2020-05-15T13:36:31-05:00 2019-06-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DRIVE 1600 SAN DIEGO CA 92121 990 2018-07-01 990238120 THE QUEEN'S HEALTH SYSTEMS % CLINTON YEE QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 MICHEL RICCIONI TREASURER 8085389011 2020-05-08 true JOCELYNE MILLER P00634378 8585357200 76.103.183.71 33577420201365000011 2020-05-15 P E40D090CEBDF424E4E5647477AF07C522F229789 659BA02A141F0A93D56BC6460424A0B381644DBC 2018 2021-01-29 14:40:06Z JILL HOGGARD GREEN 1301 PUNCHBOWL STREET HONOLULU HI 96813 186337658 false X WWW.QUEENS.ORG X 1985 HI TO SUPPORT, PROMOTE AND MAINTAIN THE AFFILIATE CORPORATIONS OF QUEEN'S HEALTH SYSTEMS AND TO PROMOTE, SUPERVISE AND CONTRIBUTE TO HEALTHCARE RELATED ACTIVITIES. 25 22 342 0 7607 0 0 0 150168678 143155116 10635294 3837893 2003477 651155 162807449 147644164 0 0 0 0 86466662 80307242 0 0 0 65835684 63574154 152302346 143881396 10505103 3762768 384821174 540070000 294125370 450383308 90695804 89686692 X TO SUPPORT, PROMOTE AND MAINTAIN THE SUBSIDIARY AND AFFILIATE CORPORATIONS OF THE QUEEN'S HEALTH SYSTEMS AND TO PROMOTE, SUPERVISE AND OTHERWISE CONTRIBUTE TO HEALTHCARE RELATED ACTIVITIES. false false 120629105 0 143806271 THE QUEEN'S HEALTH SYSTEMS ("QHS") IS THE PARENT COMPANY OF THE QUEEN'S MEDICAL CENTER ("QMC"), QUEEN EMMA LAND COMPANY ("QEL"), QUEEN'S DEVELOPMENT CORPORATION ("QDC"), MOLOKAI GENERAL HOSPITAL ("MGH"), QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ("NHCH") AND VARIOUS OTHER HEALTHCARE RELATED ENTITIES (COLLECTIVELY REFERRED TO AS "QUEEN'S"). SEE SCHEDULE O FOR MORE INFORMATION. 120629105 true false false true false false false false false false true true false true true true false true false false false false false false false false false false false true true false false false false false false false false false true false false false false false true true true false false true 782 0 true 342 true true true false false false false false false false false false false false X 25 22 false false false false false false false true true false false true true true true true true true true false X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 MAENETTE BENHAM EDD TRUSTEE 2.0 2.0 X 0 0 0 GARY CAUFIELD TRUSTEE 2.0 1.0 X 0 0 0 DIANE CECCHETTINI RN TRUSTEE 2.0 1.0 X 0 0 0 PATRICK CHING TRUSTEE 2.0 1.0 X 0 0 0 KYLE CHOCK TRUSTEE 1.0 2.0 X 0 0 0 ERNEST FUKEDA JR TRUSTEE - PART YEAR 1.0 1.0 X 0 0 0 CHRISTINE GAYAGAS TRUSTEE 1.0 1.0 X 0 0 0 PETER HALFORD MD TRUSTEE 2.0 3.0 X 9798 0 0 PETER HANASHIRO TRUSTEE 2.0 1.0 X 0 0 0 KEAWE KAHOLOKULA PHD TRUSTEE 2.0 1.0 X 0 0 0 KAMANI KUALA'AU TRUSTEE 2.0 1.0 X 0 0 0 STANLEY KURIYAMA TRUSTEE 2.0 1.0 X 0 0 0 KRISTI LEFFORGE TRUSTEE 1.0 1.0 X 0 0 0 SHERRY MENOR-MCNAMARA TRUSTEE 2.0 1.0 X 0 0 0 ROBERT MOMSEN TRUSTEE 2.0 2.0 X 0 0 0 CAMERON NEKOTA TRUSTEE 2.0 1.0 X 0 0 0 STEVEN NISHIDA MD TRUSTEE 2.0 1.0 X 0 0 0 GLENN REDIGER MD TRUSTEE 2.0 0.0 X 0 0 0 JAMES STEINWASCHER TRUSTEE 1.0 1.0 X 0 0 0 NADINE TENN SALLE MD TRUSTEE/CHIEF OF PED. QMC 2.0 15.0 X 37842 0 0 ARTHUR USHIJIMA PRESIDENT/CEO 32.0 33.0 X X 1602592 0 91312 ALLEN UYEDA TRUSTEE 1.0 1.0 X 0 0 0 JENAI WALL TRUSTEE/CHAIR 1.0 3.0 X X 0 0 0 LESLIE WILCOX TRUSTEE 1.0 1.0 X 0 0 0 C SCOTT WO PHD TRUSTEE 2.0 1.0 X 0 0 0 JIM YATES TRUSTEE 2.0 1.0 X 0 0 0 JASON CHANG EVP/COO 25.0 