THE QUEENS MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-07
IRS object ID: 201901279349301895
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-07T17:53:15-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 EXECUTIVE DRIVE 1600	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921212101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	990073524	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE QUEEN'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CLINTON YEE	InCareOfNm
Business Name Control	QUEE	BusinessNameControlTxt
Phone	8085389011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 PUNCHBOWL STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96813	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHEL RICCIONI	PersonNm
Person Title	TREASURER	PersonTitleTxt
Signature	2019-04-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOCELYNE MILLER	PreparerPersonNm
PTIN	P00634378	PTIN
Phone	8585357200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	73.162.182.118	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420191275000005	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-07	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	29C16C867B914C9DD0A85029448902D9B1BE764A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ARTHUR A USHIJIMA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 PUNCHBOWL STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96813	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,751,724,073	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.QUEENSMEDICALCENTER.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1859	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII.	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	6045	TotalEmployeeCnt
Total Volunteers	428	TotalVolunteersCnt
Total Gross UBI	$8,772,767	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$3,063,831	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,416,763	PYContributionsGrantsAmt
CY Contributions Grants	$71,504,792	CYContributionsGrantsAmt
PY Program Service Revenue	$1,009,960,529	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,081,549,811	CYProgramServiceRevenueAmt
PY Investment Income	$47,923,390	PYInvestmentIncomeAmt
CY Investment Income	$16,166,041	CYInvestmentIncomeAmt
PY Other Revenue	$27,326,469	PYOtherRevenueAmt
CY Other Revenue	$20,491,658	CYOtherRevenueAmt
PY Total Revenue	$1,126,627,151	PYTotalRevenueAmt
CY Total Revenue	$1,189,712,302	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,629,413	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,179,151	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$533,398,090	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$530,161,399	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$165,426	CYTotalFundraisingExpenseAmt
PY Other Expenses	$554,625,841	PYOtherExpensesAmt
CY Other Expenses	$574,790,188	CYOtherExpensesAmt
PY Total Expenses	$1,090,653,344	PYTotalExpensesAmt
CY Total Expenses	$1,108,130,738	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,973,807	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$81,581,564	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,421,100,514	TotalAssetsBOYAmt
Total Assets EOY	$1,820,754,936	TotalAssetsEOYAmt
Total Liabilities BOY	$704,496,322	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$955,667,992	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$716,604,192	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$865,086,944	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE, IN PERPETUITY, QUALITY HEALTHCARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,058,807,859	ExpenseAmt
Grant	$3,179,151	GrantAmt
Revenue	$1,096,609,945	RevenueAmt
Desc	THE QUEEN'S MEDICAL CENTER IS THE LARGEST PRIVATE, NONPROFIT ACUTE CARE MEDICAL FACILITY IN HAWAII. ITS STAFF IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE PEOPLE OF HAWAII AND THE PACIFIC. SEE SCHEDULE O FOR MORE INFORMATION.	Desc
Total Program Service Expenses	$1,058,807,859	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6045	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CLINTON YEE	PersonNm
Phone	8085389011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 PUNCHBOWL STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96813	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MAENETTE BENHAM EDD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
GARY CAULFIELD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
DIANE CECCHETTINI RN
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
PATRICK CHING
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
KYLE CHOCK
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
CHRISTINE GAYAGAS
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
PETER HALFORD MD
TRUSTEE	1.0	1.0	Yes (X)	$0	$21,407	$0
PETER HANASHIRO
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
LYLE HARADA
TRUSTEE - PART YEAR	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT HONG MD
TRUSTEE	50.0	0.0	Yes (X)	$506,112	$0	$34,105
KEAWE KAHOLOKULA PHD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
KAMANI KUALA'AU
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
STANLEY KURIYAMA
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
SHERRY MENOR-MCNAMARA
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT MOMSEN
TRUSTEE	1.0	3.0	Yes (X)	$0	$0	$0
CAMERON NEKOTA
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
STEVEN NISHIDA MD
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
JAMES STEINWASCHER
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
NADINE TENN SALLE MD
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
ARTHUR USHIJIMA
TRUSTEE/PRESIDENT	25.0	40.0	Yes (X)	$0	$1,047,447	$90,826	Yes (X)
ALLEN UYEDA
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
JENAI WALL
TRUSTEE/CHAIR	1.0	5.0	Yes (X)	$0	$0	$0	Yes (X)
BARRY WEINMAN
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
LESLIE WILCOX
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
C SCOTT WO PHD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
JIM YATES
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
ERIC YEAMAN
TRUSTEE/CHAIR - PART YEAR	1.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
JASON CHANG
EVP/COO	25.0	30.0		$508,279	$20,505	$156,867	Yes (X)
WHITNEY LIMM MD
SENIOR VICE PRESIDENT	12.0	48.0		$0	$589,460	$186,412	Yes (X)
SUSAN MURRAY
VP/COO - QMC WEST OAHU	42.0	13.0		$15,365	$388,853	$62,005	Yes (X)
JOHN NITAO
VP/GENERAL COUNSEL	2.0	53.0		$0	$410,229	$96,577	Yes (X)
MICHEL RICCIONI
TREASURER	20.0	45.0		$0	$573,896	$50,166	Yes (X)
JOELLE TANABE
ASSISTANT SECRETARY	9.0	36.0		$0	$103,198	$35,552	Yes (X)
SHARLENE TSUDA
SECRETARY	2.0	53.0		$0	$261,189	$78,967	Yes (X)
CLINTON YEE
ASSISTANT TREASURER	37.0	18.0		$0	$186,628	$45,960	Yes (X)
JEFFREY MING SHAN LAU MD
PHYSICIAN	50.0	0.0		$714,470	$0	$14,446		Yes (X)
SUNG BAE LEE MD
PHYSICIAN	50.0	0.0		$969,234	$0	$66,631		Yes (X)
JEFFREY LOH MD
PHYSICIAN	50.0	0.0		$1,177,228	$0	$59,658		Yes (X)
TODD SETO MD
PHYSICIAN	50.0	0.0		$728,738	$0	$38,662		Yes (X)
ROGER YIM MD
PHYSICIAN	50.0	0.0		$737,187	$0	$68,570		Yes (X)
ERIC MARTINSON
FORMER TREASURER	0.0	60.0		$0	$483,441	$116,436			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,356,613	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,086,253	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,201,840	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1723	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$838,444	FundraisingAmt
Related Organizations	$66,305,424	RelatedOrganizationsAmt
Government Grants	$1,557,388	GovernmentGrantsAmt
All Other Contributions	$2,803,536	AllOtherContributionsAmt
Noncash Contributions	$30,519	NoncashContributionsAmt
Total Contributions	$71,504,792	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$1,062,968,453	$1,062,968,453	$0	$0
INTERCOMPANY PURCHASED SERVICES	561000	$14,561,650	$13,382,335	$1,179,315	$0
PATHOLOGY LABS	621500	$3,342,602	$0	$3,342,602	$0
MOLECULAR DIAGNOSTICS BIOREPOSITORY	621500	$677,106	$0	$677,106	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,081,549,811	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,447,378	TotalRevenueColumnAmt
Unrelated Business Revenue	$542,115	UnrelatedBusinessRevenueAmt
Exclusion	$6,905,263	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,452,129	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,452,129	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,452,129	TotalRevenueColumnAmt
Exclusion	$2,452,129	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$569,559,953	SecuritiesAmt
Other	$986,941	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$560,885,975	SecuritiesAmt
Other	$942,256	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,673,978	SecuritiesAmt
Other	$44,685	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,718,663	TotalRevenueColumnAmt
Exclusion	$8,718,663	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$131,306	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$838,444	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$183,540	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,234	TotalRevenueColumnAmt
Exclusion	-$52,234	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER SERVICES	621500	$7,265,136	$6,682,521	$582,615	$0
RESEARCH	621500	$1,614,473	$1,614,473	$0	$0
CIPN INCOME	621500	$2,806,482	$357,468	$2,449,014	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,405,672	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,405,672	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,091,763	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,189,712,302	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,091,410,922	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,772,767	UnrelatedBusinessRevenueAmt
