedom 2035 Fund® FFTHX

ING Solution 2045 Portfolio — Initial Class

ISRIX > Fidelity Freedom 2045 Fund® FFFGX

Self Directed Brokerage (TD Ameritrade)

n/a > Fidelity BrokerageLink® n/a

The transfer of assets depends on the timely liquidation and delivery of assets from ING. A delay may result in a change to the above-noted dates.

*There is a short-term trading fee of 0.75% for shares held for fewer than 90 days.

†There is a short-term trading fee of 1% for shares held for fewer than 90 days.

If you do not want your investments to transfer to Fidelity according to your current investment options, you must make an exchange (transfer) in your current Plan account at ING prior to 11 a.m. Hawaii time on February 18, 2011. Please contact ING at 1-800-584-6001 to request the change. Any contributions received after February 18, 2011, will be invested in your investment options at Fidelity the week of March 6, 2011.

Once the blackout period ends, which is expected to be the week of March 13, 2011, you may contact Fidelity for any changes to your account.

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Investment options that are not changingOn February 28, 2011, your account balance and future contributions in the following current investment options are scheduled to transfer “in kind” to Fidelity Investments. This means that your current investment options will be available after the Plans’ transition to Fidelity and will not be changing. Any balances or future contributions you have in these options will transfer to the same funds.

The following investment options will remain in the Plans. Any balances you have invested in these funds as of February 28, 2011, will transfer to the same funds. Future contributions will continue to be invested in these funds unless you direct Fidelity otherwise.

CURRENT INVESTMENT OPTIONS* TICKER SYMBOL

American Funds EuroPacific Growth Fund Class R4 REREX

American Funds Fundamental Investors Fund Class R4 RFNEX

American Funds Growth Fund of America Class R5 RGAFX

American Funds New Perspective Fund Class R4 RNPEX

Vanguard Institutional Index Fund Institutional Shares VINIX

*These investment options will be available after the Plans’ transition to Fidelity and will transfer in kind. Any balances you have in these options will transfer to the same funds.

While many accounts may need to be liquidated, then reinvested into the new investment option, The Queen’s Health Systems may determine, based on various factors, that a reregistration, or in-kind transfer, is appropriate. Please be aware that the transfer methodology may vary by individual investment option. Therefore, certain investment options may be out of the market for a day or more, while others are able to remain fully invested during the transition.

Investments that are transferring to a lifecycle fundAs part of the transition, your current investment options listed below as of February 28, 2011, will be transferred to one of the Fidelity Freedom Funds.® Each Freedom Fund offers a single-fund approach to investing in the Plans.

The Fidelity Freedom Fund to which your account balance transfers will depend on your target retirement date. The fund managers manage the Freedom Funds based on the assumption that investors in the funds will be retiring in the year indicated in the fund’s name. Balances and future contributions will be moved to the Freedom Fund selected by The Queen’s Health Systems based on the assumption that you will retire at age 65. See the chart on the next page to find out to which specific fund your balances will move.

CURRENT INVESTMENT

OPTIONS

TICKER

SYMBOL

NEW INVESTMENT OPTIONS TICKER

SYMBOL

ING T. Rowe Price Capital Appreciation ITRIX > The Fidelity Freedom Fund with the target retirement date closest to the year you turn 65.

See next page.

Pax World Balanced Fund PAXWX > The Fidelity Freedom Fund with the target retirement date closest to the year you turn 65.

See next page.

The transfer of assets depends on the timely liquidation and delivery of assets from ING. A delay may result in a change to the above-noted dates.

If you prefer to invest your future contributions, loan repayments (if applicable) or current balances differ-ently prior to the transition to Fidelity, please contact ING at 1-800-584-6001 prior to 11 a.m. Hawaii time on February 18, 2011, to request the change.

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Default investment optionThe Queen’s Health Systems has determined that any future contributions to your account that you have not directed to a specific investment option in the Plans will be invested in one of the Fidelity Freedom Funds.® This applies only if you have not made an investment election for your contributions. Your future contributions will be invested in the lifecycle fund that has a target retirement date closest to the year you might retire, as determined by The Queen’s Health Systems, assuming that you will retire at age 65.

The lifecycle funds are designed for investors expecting to retire around the year indicated in each fund’s name. The funds are managed to become gradually more conservative over time. The investment risk of each lifecycle fund changes over time as its asset allocation changes. Lifecycle funds are subject to the volatility of the financial markets, including that of equity and fixed-income investments in the U.S. and abroad, and may be subject to risks associated with investing in high yield, small cap and foreign securities. Principal invested is not guaranteed at any time, including at or after the funds’ target dates.