30.0 X 0 788330 55780 JANICE KALANIHUIA VICE PRESIDENT 1.0 54.0 X 302617 0 58167 CYNTHIA KAMIKAWA VICE PRESIDENT 1.0 54.0 X 501081 0 104349 WHITNEY LIMM MD SR VICE PRESIDENT 48.0 12.0 X 855609 0 113462 ERIC MARTINSON VP/CIO 37.0 23.0 X 745842 0 82474 JOHN NITAO VP/GENERAL COUNSEL 51.0 4.0 X 570144 0 65816 MICHEL RICCIONI TREASURER/CFO 44.0 21.0 X 769665 0 59031 JOELLE TANABE ASSISTANT SECRETARY 27.0 18.0 X 109767 0 36068 SHARLENE TSUDA SECRETARY/VP COMM DEVELOPMENT 52.0 3.0 X 354997 0 61435 CLINTON YEE ASSISTANT TREASURER 10.0 45.0 X 210786 0 45331 GERARD AKAKA VP - Native Hawaiian Affairs 50.0 0.0 X 603656 0 71063 BERNADETTE MERLINO VP - AMBULATORY SVCS 50.0 0.0 X 453791 0 96093 PAULA YOSHIOKA VP - QHS GOVT RELATIONS 50.0 0.0 X 443660 0 45263 BRIAN YOSHII VP - IT/CIO 50.0 0.0 X 388476 0 27338 CHRISTOPHER MAHNKE CHIEF MED INFORMATION OFFICER 50.0 0.0 X 283110 60757 38508 8243433 849087 1051490 89 false true false HAWAII RESIDENCY PROGRAMS INC 1356 LUSITANA STREET 510 HONOLULU HI 96813 MEDICAL SERVICES 11544636 HAWAIIAN DREDGING AND CONSTRUCTION 605 KAPIOLANI BOULEVARD HONOLULU HI 96813 CONSTRUCTION SVCS 9933400 ALLIED BUILDERS SYSTEM 1717 AKAHI STREET HONOLULU HI 96819 CONSTRUCTION SVCS 7839569 UCERA PO BOX 29470 HONOLULU HI 96820 MEDICAL SERVICES 7230861 SODEXO INC 2465 CAMPUS ROAD HONOLULU HI 96822 CAFETERIA MGMT SVCS 6895010 146 0 SUPPORT SRVCS TO TAX-EXEMPT AFFILIATES 561000 143155116 143155116 0 0 143155116 2838987 7607 2831380 0 0 0 0 0 39692400 38693494 998906 998906 998906 0 0 0 0 0 0 0 0 0 EPIC SOFTWARE SALES & SUPPORT 900099 352046 352046 0 0 CREDIT CARD REBATES 900099 141058 141058 0 0 HEALTH IT MEDICAL EVIDENCE 900099 73290 73290 0 0 84761 84761 0 0 651155 147644164 143806271 7607 3830286 0 0 0 0 0 0 0 0 5945182 5053405 891777 0 0 0 0 0 57943566 49252031 8691535 0 3314308 2817162 497146 0 8705403 7399593 1305810 0 4398783 3738966 659817 0 0 0 0 0 667115 0 667115 0 1223427 0 1223427 0 102353 0 102353 0 0 0 74261 0 74261 0 16874856 14343628 2531228 0 345098 293333 51765 0 809788 688320 121468 0 16934433 14394268 2540165 0 0 0 0 0 1743677 1482126 261551 0 415739 353378 62361 0 0 0 0 0 375780 319413 56367 0 1251574 1063838 187736 0 0 0 0 0 13771898 11706113 2065785 0 393612 334570 59042 0 PAYMENTS TO AFFILIATES 6073731 5162671 911060 0 REPAIRS & MAINTENANCE 493502 419477 74025 0 RECRUITMENT & RELOCATION 453829 385755 68074 0 GENERAL EXCISE TAX 209108 177742 31366 0 1360373 1243316 117057 143881396 120629105 23252291 0 0 0 0 61836084 120419499 0 0 137374 201124 0 0 0 0 0 0 0 0 5597938 4824561 148926512 104287674 51930445 44638838 36860834 35833005 41763463 47152184 0 0 0 0 186695036 287000789 384821174 540070000 68191285 78077466 0 0 0 0 41362823 50924331 0 0 0 0 0 0 0 0 184571262 321381511 294125370 450383308 X 90695804 89686692 0 0 0 0 90695804 89686692 384821174 540070000 X 3762768 1097150 0 0 0 -5869030 X false true X true true true X X X 3 THE QUEEN'S MEDICAL CENTER 990073524 3 true 0 0 MOLOKAI GENERAL HOSPITAL 990251372 3 true 0 0 QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL 990260423 3 false 0 0 3 0 0 false false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART I, LINE 12G, COLUMN (VI) DESCRIPTION OF NON-MONETARY SUPPORT QUEEN'S HEALTH SYSTEMS (QHS) PROVIDES LEGAL, ACCOUNTING, HUMAN RESOURCES AND ADMINISTRATIVE SERVICES TO THE