Exclusion	$18,023,821	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,179,151	TotalAmt
Program Services	$3,179,151	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$980,031	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$980,031	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$415,638,257	TotalAmt
Program Services	$407,657,956	ProgramServicesAmt
Management And General	$7,980,301	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$34,761,134	TotalAmt
Program Services	$34,087,965	ProgramServicesAmt
Management And General	$673,169	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$50,073,452	TotalAmt
Program Services	$48,973,454	ProgramServicesAmt
Management And General	$1,099,998	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,708,525	TotalAmt
Program Services	$28,115,055	ProgramServicesAmt
Management And General	$593,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$544,889	TotalAmt
Program Services	$317,661	ProgramServicesAmt
Management And General	$227,228	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$425,485	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$425,485	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$35,820	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$35,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$720,522	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$720,522	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$126,913,192	TotalAmt
Program Services	$125,451,577	ProgramServicesAmt
Management And General	$1,461,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$626,227	TotalAmt
Program Services	$599,441	ProgramServicesAmt
Management And General	$26,786	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,137,906	TotalAmt
Program Services	$4,893,960	ProgramServicesAmt
Management And General	$243,707	ManagementAndGeneralAmt
Fundraising	$239	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$625,376	TotalAmt
Program Services	$621,856	ProgramServicesAmt
Management And General	$3,520	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,271,476	TotalAmt
Program Services	$19,962,745	ProgramServicesAmt
Management And General	$308,731	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$860,473	TotalAmt
Program Services	$860,473	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$844,426	TotalAmt
Program Services	$767,511	ProgramServicesAmt
Management And General	$76,915	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,281,786	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$16,281,786	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,548,214	TotalAmt
Program Services	$42,334,127	ProgramServicesAmt
Management And General	$214,087	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,769,431	TotalAmt
Program Services	$124,076	ProgramServicesAmt
Management And General	$8,645,355	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$179,115,244	$179,115,244	$0	$0
INTERCOMPANY EXPENSES	$131,280,971	$123,526,783	$7,602,107	$152,081
TAXES	$31,968,797	$31,768,558	$200,239	$0
DUES AND SUBSCRIPTIONS	$1,934,065	$1,027,973	$906,092	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,885,888	TotalAmt
Program Services	$5,422,293	ProgramServicesAmt
Management And General	$450,489	ManagementAndGeneralAmt
Fundraising	$13,106	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,108,130,738	TotalAmt
Program Services	$1,058,807,859	ProgramServicesAmt
Management And General	$49,157,453	ManagementAndGeneralAmt
Fundraising	$165,426	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$75,870	BOYAmt
EOY	$113,733	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,928,510	BOYAmt
EOY	$15,214,474	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$194,373,382	BOYAmt
EOY	$177,165,803	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,682,527	BOYAmt
EOY	$14,988,746	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,812,694	BOYAmt
EOY	$8,972,497	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$924,740,123	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$567,653,173	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$349,128,580	BOYAmt
EOY	$357,086,950	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$411,275,557	BOYAmt
EOY	$402,305,347	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$395,416,001	BOYAmt
EOY	$455,196,032	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,137,045	BOYAmt
EOY	$3,165,522	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,270,348	BOYAmt
EOY	$386,545,832	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,421,100,514	BOYAmt
EOY	$1,820,754,936	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$310,488,873	BOYAmt
EOY	$253,904,398	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$373,605,781	BOYAmt
EOY	$355,484,190	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,810,757	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,401,668	BOYAmt
EOY	$323,468,647	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$704,496,322	BOYAmt
EOY	$955,667,992	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$692,573,245	BOYAmt
EOY	$842,114,187	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,080,133	BOYAmt
EOY	$17,021,943	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,950,814	BOYAmt
EOY	$5,950,814	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$716,604,192	BOYAmt
EOY	$865,086,944	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,421,100,514	BOYAmt
EOY	$1,820,754,936	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$81,581,564	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$47,750,854	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$84,057	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$19,066,277	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$35,820	FilingOrganizationsTotalAmt
Affiliated Group Total	$122,347	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$35,820	FilingOrganizationsTotalAmt
Affiliated Group Total	$122,347	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,058,807,859	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,313,455,757	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,058,843,679	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,313,578,104	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$52,172	CurrentYearMinus3Amt
Current Year Minus2	$126,289	CurrentYearMinus2Amt
Current Year Minus1	$103,797	CurrentYearMinus1Amt
Current Year	$122,347	CurrentYearAmt
Total	$404,605	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,236,719	BeginningYearBalanceAmt
Contributions	$2,500	ContributionsAmt
Investment Earnings Or Losses	$657,875	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$82,401	GrantsOrScholarshipsAmt
Other Expenditures	$1,137,297	OtherExpendituresAmt
End Year Balance	$7,677,396	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,336,646	BeginningYearBalanceAmt
Contributions	$1,000	ContributionsAmt
Investment Earnings Or Losses	$905,766	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,948	GrantsOrScholarshipsAmt
Other Expenditures	$745	OtherExpendituresAmt
End Year Balance	$8,236,719	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,486,419	BeginningYearBalanceAmt
Contributions	$1,000	ContributionsAmt
Investment Earnings Or Losses	-$135,813	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$14,000	GrantsOrScholarshipsAmt
Other Expenditures	$960	OtherExpendituresAmt
End Year Balance	$7,336,646	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,061,260	BeginningYearBalanceAmt
Contributions	$1,000	ContributionsAmt
Investment Earnings Or Losses	$128,985	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$19,000	GrantsOrScholarshipsAmt
Other Expenditures	$685,826	OtherExpendituresAmt
End Year Balance	$7,486,419	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,084,272	BeginningYearBalanceAmt
Contributions	$1,000	ContributionsAmt
Investment Earnings Or Losses	$1,127,457	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,000	GrantsOrScholarshipsAmt
Other Expenditures	$138,469	OtherExpendituresAmt
End Year Balance	$8,061,260	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.78000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,716,768	OtherCostOrOtherBasisAmt
Book Value	$36,716,768	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$272,752,723	OtherCostOrOtherBasisAmt
Depreciation	$178,655,926	DepreciationAmt
Book Value	$94,096,797	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,769,753	OtherCostOrOtherBasisAmt
Depreciation	$13,502,723	DepreciationAmt
Book Value	$7,267,030	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$563,046,028	OtherCostOrOtherBasisAmt
Depreciation	$375,494,524	DepreciationAmt
Book Value	$187,551,504	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,454,851	OtherCostOrOtherBasisAmt
Book Value	$31,454,851	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$357,086,950	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS-NON PUBLIC	Desc
Book Value	$455,196,032	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$455,196,032	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$385,535,569
OTHER ASSETS-RESTRICTED FOR LT	$947,766
DEFERRED RENT	$62,497

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$386,545,832	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$305,578,294
DUE TO GOVERNMENT	$17,890,353

Field	Value	IRS element (for citing)
Total Liability	$323,468,647	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	Intended use of endowment funds THE QUEEN'S MEDICAL CENTER USES THE EARNINGS ON PERMANENTLY ENDOWED INVESTMENTS FOR THE PURPOSES INTENDED BY THE DONORS OF THESE FUNDS.