Please use the following guidelines to determine in which Fidelity Freedom Fund your future contributions will be invested.

DATE OF BIRTH LIFECYCLE FUND NAME TICKER SYMBOL TARGET RETIREMENT DATE

Before 1933 Fidelity Freedom Income Fund® FFFAX Retired before 1998

1/1/1933–12/31/1937 Fidelity Freedom 2000 Fund® FFFBX 1998–2002

1/1/1938–12/31/1942 Fidelity Freedom 2005 Fund® FFFVX 2003–2007

1/1/1943–12/31/1947 Fidelity Freedom 2010 Fund® FFFCX 2008–2012

1/1/1948–12/31/1952 Fidelity Freedom 2015 Fund® FFVFX 2013–2017

1/1/1953–12/31/1957 Fidelity Freedom 2020 Fund® FFFDX 2018–2022

1/1/1958–12/31/1962 Fidelity Freedom 2025 Fund® FFTWX 2023–2027

1/1/1963–12/31/1967 Fidelity Freedom 2030 Fund® FFFEX 2028–2032

1/1/1968–12/31/1972 Fidelity Freedom 2035 Fund® FFTHX 2033–2037

1/1/1973–12/31/1977 Fidelity Freedom 2040 Fund® FFFFX 2038–2042

1/1/1978–12/31/1982 Fidelity Freedom 2045 Fund® FFFGX 2043–2047

1/1/1983 or later Fidelity Freedom 2050 Fund® FFFHX 2048 or later

Timeline was selected by the Plan sponsor.

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Lifecycle investment optionsThe Plans offer a lifecycle fund family — a blend of stocks, bonds and short-term investments within a single fund. The lifecycle funds have an asset allocation based on the number of years until the fund’s target retirement date.

Fidelity Freedom Funds® offer a single-fund approach to investing in your workplace savings plan. Simply choose the fund with the target date that most closely matches the date when you expect to retire. Fidelity will provide professional portfolio management and a target-retirement-date-based mix of Fidelity funds to achieve a diversified allocation of stocks, bonds and short-term investments.

Core investment optionsThe core investment options give you a choice of mutual funds that cover the major asset classes: stocks, bonds and short-term investments. These investment options give you the flexibility to build your own strategy to meet your specific needs.

STOCK INVESTMENT OPTIONS TICKER

SYMBOL

American Funds EuroPacific Growth Fund Class R4 REREX

American Funds Fundamental Investors Fund Class R4 RFNEX

American Funds Growth Fund of America Class R5 RGAFX

American Funds New Perspective Fund Class R4 RNPEX

MainStay Large Cap Growth Fund Class I MLAIX

Morgan Stanley Institutional Mid Cap Growth Fund Class P MACGX

RidgeWorth Mid-Cap Value Equity Fund Class I SMVTX

Spartan® Extended Market Index Fund — Investor Class FSEMX

T. Rowe Price Equity Income Fund Advisor Class PAFDX

T. Rowe Price New Horizons Fund PRNHX

T. Rowe Price Small-Cap Value Fund PRSVX

Vanguard Institutional Index Fund Institutional Shares VINIX

Vanguard Total International Stock Market Index Signal Shares VTSGX

BOND INVESTMENT OPTIONS

Fidelity® Government Income Fund FGOVX

Metropolitan West High Yield Bond M MWHYX

PIMCO Total Return Fund Institutional Class PTTRX

Vanguard Total Bond Market Index Fund Signal Shares VBTSX

SHORT-TERM INVESTMENT OPTION

Queen’s Health Systems Fixed Annuity Blend n/a

The Queen’s Health Systems has appointed Fidelity to provide additional information on the investment options available through the Plans. Your Plans provide you with the ability to exercise voting, tender, and similar rights for the mutual funds in which you are invested through the Plans. Materials related to the exercise of these rights will be sent to you at the time of any proxy meeting or tender offer, or with regard to similar rights relating to the particular mutual funds held in your account.

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Fidelity BrokerageLink®

Effective March 1, 2011, the 401(k) and 403(b) Plans will offer a self-directed brokerage account. Fidelity BrokerageLink® combines the convenience of your workplace savings plan with the additional flexibility of an individual brokerage account. It gives you expanded investment choices and the opportunity to manage your retirement contributions more actively.

A self-directed brokerage account is not for everyone. If you are an investor who is willing to take on the potential for more risk, and you are prepared to assume the responsibility of monitoring this portion of your portfolio more closely, it could be appropriate for you. However, if you do not feel comfortable actively managing a portfolio of options beyond those offered through your plan’s standard investment options, then a self-directed brokerage account may not be appropriate for you. Additional fees apply to a brokerage account. For complete information regarding brokerage fees, call Fidelity at 1-800-343-0860.