QUEEN'S MEDICAL CENTER (QMC), MOLOKAI GENERAL HOSPITAL (MGH) AND QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH). SCHEDULE A, PART IV, SECTION A, LINE 1 In its articles of incorporation, the Queen's Health Systems (QHS) lists the following supported organizations: QMC, MGH and a class defined as all Section 509(A)(1) organizations in which QHS is a member. NHCH belongs to this supported class. QHS is the sole member of QMC, MGH and NHCH. NHCH is the newest member of the affiliated group. QHS has maintained a clinical affiliation with NHCH since 2005 and a formal affiliation since 2014. SCHEDULE A, PART IV, SECTION D, LINE 3 TWENTY-TWO TRUSTEES FOR THE QUEEN'S HEALTH SYSTEMS (QHS) ALSO SERVE AS TRUSTEES FOR THE QUEEN'S MEDICAL CENTER (QMC), INCLUDING THE PRESIDENT OF QMC. FOUR TRUSTEES FOR QHS ALSO SERVE AS TRUSTEES FOR QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL AND THREE TRUSTEES FOR QHS SERVE AS TRUSTEES FOR MOLOKAI GENERAL HOSPITAL. THEREFORE QHS' SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICY AND DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS AT ALL TIMES DURING THE YEAR. SCHEDULE A, PART IV, SECTION E, LINE 3A QHS is the sole member with the sole power to elect board members for each of its supported organizations, QMC, MGH and NHCH. In addition, QHS' President serves as the Chair of the Board for MGH and NHCH. SCHEDULE A, PART IV, SECTION E, LINE 3B QHS is the sole member of QMC, NHCH and MGH and sets its overarching administrative policies for its supported organizations such as privacy and corporate compliance. In addition, certain major decisions approved by the Board of Trustees of the supported organizations must also be approved by QHS. Such decisions include: 1. A change to the purpose of the company; 2. A financing transaction in excess of $500,000; 3. A lease transaction that has a term that is longer than 3 years or has a rent obligation in excess of $1,000,000 over the lease term; 4. A transaction involving the sale, lease, disposition or hypothecation of real property; 5. Annual operational and capital budgets; 6. Strategic plans; 7. Merger or major acquisitions; 8. Creation of a new entity or joint venture; 9. Sale or disposition of all or substantially all of its assets; 10. Dissolution; 11. Amendment of bylaws; 12. Adoption, amendment or rescission of a board policy; 13. Capital expenditures in excess of $2,000,000 for QMC, NHCH and MGH. X 0 0 102353 160095 102353 160095 120629105 1290451212 120731458 1290611307 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 126289 103797 122347 160095 512528 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 0 12002 12002 144636443 104287674 40348769 4278067 0 4278067 44638838 POOLED INVESTMENTS-NON PUBLIC 47152184 F 47152184 DUE FROM AFFILIATES 252799270 FIRST TRUST ASSETS 2025780 TRUSTEE HELD ASSETS 32175739 287000789 0 DUE TO AFFILIATES 314621113 INTEREST PAYABLE 6760398 321381511 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2019. X X X X X false false false false false false false true false JASON CHANG EVP/COO 0 541021 0 246769 0 540 0 33985 0 21795 0 844110 0 0 JANICE KALANIHUIA VICE PRESIDENT 206653 0 71298 0 24666 0 42831 0 15336 0 360784 0 0 0 CYNTHIA KAMIKAWA VICE PRESIDENT 354090 0 114021 0 32970 0 90401 0 13948 0 605430 0 0 0 WHITNEY LIMM