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, 2018.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BENEFIT DINNER	Event1Nm
Gross Receipts Event1	$969,750	GrossReceiptsEvent1Amt
Charitable Contri Event1	$838,444	CharitableContriEvent1Amt
Gross Revenue Event1	$131,306	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$7,700	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$124,761	FoodAndBeverageEvent1Amt
Entertainment Event1	$35,962	EntertainmentEvent1Amt
Other Direct Expenses Event1	$15,117	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$969,750	GrossReceiptsTotalAmt
Charitable Contributions Tot	$838,444	CharitableContributionsTotAmt
Gross Revenue Total Events	$131,306	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$7,700	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$124,761	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$35,962	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$15,117	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$183,540	DirectExpenseSummaryEventsAmt
Net Income Summary	-$52,234	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,206,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,206,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,186,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,651,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,535,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,392,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,651,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,741,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,270,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,270,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,365,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,365,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,576,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,818,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,758,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$753,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$753,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,524,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,524,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,488,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,818,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,670,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,880,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,469,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,411,000	NetCommunityBenefitExpnsAmt
Total Expense	0.07000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$47,656,000	BadDebtExpenseAmt
Reimbursed By Medicare	$276,315,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$310,184,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,869,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE QUEEN'S MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 PUNCHBOWL STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96813	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.QUEENS.ORG	WebsiteAddressTxt
State License	29-H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	The Queen's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 Input from Community Representatives The qualitative data used in this assessment consists of key informant interviews collected by Storyline Consulting. Key informants are individuals recognized for their knowledge of community health in one or more health areas, and were nominated and selected by the HAH Advisory Committee in September 2014. Fifteen key informants were interviewed for their knowledge about community health needs, barriers, strengths, and opportunities (including needs for vulnerable and underserved populations as required by IRS regulations). Interview topics were not restricted to the health area for which a key informant was nominated. Key informants included representatives from: American Diabetes Association Catholic Charities Hawaii Hawaii Department of Education Hawaii Department of Health, Behavior Health Services Hawaii Department of Health, Disease Outbreak and Control Division Hawaii Department of Human Services Executive Office of Aging Hawaii Governors Office Hawaii Dental Services Hawaii Medical Service Association Hawaii Primary Care Association Hawaii State Department of Health Homeless Programs Office John A. Burns School of Medicine State Senate Excerpts from the interview transcripts were coded by relevant topic areas and other key terms using the qualitative analytic tool Dedoose. The frequency with which a topic area was discussed in key informant interviews was one factor used to assess the relative urgency of that topic areas health and social needs.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA HOSPITAL FACILITIES Fifteen hospitals, located throughout the state, participated in the CHNA project: Castle Medical Center Sutter Health Kahi Mohala Behavioral Health Kahuku Medical Center Kaiser Permanente Medical Center Kapiolani Medical Center for Women & Children Kuakini Medical Center Molokai General Hospital North Hawaii Community Hospital Pali Momi Medical Center Rehabilitation Hospital of the Pacific Shriners Hospital for Children Honolulu Straub Clinic & Hospital The Queens Medical Center Wahiawa General Hospital Wilcox Memorial Hospital
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA Other than Hospital Facilities The Healthcare Association of Hawaii partnered with Healthy Communities Institute to conduct a CHNA for Hawaii County.
SCHEDULE H, PART V, SECTION B, LINE 7A	WEBSITE WHERE THE QUEEN'S MEDICAL CENTER FACILITY'S CHNA CAN BE ACCESSED: https://www.queens.org/about-us/community-benefit-qhs
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ASSESSED Together, the Healthcare Association of Hawaii (HAH) member hospitals prioritized the areas of need for the state. The top ranked priorities were Access to Health Services, Diabetes, and Mental Health & Mental Disorders. Next, each hospital conducted an independent prioritization of need to determine their facility-specific priorities. The Queens Medical Center has selected to continue with Diabetes as its priority area. Queens mission 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. Senior management of The Queens Health Systems (Queens), the nonprofit parent company of The Queens Medical Center, discussed the community health needs identified in this assessment and selected to continue with Diabetes as the priority area. (Queens senior management team includes the president and chief executive officer, chief operating officer, chief financial officer, chief physician executive, operating entity heads, clinical leaders [physicians and service lines], and those responsible for system-wide functions such as human resources, endowment, legal, corporate development, information technology, strategic planning, and community development.) As in 2013, the reasons considered in selecting Diabetes for 2016 are compelling and include: Diabetes - One of the most serious, common, and costly diseases in Hawaii and the U.S. - Disease on the rise, projected to increase in severity due to the obesity epidemic - Often leads to additional health issues and complications (e.g. heart disease and stroke, kidney disease, hypertension, blindness and eye problems, etc.) United States - 29.1 million Americans have diabetes (9.3% of the population) - An estimated 86 million Americans aged 20 years or older have prediabetes - The estimated cost of prediabetes and diabetes in the U.S. is $322 billion, of which $244 billion is spent on direct medical costs and $78 billion on indirect costs. - 7th leading cause of death Source: American Diabetes Association Statewide - 154,365 people in Hawaii have diabetes (13.9% of the population) - 442,000 people have prediabetes (41.5% of the adult