Remember, it is always your responsibility to ensure that the options you select are consistent with your particular situation — including your goals, time horizon and risk tolerance.

Fidelity® Portfolio Advisory Service at Work

Fidelity® Portfolio Advisory Service at Work is a managed account service from Fidelity that allows you to delegate the ongoing management of your account to professional investment managers. They will assign you a model portfolio containing various investment options in your Plans. The service then actively manages your account by staying on top of financial trends and market conditions, making adjustments as needed to keep your strategy on track. With a managed account, you are turning over the monitoring of your workplace savings to a professional who works on your behalf.

If you are looking for a “hands-off” approach to investing and think professional management may be right for you, contact a Fidelity representative directly at 1-866-811-6041 or go online to https://netbenefits.fidelity.com/pas.

In return for ongoing management of your workplace savings provided by Fidelity® Portfolio Advisory Service at Work, an annual net advisory fee will be paid from your account. Fidelity Portfolio Advisory Service at Work is a service of Strategic Advisers, Inc., a registered investment adviser and a Fidelity Investments com-pany. This service provides discretionary money management for a fee.

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Exploring Plan features and benefits

Visit Fidelity NetBenefits® at www.fidelity.com/queenshealth. Fidelity’s easy-to-use account website is designed so you can quickly and easily set up, monitor, and manage your workplace savings account.

What you can do beginning the week of March 6, 2011

Set up your PIN Simply follow the step-by-step instructions. If you are a current Fidelity customer and already have a PIN, you can use it to access your workplace savings plan account on NetBenefits.®

Register your e-mail address and set your communication delivery preferences

You can do both at the Your Profile tab to ensure you’ll receive important transition updates the way you prefer.

Establish your beneficiaries online

Your current beneficiary designation on file with ING will not transfer to your Fidelity account. You will need to enter a beneficiary for each Plan in which you are participating. To designate your beneficiary, simply log on to NetBenefits® at www.fidelity.com/queenshealth and click on “Beneficiaries” in the About You section of Your Profile.

Enroll, adjust your con-tribution percentage, or change how your future contributions are invested

In Fidelity NetBenefits,® you can enroll in the 401(k) Plan, change your contribution percentage, or change how your future contributions will be invested.

Meet with a Fidelity Representative for an on-site consultation

To schedule a one-on-one appointment, call 1-800-642-7131 or visit www.fidelity.com/atwork/reservations.

What you can do beginning the week of March 13, 2011

Access your Plan accounts virtually any time

At NetBenefits,® you can request a loan or withdrawal online or request exchanges (transfers) among investment options. You also can review your account balances and roll over eligible balances from other employer-sponsored plans.

Take advantage of online account access, tools and calculators

Get details on all your investments, including account statements, current prices and historical performance. Fidelity also provides many tools and calculators to help you create a successful savings and retirement strategy.

Sign up for any of the new products or services

Review the list of new products and services described on page 5.

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Notes

Fidelity Brokerage Services LLC, Member NYSE, SIPC900 Salem Street, Smithfield, RI 02917

© 2011 FMR LLC. All rights reserved.

570307.1.0

Keep in mind that investing involves risk. The value of your investment will fluctuate over time and you may gain or lose money.Keep in mind that investing involves risk. The value of your investment will fluctuate over time and you may Keep in mind that investing involves risk. The value of your investment will fluctuate over time and you may

This document provides only a summary of the main features of The Queen’s Health Systems 401(k) and 403(b) Retirement Savings Plans, and the Plan documents will govern in the event of any discrepancies.

Unless otherwise noted, transaction requests confirmed after the close of the market (4 p.m. Eastern Standard Time), normally 11 a.m. Hawaii time, or on weekends or holidays, will receive the next available closing prices.

The investment options available through the Plan reserve the right to modify or withdraw the exchange privilege.

Be sure you understand the Plan guidelines and the impact of taking a loan before initiating a loan from your Plan account.

Please be sure you understand the tax consequences of any withdrawal from the Plans.

The 401(k) and 403(b) Plans are intended to be participant-directed Plans as described in Section 404(c) of ERISA, which means that fiduciaries of the Plans are ordinarily relieved of liability for any losses that are the direct and necessary result of investment instructions given by a participant or beneficiary.

Steps to a Healthier Financial FutureYour Retirement Savings Plans are an easy way to save for your future goals.

Follow these three steps to get started in your new Plans with Fidelity.

1. Use this guide as a resource.

2. Review the key Plan transition dates.

3. Take advantage of new products and services.

Fidelity can help you every step of the way. Call 1-800-343-0860.

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