MD SR VICE PRESIDENT 538578 0 245016 0 72015 0 98223 0 15239 0 969071 0 0 0 ERIC MARTINSON VP/CIO 468468 0 216151 0 61223 0 58034 0 24440 0 828316 0 0 0 JOHN NITAO VP/GENERAL COUNSEL 392238 0 134869 0 43037 0 42585 0 23231 0 635960 0 0 0 MICHEL RICCIONI TREASURER/CFO 527493 0 239850 0 2322 0 44931 0 14100 0 828696 0 0 0 SHARLENE TSUDA SECRETARY/VP COMM DEVELOPMENT 244998 0 83752 0 26247 0 46690 0 14745 0 416432 0 0 0 ARTHUR USHIJIMA PRESIDENT/CEO 928409 0 526920 0 147263 0 77010 0 14302 0 1693904 0 0 0 CLINTON YEE ASSISTANT TREASURER 184933 0 16760 0 9093 0 21681 0 23650 0 256117 0 0 0 GERARD AKAKA VP - Native Hawaiian Affairs 398119 0 137337 0 68200 0 53655 0 17408 0 674719 0 0 0 BERNADETTE MERLINO VP - AMBULATORY SVCS 334955 0 115272 0 3564 0 80025 0 16068 0 549884 0 0 0 PAULA YOSHIOKA VP - QHS GOVT RELATIONS 307459 0 103714 0 32487 0 37247 0 8016 0 488923 0 0 0 BRIAN YOSHII VP - IT/CIO 260505 0 116581 0 11390 0 11787 0 15551 0 415814 0 0 0 CHRISTOPHER MAHNKE CHIEF MED INFORMATION OFFICER 266110 60757 17000 0 0 0 37613 0 895 0 321618 60757 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION COMMITTEE REFERS TO A COMMITTEE OF THE ORGANIZATION'S GOVERNING BODY RESPONSIBLE FOR DETERMINING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION PACKAGE, WHETHER OR NOT THE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO MAKE AN EMPLOYMENT AGREEMENT WITH THE TOP MANAGEMENT OFFICIAL ON BEHALF OF THE ORGANIZATION. THE COMPENSATION COMMITTEE MAY ALSO HAVE OTHER DUTIES. SCHEDULE J, PART I, LINE 7 OTHER NON-FIXED PAYMENTS RECOGNITION AWARDS WERE PAID TO ALL EMPLOYEES BASED ON ACCOMPLISHMENTS OF PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND DEFINED ELIGIBILITY OF THE EMPLOYEE. RECOGNITION AWARDS ARE DISCRETIONARY AND CONSIDER QUALITY THRESHOLDS WHICH INCLUDE ANNUAL ACCREDITATION AND MINIMUM OPERATING INCOME LEVEL CRITERIA. IN ADDITION, EXECUTIVE AWARDS ARE WEIGHTED BASED ON INDIVIDUAL GOALS ESTABLISHED FOR EACH EXECUTIVE. SCHEDULE J, PART II COMPENSATION PAID FOR SERVICES ARTHUR A. USHIJIMA MR. USHIJIMA SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS ("QHS") AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. HIS HOURS SERVED AS A TRUSTEE OF QHS ARE 2 HOURS PER WEEK. MR. USHIJIMA ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS AND AS PRESIDENT OF THE QUEEN'S MEDICAL CENTER ("QMC"). THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR HIS VARIOUS SERVICES. JASON CHANG MR. CHANG SERVES AS EVP OF QHS AND EVP AND COO OF QMC. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. JANICE KALANIHUIA MS. KALANIHUIA SERVES AS VP FOR THE QUEEN'S HEALTH SYSTEM AND PRESIDENT OF MGH. SHE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. MICHEL RICCIONI MR. RICCIONI SERVED AS TREASURER OF QMC AND THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS. HE WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. SHARLENE TSUDA MS. TSUDA SERVES AS SECRETARY FOR QHS, QMC AND NHCH AND VP OF COMMUNITY DEVELOPMENT OF QHS. SHE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. ERIC MARTINSON MR. MARTINSON SERVED AS VICE PRESIDENT/CHIEF INVESTMENT OFFICER OF QHS AND PRESIDENT OF QEL. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. JOHN NITAO MR. NITAO SERVES AS VP/GENERAL COUNSEL FOR THE QUEEN'S HEALTH SYSTEMS AND SECRETARY OF QEL. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. WHITNEY LIMM, MD DR. LIMM SERVES AS SENIOR VP OF CLINICAL INTEGRATION AND CHIEF PHYSICIAN EXECUTIVE OF QHS AND QMC. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. CYNTHIA KAMIKAWA MS. KAMIKAWA SERVES AS VP OF QHS AND IS PRESIDENT OF QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL. SHE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. CLINTON YEE MR. YEE SERVES AS CORPORATE CONTROLLER OF QUEEN'S HEALTH SYSTEMS, ASSISTANT TREASURER OF QMC, QHS QEL AND TREASURER OF MGH. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. A DEPT OF BUDGET & FINANCE STATE OF HI 990266961 419800LM7 2015-01-29 350356476 SEE PART VI false false false A 0 0 350362507 0 0 0 4726000 0 0 170381148 160009007 15246352 true false false true A false false false true true 0 false false true A false true false false true true ML CAPITAL SERVICES 6.5 false false false 0 false true A true SCHEDULE K DESCRIPTION OF ARRANGEMENT RELATED ORGANIZATION REPORTING THE QUEEN'S HEALTH SYSTEMS (QHS) BORROWED ON BEHALF OF ITSELF AND ITS AFFILIATES, THE QUEEN'S MEDICAL CENTER (QMC) AND QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (NHCH). INFORMATION REPORTED ON SCHEDULE K IS FOR THE ENTIRE BOND ISSUE. THE OUTSTANDING BOND LIABILITY IS ALLOCATED BETWEEN ENTITIES AND REPORTED SEPERATELY ON FORM 990, PART X. QHS' SHARE OF THE OUTSTANDING LIABILITY IS $50,924,331. PART I, LINE A, COLUMN (F) DESCRIPTION OF PURPOSE THE BONDS ARE ISSUED FOR THE BENEFIT OF THE BORROWER (THE QUEEN'S HEALTH SYSTEMS) AND THE FOLLOWING ORGANIZATIONS, EACH OF WHICH IS CONTROLLED BY THE BORROWER AND WHICH IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE: THE QUEEN'S MEDICAL CENTER AND QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL (TOGETHER WITH THE BORROWER, THE "OBLIGATED GROUP MEMBERS"). ON JANUARY 23, 2015, QHS ISSUED SPECIAL PURPOSE REVENUE BONDS 2015 SERIES A, 2015 SERIES B AND 2015 SERIES C. THE PURPOSE OF THIS ISSUE WAS TO REFUND ALL DEBT OBLIGATIONS PREVIOUSLY ISSUED UNDER THE MASTER TRUST INDENTURE DATED JULY 1, 1996, AS AMENDED AMONG THE BORROWER, THE QUEEN'S MEDICAL CENTER, AND OTHER AFFILIATED CORPORATIONS, AND THE MASTER TRUSTEE NAMED THEREIN, FINANCE, REFINANCE OR REIMBURSE THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING FACILITIES BENEFITTING THE OBLIGATED GROUP MEMBERS AND PAY COSTS OF ISSUANCE OF THE BONDS. THE ISSUANCE DATES FOR THE BONDS WERE: 12/11/2003 05/06/2009 03/16/2006 CS WO SONS LTD C. SCOTT WO, TRUSTEE-QHS 510984 RENTAL OF PROPERTY false SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS C. SCOTT WO IS THE OWNER OF C.S. WO & SONS LTD, WHICH PROVIDES RENTAL SPACE TO THE ORGANIZATION. DURING THE YEAR, THE ORGANIZATION PAID RENT IN THE AMOUNT OF $510,984. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS 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 CNETER ("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 $192.3M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2019. 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, 2019, THE ESTIMATED COST OF PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $2,991,000 AND $53,921,000 RESPECTIVELY. 