population) - After accounting for disparities/differences in screening for diabetes across race-ethnic groups in Hawaii, the prevalence of diagnosed diabetes or prediabetes is greatest for Other Pacific Islanders (27%), Native Hawaiians (25%), Filipinos (25%), and Japanese (21%). - As many as 1 in 3 American children born after 2000 will develop diabetes by 2050, and, for minority communities, the number is closer to 1 in 2 American children born after 2000 will develop diabetes by 2050 if present trends continue. Source: American Diabetes Association Additionally - Nationally in 2013, 25%-30% of patients waiting for a kidney transplant have diabetes; in Hawaii, it is closer to 45%. This is of significance to QMC, as it opened the states only organ transplant center in early 2012 in response to community need when the previous center closed in December 2011. - The Department of Native Hawaiian Health (DNHH) at the University of Hawaiis John A. Burns School of Medicine in 2013 conducted a needs assessment of Native Hawaiians, other Pacific Islanders (e.g. Samoan, Marshallese, Guamanian, Chuukese), and Filipinos (collectively identified as Native Hawaiians and other Pacific Peoples [NHPP]). Through interviews with leaders in DNHHs Ulu Network member organizations, the tope medical concern, identified by 93% of the organizations, was cardiometabolic disease, which is defined as the collective of conditions of diabetes, cardiovascular disease, and obesity. Of these cardiometabolic conditions, diabetes was specifically identified by 83% of the organizations. - Diabetes often leads to other complications that have been identified as community health needs (e.g. cardiac, stroke). By having a more focused effort to address Diabetes in our community, reducing the impact of Diabetes may also reduce the impact of other areas of need. Beginning with the fiscal year ended June 30, 2017, QMC initiated two programs to promote and improve community health for the people of Hawaii through diabetes prevention and management: 1. To provide healthy lifestyle and/or diabetes prevention/management program(s) for Queens employees. 2. To develop a program to delay the onset or reverse biometrics with Diabetes mellitus type 2 in children through the use of purposeful movement within the school day and preventative health education spanning the 4 years of secondary education. The Centers for Disease Control and Preventions Diabetes Prevention Program was offered to Queens employees. The program is provided at no cost to employees and encourages healthy lifestyle changes to reduce their risk of type 2 diabetes and improve their overall health. QMC worked with Waipahu High School to implement a pilot program to integrate purposeful movement within the school day and preventive health education for 20 students. The second year of the program successfully ended with the school year in May 2018. In this time, valuable information was learned and QMC was able to use this information and will continue to work with Waipahu High School on this program. For other areas not directly addressed, QMC currently provides many services and programs to address these needs. These services and programs are offered in/at the hospital, in conjunction with partners, and through outreach to the community. Some examples of QMCs existing services/programs/outreach include: - Heart Disease and Stroke Prevention Screening prevention and prevention education through community activities and community health and wellness events throughout the state; offers and promotes education to physicians, nurses and the public across the state; provides free van transportation to and from QMC appointments for those who require assistance. - Respiratory Disease Management Pulmonary rehabilitation education programs. - Cancer Screening and Prevention Patient navigation program (includes oncology care coordination, transportation coordination, access to community resources, education materials, support groups and classes, information about clinical trials); participation in National Cancer Institute Community Cancer Centers Program with a major focus on reducing cancer health care disparities; cancer screening and education through community activities and health and wellness events. - Mental Health and Mental Disorders QMC, Tripler Army Medical Center and the Hawaii Department of Education partner on a school-based behavioral health program at Wahiawa Elementary School to focus on preventative and early intervention behavioral health care, as well as staff wellness programs. - Older Adults and Aging Community and professional education; raises awareness of geriatric issues by engaging in community wellness and health events throughout the state.
SCHEDULE H, PART V, SECTION B, LINE 13B	Income Level Other than FPG For citizens of foreign countries, the income qualifying level is based on the residents countrys minimum wage.
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER ELIGIBILITY CRITERIA MEDICARE OR MEDICAID/QUEST ELIGIBILITY SCHEDULE H, PART V, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY IS WIDELY AVAILABLE ON THE QUEEN'S MEDICAL CENTER WEBSITE AT: https://www.queens.org/the-queens-medical-center/patients-and-visitors/pay -your-bill/pay-your-bill-qmc
SCHEDULE H, PART V, SECTION B, LINE 16J	OTHER METHOD FOR PUBLICIZING POLICIES NOTICES THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE POSTED IN ALL PATIENT REGISTRATION, BILLING OFFICE AND EMERGENCY DEPARTMENT AREAS. THESE NOTICES DO NOT CONTAIN THE FULL DETAILED TEXT OF THE POLICY. REGISTRATION PERSONNEL ARE KNOWLEDGEABLE TO ASSIST PATIENTS WITH QUESTIONS AND ARE ABLE TO GIVE THEM THE FINANCIAL ASSISTANCE APPLICATION.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
QUEEN'S HEARTGERIATRICS
550 S BERETANIA STREET STE 601	HONOLULU	HI	96813	CARDIAC CARE CENTER
QMC - ENDOSCOPY
550 S BERETANIA STREET STE 701	HONOLULU	HI	96813	ENDOSCOPY SERVICES
QMC - PAIN & SPINE
550 S BERETANIA STREET STE 703/70	HONOLULU	HI	96813	PAIN AND SPINE CLINIC
QMC - RADIOLOGY
550 S BERETANIA STREET STE B-1	HONOLULU	HI	96813	RADIOLOGY SERVICES
QMC - GASTROENTEROLOGY
550 S BERETANIA STREET STE 501	HONOLULU	HI	96813	GASTROENTEROLOGY SERVICES
QMC - RADIOLOGY
1329 LUSITANA STREET STE B-1	HONOLULU	HI	96813	RADIOLOGY SERVICES
QMC - TRANSPLANT CENTER
550 S BERETANIA STREET STE 404/40	HONOLULU	HI	96813	ORGAN TRANSPLANT CENTER
QUEEN'S IMAGING
91-2139 FORT WEAVER ROAD STE 108	EWA BEACH	HI	96701	IMAGING SERVICES
QMC - VALVE & STRUCTURAL HEART
551 S BERETANIA STREET STE 702	HONOLULU	HI	96813	CARDIAC CARE CENTER
QMC - LIVER CENTER
550 S BERETANIA STREET STE 405	HONOLULU	HI	96813	MANAGEMENT OF LIVER HEALTH AND ILLNESS
PHYSICIAN CENTER
91-2135 FORT WEAVER ROAD STE 150	EWA BEACH	HI	96701	PHYSICIAN CENTER
QUEEN'S HEART PHYSICIAN PRACTICE
98-1247 KAAHUMANU STREET STE 206	HONOLULU	HI	96701	CARDIAC CARE CENTER
QMC - CWMP
1380 LUSITANA STREET STE 300	HONOLULU	HI	96813	COMPREHENSIVE WEIGHT MANAGEMENT
QMC - PULMONOLOGY
1331 LUSITANA STREET STE 704	HONOLULU	HI	96813	PULMONOLOGY
QMC - ACUTE CARE SURGICAL CENTER
550 S BERETANIA STREET STE 509	HONOLULU	HI	96813	ACUTE CARE SERVICES
QMC - RESEARCH SERVICES
1330 LUSITANA STREET STE 107	HONOLULU	HI	96813	RESEARCH
DIABETES COMMUNITY EDUCATION
91-2135 FORT WEAVER ROAD STE 180	EWA BEACH	HI	96701	DIABETES EDUCATION CENTER
QMC - HEAD AND NECK
1380 LUSITANA STREET STE 615	HONOLULU	HI	96813	HEAD AND NECK INSTITUTE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6	COMMUNITY BENEFIT REPORT RELATED ORGANIZATION COMMUNITY BENEFITS ARE REPORTED ANNUALLY AS PART OF THE FORM 990. THIS IS NOT SEPARATELY AVAILABLE TO THE PUBLIC. A FORMAL REPORT ISSUED BY THE PARENT COMPANY, THE QUEENS HEALTH SYSTEMS, INCLUDES THE COMMUNITY BENEFITS OF THE QUEENS MEDICAL CENTER. THIS REPORT IS PUBLISHED PERIODICALLY AND IS SEPARATELY AVAILABLE TO THE PUBLIC.