2. BEHAVIORAL HEALTH - QMC PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES THAT ARE NECESSARY AND IN CERTAIN INSTANCES, NOT GENERALLY AVAILABLE IN THE STATE OF HAWAII. THE ESTIMATED COST OF OPERATIONS RESULTING FROM BEHAVIORAL HEALTH SERVICES WAS $839,000 FOR THE YEAR ENDED JUNE 30, 2019. 3. ON CALL PHYSICIAN COMPENSATION - QMC MAINTAINS THE ONLY LEVEL II TRAUMA CENTER IN THE STATE OF HAWAII. IN ORDER TO PROVIDE LEVEL II TRAUMA COVERAGE, THE MEDICAL CENTER INCURRED APPROXIMATELY $10,876,000 IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2019. 4. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $16,637,000 DURING THE YEAR ENDED JUNE 30, 2019 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 LIBRARY - QMC MAINTAINS A MEDICAL LIBRARY THAT BENEFITS HEALTHCARE PROFESSIONALS IN THE STATE OF HAWAII. THE ESTIMATED COST OF OPERATING THE HAWAII MEDICAL LIBRARY FOR THE YEAR ENDED JUNE 30, 2019 WAS $593,000. 6. TRANSFER HOTLINE - QMC MAINTAINS A CARDIAC TRANSFER HOTLINE AND A REFERRAL HOTLINE TO ASSIST PATIENTS AND OTHER HEALTHCARE PROVIDERS WITH THE TRANSFER AND/OR REFERRAL OF PATIENTS TO APPROPRIATE HEALTHCARE SERVICES. THE ESTIMATED COST OF PROVIDING THESE SERVICES FOR THE YEAR ENDED JUNE 30, 2019 WAS $1,246,000. 7. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2019, RESEARCH COSTS WERE $692,000. 8. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2019, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS WERE $2,874,000 OF THIS AMOUNT, $561,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $1,000,000 WAS DONATED TO THE UNIVERSITY OF HAWAII CANCER CONSORTIUM. 9. ELECTRICAL GENERATOR PROJECT - IN ORDER TO MAINTAIN NECESSARY LIFE SUPPORT, DIAGNOSTIC AND OPERATING SYSTEMS, IN THE EVENT OF AN EMERGENCY, QMC SIGNIFICANTLY UPGRADED ITS POWER PLANT BY ADDING TWO NEW GENERATORS THAT ARE CAPABLE OF PROVIDING ELECTRICAL POWER FOR THE MEDICAL CENTER. TOTAL PROJECT COSTS INCURRED AS OF JUNE 30, 2019 WERE APPROXIMATELY $34,420,000. 10. MEDICAID SHORTFALL IN PAYMENTS - QMC PROVIDES INPATIENT AND OUTPATIENT SERVICES TO MEDICAID PATIENTS IN THE STATE OF HAWAII. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $56,381,000 DURING THE YEAR ENDED JUNE 30, 2019. 11. MEDICARE SHORTFALL IN PAYMENTS - QMC PROVIDES INPATIENT AND OUTPATIENT SERVICES TO MEDICARE PATIENTS IN THE STATE OF HAWAII. QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT BASED ON MEDICARE COST REPORTS OF APPROXIMATELY $33,520,000 DURING THE YEAR ENDED JUNE 30, 2019. CONSISTENT WITH COST REPORT REQUIREMENTS, THERE ARE AMOUNTS THAT ARE EXCLUDED FROM THE COSTS ABOVE. 12. LEASE PRICING BELOW FAIR MARKET VALUE - QMC EXTENDED LEASE RATES TO THE UNIVERSITY OF HAWAII THAT ARE BELOW FAIR MARKET VALUE. FOR THE YEAR ENDED JUNE 30, 2019, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $45,000. 13. MOLOKAI GENERAL HOSPITAL - QUEEN'S SUPPORTS MGH IN PROVIDING HEALTHCARE SERVICES TO THE ISLAND OF MOLOKAI. FOR THE YEAR ENDED JUNE 30, 2019, MGH PROVIDED COMMUNITY BENEFITS TOTALING $1,715,000. 14. QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL - QUEEN'S SUPPORTS NHCH IN PROVIDING HEALTHCARE SERVICES TO THE NORTH HAWAII REGION. FOR THE YEAR ENDED JUNE 30, 2019, NHCH PROVIDED COMMUNITY BENEFITS TOTALING $3,937,000. 15. NATIVE HAWAIIAN HEALTH AT QMC - QUEEN'S SUPPORTS A NATIVE HAWAIIAN HEALTH PROGRAM AT QMC. FOR THE YEAR ENDED JUNE 30, 2019, EXPENSES TOTALED $349,000. 