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES).
SCHEDULE H, PART I, LINE 7G	The Queen Emma Clinics provide comprehensive patient care to indigent patients and serve a large homeless population. The net costs associated with these clinics were $673,000.
SCHEDULE H, PART II, LINE 10	COMMUNITY BUILDING ACTIVITIES 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. QMC is the only Level I Trauma Center in the State of Hawaii. In order to provide access to its emergency department and hospital, QMC, in conjunction with the State Department of Transportation and City Department of Transportation Services, supported the construction of the Kinau Off-Ramp.
SCHEDULE H, PART III, LINE 2	QMC provides an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. QMC estimates the allowance based on the aging of the accounts receivable, historical collection experience by payor and other relevant factors. QMC provides medical services to patients who do not have the ability to pay (patients are not billed - charity care) and patients who refuse to pay (bad debts). The amount of bad debt expense attributable to patients eligible under QMC's financial assistance policy is calculated based on the cost-to-charge ratio.
SCHEDULE H, PART III, LINE 4	BAD DEBT EXPENSE FOOTNOTE QMC PROVIDES MEDICAL SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY (PATIENTS ARE NOT BILLED - CHARITY CARE) AND PATIENTS WHO REFUSE TO PAY (BAD DEBTS). THE AUDITED FINANCIAL STATEMENTS DO NOT DESCRIBE BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS DO DESCRIBE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. "QMC PROVIDES FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE BY ESTABLISHING AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. QMC ESTIMATES THE ALLOWANCE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS."
SCHEDULE H, PART III, LINE 8	MEDICARE COSTING METHODOLOGY The Medicare amounts above are calculated with data from the June 30, 2018 cost report, using the step down method. Consistent with reporting requirements, there are amounts excluded from the costs listed in Line 6. When using the fully allocated cost calculation, the Medicare shortfall was approximately $78,704,000. TREATMENT OF MEDICARE SHORTFALL COMMUNITY BENEFIT The hospital must treat patients regardless of their ability to pay. The government sets non-negotiable Medicare rates and the reimbursement has not kept pace with the rising costs of providing these services. Due to the requirement to provide care and the inability of the Medicare reimbursement to keep pace with the cost of providing services, we feel that the loss from services provided to Medicare beneficiaries is part of QMCs mission and is a benefit to the community. SCHEDULE H, PART III, LINE 9B APPLICATION OF THE COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE Every attempt is made before discharge to screen patients who have no documentation of medical insurance for possible eligibility for discounted care. Non-ER outpatients with no medical insurance are referred to the patients physician for a determination of urgent or emergency care status. Charity care discounts are based on financial need which is determined by income and asset thresholds based on federal poverty levels and in compliance with federal rules and regulations. Patients are requested to complete a discounted care application and must submit income and asset verification documents. Patients may also be deemed eligible for QMC discounted care based on prior or subsequent Medicaid eligibility. Once eligibility for QMC discounted care is confirmed, a payment plan is discussed with the patient. Billing statements for patients are mailed monthly to all patients with self pay balances; including patients with balances after QMC discounted care is applied. Billing statements for patients with no insurance include a statement advising them to call the number on the statement to discuss options for financial assistance.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT QMCs mission 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. Using publicly available reports and data, and through discussion with stakeholders, QMC assesses the health care needs of the community we serve by focusing on five strategic dimensions including superior quality and performance, being the provider of choice, employer of choice, displaying responsible citizenship and focusing on financial performance. Core strategies involving responsible citizenship to the community include hardwiring our Native Hawaiian Health strategic plan throughout Queens entities, creating a sustainable infrastructure that allows Queens to quantify and articulate community benefit, and strengthening government and community partnerships to support access and availability of programs and services that help address unmet community health needs.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Medicaid and Medicare eligibility requirements are discussed with inpatients and/or inpatients family members. QMC has a contracted vendor who performs Medicaid eligibility assessments and works with patients to submit an application and the required documents. Patients who may qualify for Medicare are provided contact information for the social security office. Signs are posted in registration areas throughout the hospital advising that QMC has a discounted care policy.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION QMC is the leading medical referral center in the Pacific Basin. Located in downtown Honolulu, its the largest private hospital in Hawaii. According to recent demographic census data, the State of Hawaii is very diverse and includes a population that is approximately 10% native Hawaiian, other Pacific Islander, Native Alaskan and American Indian. Other demographic information regarding Hawaii is as follows: - Median age: 38.1 years old (1) - 37.8% Asian, 25.6% white, 9.8% Native Hawaiian/Other Pacific Islander, 23.5% Two or more races (1) - Median household income: $67,402 (2009 2013) (1) - 11.2% of Hawaiis population lives in poverty (1) - Other than Oahu, the entirety of each island is considered underserved (1) - Number of Hospitals (by County) Hawaii County: 6 Maui County: 4 C&C Honolulu: 9 Kauai County: 3 (1) Healthcare Association of Hawaii: Hawaii State Community Health Needs Assessment, Hawaii Health Information Corporation.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH The amounts mentioned in Part II of Schedule H represent costs incurred to ensure continued operations that benefit the community. To support the Queens mission and to fulfill the tax-exempt purpose as a charitable hospital, Queens provides a number of community benefits. This includes uncompensated care, where QMC provides medical services to patients who do not have the ability to pay (patients are not billed charity care) and patients who refuse to pay (bad debt). Queens is also home to the Queen Emma Clinics, where QMC provides outpatient services to indigent patients. Other examples include emergency preparedness costs and amounts expended to expand and test back-up power that can service patients in times of emergency. In addition, QMC provides many free informational seminars and educational opportunities to the public to promote the health of the community. These programs are specifically directed to address health issues within the community including diabetes, cancer and womens health issues. A majority of QMCs governing body is comprised of persons who reside in QMCs primary service area (Oahu) who are neither employees nor independent contractors of QMC. QMC extends medical staff privileges to all qualified physicians in its community for all of its departments.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM QMC Is a member of The Queens Health Systems (QHS) Affiliated Group. The group also includes Queen Emma Land Company (QEL), Queens Insurance Exchange (QIE), Queens Development Corporation (QDC), Molokai General Hospital (MGH) And North Hawaii Community Hospital (NHCH). QHS provided legal, accounting and administrative support services to QMC and QIE provided medical malpractice insurance to QMC. Affiliate organizations of the Queens Health Systems operate the only hospital on the island of Molokai, operate the North Hawaii Community Hospital on the Big Island, provide diagnostic laboratory services, operate pharmacies and provide the hospitals with general and professional liability insurance.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
After School Allstars
4747 Kilauea Avenue 210	Honolulu	HI	96816	274604870	501(c)(3)	$6,000	Contribution '9th Annual All-Stars Affair' Contribution '2018 Bi-Annual Pacific Region Indige Contribution '2017 Benefit Concert' Sponsorship '2018 Relay for Life' Contribution '2018 ADA Hawaii Year Round Sponsorsh Sponsorship '2018 Heart Walk' Sponsorship '2018 Red Cross Corporate Partner Prog Sponsorship '2018 Taste of the Town' Contribution: 'National Conference, Voices 2017' Sponsorship '2017 Giving Thanks Benefit Event' Sponsorship '20th Annual Bernice Pauahi Bishop Mus Contribution '2018 Hawaii's Distinguished Citizen' Sponsorship '22nd Annual Walk in the Country, Buil Donation Sponsorship: 'Lights! Camera! Action! CFS Brings Donation Contribution 'Provide General Operating Support' Contribution '2018 Women of Distinction Dinner' Donation Contribution 'A New Home for Hale Kipa' Sponsorship '2018 Friends of the Science Fair' Sponsorship 'Born to be Wild Annual Fundraiser' Sponsorship '2018 Hawaii Food & Wine Festival' Contribution '2018 Annual Fundraising Gala' Contribution: 'Huak
Ahahui O Na Kauka
677 Ala Moana Boulevard 1015	Honolulu	HI	96814	990337991	501(c)(3)	$25,000	Contribution "Acute & Critical Care Nursing Symposium"
Aloha Medical Mission
810 North Vineyard	Honolulu	HI	96817	990234811	501(c)(3)	$10,000	Contribution "Hope Lodge Fundraising, Matching Challenge"
American Cancer Society
2370 Nuuanu Avenue	Honolulu	HI	96817	131788491	501(c)(3)	$17,500	2017 Multi-Level Sponsorship
American Diabetes Association
875 Waimanu Street Ste 601	Honolulu	HI	96813	131623888	501(c)(3)	$57,500	Sponsorship "Heart Ball 2017"
American Heart Association
677 Ala Moana Boulevard Ste 600	Honolulu	HI	968135485	135613797	501(c)(3)	$25,000	2017 Red Cross Corporate Partner
American Red Cross
4155 Diamond Head Road	Honolulu	HI	96816	530196605	501(c)(3)	$15,000	Sponsorship "2017 Walk to Cure Arthritis"
Arthritis Foundation Hawaii Branch
615 Piikoi Street Ste 1109	Honolulu	HI	96814	951885447	501(c)(3)	$15,000	Sponsorship "Giving Thanks Benefit Event"
Assistance Dogs of Hawaii
675 Kealaloa Avenue	Makawao	HI	96768	990353694	501(c)(3)	$10,000	Sponsorship "Ellison Onizuka Day of Exploration"
Bishop Museum
1525 Bernice Street	Honolulu	HI	968172704	990161980	501(c)(3)	$10,000	Sponsoship "21st Annual Walk in the Country"
Boy Scouts of America Aloha Council
42 Puiwa Road	Honolulu	HI	96817	990073482	501(c)(3)	$7,000	Sponsorship "Mahalo Dinner for Jerry Rauckhorst"
Boys and Girls Club of Hawaii
345 Queen Street Ste 900	Honolulu	HI	96813	996005407	501(c)(3)	$6,000	Donation
Child & Family Service
91-1841 Fort Weaver Road	Ewa Beach	HI	96706	990073483	501(c)(3)	$20,000	Donation
Friends of the Future
64-1032 Mamalahoa Hwy	Kamuela	HI	96743	990296604	501(c)(3)	$25,000	Donation
Hale Kipa Inc
615 Piikoi Street Ste 203	Honolulu	HI	96814	237061499	501(c)(3)	$20,000	Kipuka o ke Ola - Primary Care Program
Hawaii Academy of Science
1776 University Avenue UA4 Rm 4	Honolulu	HI	96822	996006863	501(c)(3)	$30,000	Sponsorship "50th Anniversary Celebration"
Hawaii Food & Wine Festival
3538 Waialae Ave 203	Honolulu	HI	96816	460618609	501(c)(3)	$30,000	Contribution "A New Home for Hale Kipa"
Hawaii Meals on Wheels
PO Box 61194	Honolulu	HI	96839	990198132	501(c)(3)	$8,000	Sponsorship "2017 Hawaii State Science & Engineering Fair"
Hospice Hawaii Inc
860 Iwilei Road	Honolulu	HI	96817	990203930	501(c)(3)	$12,500	Sponsorship "2016 Annual Ka Mana O Ke Kanaka Awards"
Island Pacific Academy
909 Haumea St	Kapolei	HI	96707	680534162	501(c)(3)	$6,000	Contribution "HPU Trustees Dinner"
KAMP Hawaii
92-681 Wainohia Place	Kapolei	HI	96707	203412425	501(c)(3)	$6,000	Sponsorship "Ho'ola, The Hawaii Health Care Conference"
KUPU
677 Ala Moana Boulevard Ste 1200	Honolulu	HI	96813	510652665	501(c)(3)	$25,000	Contribution "West Oahu Capital Campaign"
Lunalilo Home
501 Kekauluohi Street	Honolulu	HI	96825	990075244	501(c)(3)	$5,500	Contribution "A Musical Journey, Hawaiian Language"
March of Dimes
1451 South King Street Ste 504	Honolulu	HI	96814	131846366	501(c)(3)	$15,500	Contribution "2016 Kama'aina of the Year"
National Kidney Foundation of Hawaii
1314 South King Street Ste 1555	Honolulu	HI	96814	990266733	501(c)(3)	$25,075	Sponsorship "3rd Annual Gala, The Pearl"
Polynesian Football Hall of Fame
PO Box 11266	Honolulu	HI	96828	463158865	501(c)(3)	$25,000	Sponsorship "40th Anniversary Gala 2016"
Public Schools of Hawaii Foundation
PO Box 4148	Honolulu	HI	96812	880243449	501(c)(3)	$15,000	Sponsorship "1st Annual Alana Gala"
Rehab Foundation
226 North Kuakini Street	Honolulu	HI	96817	990241634	501(c)(3)	$6,000	Sponsorship "2016 Order of Ke Alii Pauahi Award Gala"
Rotary District 5000 Foundation
705 Queen Street	Honolulu	HI	96813	990053560	501(c)(3)	$25,000	Contribution "25th Annual Lunalilo Home Golf Tournament"
Salvation Army
PO Box 620	Honolulu	HI	96809	990073540	501(c)(3)	$10,000	Sponsorship 2016 Jingle Rock Run, "Rock the Wish"
ST ANDREW'S PRIORY SCHOOL
224 Queen Emma Square	Honolulu	HI	96813	990073525	501(c)(3)	$28,000	Sponsorship "Dynamic Duos Fighting Kidney Disease in Hawaii"
St Francis Healthcare Foundation of HI
2228 Liliha Street Ste 205	Honolulu	HI	96817	990240060	501(c)(3)	$25,000	Sponsorhip "Celebrating an Evening with Bill Paty"
SUSAN G KOMEN BREAST CANCER FOUNDATION
3555 Harding Ave Ste 2D	Honolulu	HI	96816	752844635	501(c)(3)	$25,000	Donation
Teach for America - Hawaii