16. KINAU STREET OFF-RAMP IMPROVEMENT PROJECT - IN ORDER TO IMPROVE ACCESS TO ITS EMERGENCY DEPARTMENT AND HOSPITAL, QMC, IN CONJUNCTION WITH THE STATE DEPARTMENT OF TRANSPORTATION AND CITY DEPARTMENT OF TRANSPORTATION SERVICES, SUPPORTED CONSTRUCTION OF THE KINAU STREET OFF-RAMP. FOR THE YEAR ENDED JUNE 30, 2019, COSTS INCURRED FOR THE IMPROVEMENT PROJECT WERE $9,000. 17. DENTAL CLINIC - QMC PROVIDES DENTAL SERVICES TO INDIGENT PATIENTS AND OTHERS THROUGH ITS DENTAL CLINIC. THE COST OF OPERATIONS FROM THE DENTAL CLINIC WAS APPROXIMATELY $939,000 FOR THE YEAR ENDED JUNE 30, 2019. 18. DONATED USE OF CONFERENCE ROOMS - QMC ALLOWS PHYSICIANS AND TEACHERS FROM THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII, VARIOUS GOVERNMENTAL ENTITIES INCLUDING THE HAWAII DEPARTMENT OF HEALTH AND OTHER NONPROFIT ORGANIZATIONS THE FREE USE OF ITS FACILITIES AT THE QUEEN'S CONFERENCE CENTER. FOR THE YEAR ENDED JUNE 30, 2019, THE VALUE OF THE USE OF THE CENTER WAS $327,000. 19. TUTU BERT'S HOUSE - TUTU BERT'S HOUSE IS AN 8-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QUEEN'S MEDICAL CENTER AND HOMEAID HAWAII. TUTU BERT'S HOUSE OFFERS MEDICALLY FRAIL HOMELESS DISCHARGED FROM THE QUEEN'S MEDICAL CENTER WHO NO LONGER IN NEED OF IN-PATIENT HOSPITALIZATION, BUT WHO ARE STILL TOO FRAIL TO RECUPERATE ON THE STREETS OR IN AN URBAN SHELTER, WITH A SAFETY NET RESOURCE. THE HOUSE FACILITATES SHORT-TERM STABILIZATION AND SUPPORTIVE CASE MANAGEMENT THAT ACCELERATES THEIR TRANSITION OUT OF HOMELESSNESS, AND INTO AVAILABLE HOUSING OPTIONS. FOR THE YEAR ENDED JUNE 30, 2019 COSTS INCURRED FOR THE PROGRAM WERE $826,000. FORM 990, PART III, LINE 4A - CONTINUED 20. OHANA HOUSE - OHANA HOUSE IS A 14-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QUEEN'S MEDICAL CENTER AND KALIHI PALAMA HEALTH CENTER. THIS PROGRAM PROVIDES CASE MANAGEMENT AND SHORT-TERM RESIDENTIAL CARE THAT ALLOWS HOMELESS DISCHARGED FROM THE HOSPITAL THE OPPORTUNITY TO REST IN A SAFE ENVIRONMENT WHILE ACCESSING MEDICAL CARE AND OTHER SUPPORTIVE SERVICES. THE SERVICES PROVIDED TO CLIENTS INCLUDE CASE MANAGEMENT, TRANSPORTATION, SHELTER, MEALS, EMERGENCY CLOTHING AND HYGIENE SERVICES. FOR THE YEAR ENDED JUNE 30, 2019 COSTS INCURRED FOR THE PROGRAM WERE $522,000. 21. 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, 2019 COSTS INCURRED FOR THE PROGRAM WERE $647,000. 22. 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 $268,000 DURING THE TAX YEAR ENDED JUNE 30, 2019. 23. 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, 2019, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $153,000. 24. 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, 2019, THESE PROGRAM COSTS TOTALED $1,705,000. 25. JOB SHADOWING PROGRAM - QMC SPONSORS A JOB SHADOWING PROGRAM FOR STUDENTS IN THE STATE OF HAWAII. FOR THE YEAR ENDED JUNE 30, 2019, COSTS INCURRED FOR THE PROGRAM WERE $3,000. 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. 