315 West 36th Street 6th Floor	New York	NY	10018	133541913	501(c)(3)	$6,000	Contribution "Aha Hipu'u 11th annual Kalani Ali'I Awards Banquet"
UCERA - UNIVERSITY CLINICAL ED & RSCH
677 Ala Moana Boulevard Ste 1001	Honolulu	HI	968135485	990307152	501(c)(3)	$250,000	Sponsorship "Inaugural Polynesian Bowl"
University of Hawaii Foundation
2444 Dole Street Bachman Hall 105	Honolulu	HI	96822	990085260	501(c)(3)	$426,158	Sponsorship "Hokule'a Homecoming"
Waimanalo Health Center
41-1347 Kalanianaole Highway	Waimanalo	HI	967951274	990273205	501(c)(3)	$40,000	Contribution "2016 Kalaniana'ole Scholarship Pa'ina"
Hawaii Cancer Consortium
55 Merchant Street Ste 2700	Honolulu	HI	96813	452280259	501(c)(3)	$1,000,000	Sponsorship "26th Annual Kulia I Ka Nu'u Awards Banquet"
Healthcare Association of Hawaii
707 Richards Street PH2	Honolulu	HI	96813	990105817	501(c)(6)	$12,500	Sponsorship "2017 Hall of Honor Awards"
Hawaii Police Department
349 Kapiolani Street	Hilo	HI	96720	996000567	GOVT		Sponsorship "15th Annual Waikiki Spam Jam"	$12,146	FMV	RESPIRATORS
Chamber of Commerce of Hawaii
1132 Bishop Street Ste 2105	Honolulu	HI	96813	990035510	501(c)(6)	$10,000	Sponsorship "2017 Queen Emma Ball"
University of Hawaii
PO Box 11270	Honolulu	HI	968280270	996000354	GOVT	$599,776	Sponsorship "2017 Pink Tie Ball"

Field	Value	IRS element (for citing)
Total501c3 Org	40	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE QUEEN'S MEDICAL CENTER MAKES DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS WITH THE PURPOSE OF PROVIDING OPPORTUNITIES FOR BETTER HEALTH AND WELLNESS TO ALL THE PEOPLE OF HAWAII. THERE ARE GENERALLY NO RESTRICTIONS PLACED ON THE USE OF THOSE DONATIONS AND THE RECEIVING ORGANIZATION MAY USE THE DONATIONS AT THEIR DISCRETION IN ORDER TO FURTHER THEIR EXEMPT PURPOSE. WHERE RESTRICTIONS ARE PLACED ON THE USE OF THOSE DONATIONS, QMC REQUESTS FINANCIAL REPORTS IN ORDER TO MAINTAIN SUCH USE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
ROBERT HONG MD
TRUSTEE	$407,734	$94,652	$3,726	$26,813	$0	$7,292	$0	$540,217	$0	$0	$0
ARTHUR USHIJIMA
TRUSTEE/PRESIDENT				$0	$75,991	$0	$14,835	$0	$1,138,273	$0	$0	$899,382	$148,065
JASON CHANG
EVP/COO	$503,915		$4,364	$134,138	$721	$21,072	$936	$663,489	$22,162	$0	$0	$20,482	$23
WHITNEY LIMM MD
SENIOR VICE PRESIDENT				$0	$168,628	$0	$17,784	$0	$775,872	$0	$0	$521,925	$67,535
SUSAN MURRAY
VP/COO - QMC WEST OAHU	$13,956	$0	$1,409	$0	$47,020	$634	$14,351	$15,999	$450,224	$0	$0	$343,983	$44,870	$0
JOHN NITAO
VP/GENERAL COUNSEL	$0	$0	$0	$0	$73,199	$0	$23,378	$0	$506,806	$0	$0	$367,304	$42,925	$0
MICHEL RICCIONI
TREASURER				$0	$42,888	$0	$7,278	$0	$624,062	$0	$0	$297,541	$1,355	$275,000
SHARLENE TSUDA
SECRETARY				$0	$64,065	$0	$14,902	$0	$340,156	$0	$0	$235,602	$25,587
CLINTON YEE
ASSISTANT TREASURER				$0	$18,763	$0	$27,197	$0	$232,588	$0	$0	$178,525	$8,103
JEFFREY MING SHAN LAU MD
PHYSICIAN	$448,771	$265,699		$0		$14,446		$728,916		$0	$0
SUNG BAE LEE MD
PHYSICIAN	$598,197	$346,705	$24,332	$42,993	$0	$23,638	$0	$1,035,865	$0	$0	$0
JEFFREY LOH MD
PHYSICIAN	$452,898	$723,397	$933	$37,307	$0	$22,351	$0	$1,236,886	$0	$0	$0
TODD SETO MD
PHYSICIAN	$415,570	$295,913	$17,255	$30,953	$0	$7,709	$0	$767,400	$0	$0	$0
ROGER YIM MD
PHYSICIAN	$422,909	$295,538	$18,740	$43,677	$0	$24,893	$0	$805,757	$0	$0	$0
ERIC MARTINSON
FORMER TREASURER				$0	$91,902	$0	$24,534	$0	$599,877	$0	$0	$433,166	$50,275	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	The organization relied on the Queens Health System (QHS, PARENT COMPANY) to determine compensation of the top management official. QHS used a compensation committee, independent compensation consultant, compensation survey and study, Form 990 of other organizations and approval by the Board or Compensation Committee.
SCHEDULE J, PART I, LINE 7	Other Non-Fixed Payments Recognition awards were paid to 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. Also, certain physicians receive incentive compensation based on professional services collections by QMC. A maximum of such incentive compensation is capped according to QMC policy.
SCHEDULE J, PART II & FORM 990, PART VII	COMPENSATION PAID FOR SERVICES Arthur A. Ushijima Mr. Ushijima serves as a trustee for QHS and several other Queens related affiliates. Mr. Ushijima also serves as President and Chief Executive Officer of QHS and as President of the Queens Medical Center ("QMC"). His hours served as a trustee of QMC is 1 hour per week. He is a volunteer trustee and is not compensated for these services. 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 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 NORTH HAWAII COMMUNITY HOSPITAL ("NHCH") and VP of Community Development of QHS. She was not separately compensated for these services. The compensation listed is her total compensation for all services. ERIC MARTINSON MR. MARTINSON SERVES AS VICE PRESIDENT/CHIEF INVESTMENT OFFICER OF QHS AND PRESIDENT OF QUEEN EMMA LAND COMPANY ("QEL"). HE WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. Michel Riccioni Mr. Riccioni serves as Treasurer of QMC and Treasurer/Chief Financial Officer of QHS. He was 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 was 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 QHS and Secretary of QEL. He was not separately compensated for these services. The compensation listed is his total compensation for all services. Susan Murray Ms. Murray serves as Senior VP of QHS-West Oahu Region and COO of QMC-West Oahu. She was 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 QHS, Assistant Treasurer of QMC, QHS, QEL and Treasurer of MGH. He was not separately compensated for these services. The compensation listed is his total compensation for all services. Robert Hong, MD Dr. Hong serves as a trustee and Chief of Staff of QMC. He is a volunteer trustee and is not compensated for these services. The compensation listed is his total compensation for his on-call specialty services.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DEPARTMENT OF BUDGET AND FINANCE STATE OF HI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	990266961	BondIssuerEIN
CUSIP	419800LM7	CUSIPNum
Bond Issued	2015-01-29	BondIssuedDt
Issue Price	$350,356,476	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$350,362,507	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$4,726,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$156,477,605	CapitalExpendituresAmt
Other Spent Proceeds	$160,009,007	OtherSpentProceedsAmt
Unspent	$29,149,895	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	ML CAPITAL SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	6.5	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K

DESCRIPTION OF ARRANGEMENT RELATED ORGANIZATION REPORTING THE QUEENS MEDICAL CENTER (QMC) SOLE CORPORATE MEMBER, THE QUEENS HEALTH SYSTEMS (QHS) BORROWED ON BEHALF OF ITSELF AND ITS AFFILIATE, 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 SEPARATELY ON FORM 990, PART X. QMCS SHARE OF THE OUTSTANDING LIABILITY IS $355,484,190.