27. VOLUNTEER EFFORTS - QHS EMPLOYEES PERIODICALLY VOLUNTEER FOR OTHER CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2019, THESE EVENTS INCLUDED THE AMERICAN HEART ASSOCIATION'S "HEART WALK", AMERICAN CANCER SOCIETY'S "RELAY FOR LIFE"HOPE LODGE FUNDRAISER", SUSAN G. KOMEN FOUNDATION'S "RACE FOR THE CURE", WAIKIKI IMPROVEMENT ASSOCIATION'S "BEACH CLEAN UPTHE AMERICAN DIABETES ASSOCIATION'S "STEP OUT" FUNDRAISER. IN ADDITION, QHS OFFICERS DEDICATE MANY HOURS SERVING AS VOLUNTEER BOARD MEMBERS FOR OTHER HAWAII BASED CHARITABLE ORGANIZATIONS. FORM 990, PART VI, LINE 11B 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 AUDIT 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 PREPARED 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. FORM 990, PART VI, LINE 12C 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. FORM 990, PART VI, LINES 15A AND 15B 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 2019. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE 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. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS PENSION FAS 87 ADJUSTMENT $(5,164,374) CHANGE IN OTHER COMPREHENSIVE INCOME $( 704,654) ROUNDING $( 2) -------------- TOTAL $(5,869,030) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9609562 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:5840073 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:1425221 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 MEDICAL SVCS HI 501(c)(3) 3 QHS true QUEEN EMMA LAND COMPANY 1301 PUNCHBOWL STREET HONOLULU HI 96813 990183769 SUPPORT SVCS HI 501(c)(3) 12a QHS true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI MOLOKAI HI 96748 990251372 MEDICAL SVCS HI 501(c)(3) 3 QHS true QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 MEDICAL SVCS HI 501(c)(3) 3 QHS true HAMAMATSUQUEEN'S PET IMAGING 1301 PUNCHBOWL STREET HONOLULU HI 96813 943266916 PET IMAGING HI NA N/A THE QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI QHS C Corp 151236441 124011317 1.00000 true QUEEN'S INSURANCE EXCHANGE 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI QHS C Corp 395647 32977416 1.00000 true DIAGNOSTIC LABORATORY SERVICES INC 99-859 IWAIWA STREET AIEA HI 96701 990240499 MEDICAL LAB SVCS HI NA C Corp true false false false false false false false false false false false false false false false true true false false THE QUEEN'S MEDICAL CENTER p 5264248 FMV MOLOKAI GENERAL HOSPITAL q 1566723 FMV QUEEN EMMA LAND COMPANY q 2837924 FMV THE QUEEN'S MEDICAL CENTER q 122404783 FMV QUEEN'S DEVELOPMENT CORPORATION q 3942455 FMV QUEEN'S INSURANCE EXCHANGE q 341659 FMV QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL q 7940591 FMV QUEEN'S INSURANCE EXCHANGE p 262134 FMV QUEEN'S DEVELOPMENT CORPORATION p 395690 FMV DIAGNOSTIC LABORATORY SERVICES p 151659 FMV DIAGNOSTIC LABORATORY SERVICES q 4120980 FMV SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 NAME: QUEEN EMMA LAND COMPANY ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0183769 EXPENSES: $52,007,346 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: THE QUEEN'S HEALTH SYSTEMS ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0238120 EXPENSES: $120,629,105 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: THE QUEEN'S MEDICAL CENTER ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0073524 EXPENSES: $1,057,055,826 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: MOLOKAI GENERAL HOSPITAL ADDRESS: P.O. BOX 408 KAUNAKAKAI MOLOKAI, HI 96748 EIN: 99-0251372 EXPENSES: $11,352,731 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL ADDRESS: 67-1125 MAMALAHOA HIGHWAY KAMUELA, HI 96743-8496 EIN: 99-0260423 EXPENSES: $49,406,204 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0