PART I, LINE A, COLUMN (F)

DESCRIPTION OF PURPOSE THE BONDS ARE ISSUED FOR THE BENEFIT OF THE BORROWER (THE QUEENS 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 QUEENS MEDICAL CENTER AND 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 QUEENS 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

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$10,609	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TABLE FAVORS	1	$6,240	FMV
Yes (X)	34 CASES OF WINE	1	$6,120	FMV
Yes (X)	FLORAL & TABLE FAVORS	1	$7,550	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, THE QUEEN'S MEDICAL CENTER (QMC) IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. THE QMC HAS 505 ACUTE CARE BEDS AND 28 SUB-ACUTE CARE BEDS. WITH OVER 5,200 EMPLOYEES AND OVER 1,300 PHYSICIANS ON STAFF, IT IS ALSO ONE OF THE STATE OF HAWAIIS LARGEST EMPLOYERS. AS THE LEADING MEDICAL REFERRAL CENTER IN HAWAII AND THE PACIFIC BASIN, QMC IS WIDELY KNOWN FOR ITS PROGRAMS IN CANCER, CARDIOVASCULAR DISEASE, NEUROSCIENCE, ORTHOPEDICS, SURGERY, TRAUMA, BEHAVIORAL MEDICINE AND WOMENS HEALTH. QMC OFFERS A COMPREHENSIVE RANGE OF SPECIALTIES, INCLUDING CARDIAC DIAGNOSTICS, GASTROENTEROLOGY, GENETICS, GERIATRICS, GYNECOLOGY, NEONATOLOGY, OBSTETRICS AND PULMONOLOGY. QMC SERVES AS THE MAIN TRAUMA CENTER IN THE PACIFIC BASIN, ("TRAUMA" IS DEFINED AS A LIFE-THREATENING INJURY OR SHOCK) AND HAS BEEN VERIFIED AS A LEVEL I TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS. QMC IS HOME TO A NUMBER OF RESIDENCY PROGRAMS OFFERED IN CONJUNCTION WITH THE JOHN A BURNS SCHOOL OF MEDICINE. QMC IS ACCREDITED BY THE JOINT COMMISSION (TJC). QMC IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (QCGME), AND IS A MEMBER OF VIZIENT, A NATIONAL COOPERATIVE OF OVER 1,400 HOSPITALS. 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. TO SUPPORT THE QMC MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QMC PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $159M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2018. 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, 2018, THE ESTIMATED COST OF PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $2,206,000 AND $47,656,000, 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 $2,236,000 FOR THE YEAR ENDED JUNE 30, 2018. 3. QUEEN EMMA CLINICS - QMC PROVIDES OUTPATIENT SERVICES TO INDIGENT PATIENTS AND OTHERS THROUGH THE QUEEN EMMA CLINICS. THE ESTIMATED COST OF OPERATION OF THE QUEEN EMMA CLINICS WAS APPROXIMATELY $673,000 FOR THE YEAR ENDED JUNE 30, 2018. 4. 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 $9,989,000 IN ON-CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2018. 5. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $16,100,000 DURING THE YEAR ENDED JUNE 30, 2018 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. 6. 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, 2018 WAS $261,000. 7. 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, 2018 WAS $1,299,000. 8. TRANSPORTATION SERVICES - QMC PROVIDES TRANSPORTATION TO AND FROM THE MEDICAL CENTER TO PATIENTS WHO REQUIRE ASSISTANCE. THE COST OF PROVIDING THESE SERVICES WAS $1,000 FOR THE YEAR ENDED JUNE 30, 2018. 9. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2018, RESEARCH COSTS WERE $753,000. 10. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2018, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS CONSISTENT WITH QMCS EXEMPT PURPOSE WERE $2,275,000. OF THIS AMOUNT, $590,000 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. 11. 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. FOR THE YEAR ENDED JUNE 30, 2018, COSTS INCURRED FOR THE ELECTRICAL GENERATOR PROJECT WERE $51,000. TOTAL PROJECT COSTS INCURRED AS OF JUNE 30, 2018 WERE APPROXIMATELY $34,420,000. 12. 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 $38,535,000 DURING THE YEAR ENDED JUNE 30, 2018. 13. 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 $33,869,000 DURING THE YEAR ENDED JUNE 30, 2018. CONSISTENT WITH COST REPORT REQUIREMENTS, THERE ARE AMOUNTS THAT ARE EXCLUDED FROM THE COSTS ABOVE. 14. 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, 2018, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $45,000. 15. 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, 2018, COSTS INCURRED FOR THE IMPROVEMENT PROJECT WERE $281,000.
FORM 990, PART III, LINE 4A - CONTINUED	16. 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 $849,000 FOR THE YEAR ENDED JUNE 30, 2018. 17. 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 QMC CONFERENCE CENTER. FOR THE YEAR ENDED JUNE 30, 2018, THE VALUE OF THE USE OF THE CENTER WAS $204,000. 18. TUTU BERTS HOUSE TUTU BERT'S HOUSE IS AN 8-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QMC AND HOMEAID HAWAII. TUTU BERT'S HOUSE OFFERS MEDICALLY FRAIL HOMELESS DISCHARGED FROM THE QMC 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, 2018 COSTS INCURRED FOR THE PROGRAM WERE $788,000. 19. OHANA HOUSE OHANA HOUSE IS A 14-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QMC 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, 2018 COSTS INCURRED FOR THE PROGRAM WERE $392,000. 20. QUEENS CARE COALITION (KE KUUNA NAAU) - 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, 2018 COSTS INCURRED FOR THE PROGRAM WERE $801,000. 21. JOB SHADOWING PROGRAM - QMC SPONSORS A JOB SHADOWING PROGRAM FOR STUDENTS IN THE STATE OF HAWAII. FOR THE YEAR ENDED JUNE 30, 2018, COSTS INCURRED FOR THE PROGRAM WERE $3,000. 22. COMMUNITY OUTREACH - QMC EMPLOYEES VOLUNTEER THEIR TIME AND EXPERIENCE PROVIDING FREE LECTURES TO MEMBERS OF THE COMMUNITY INCLUDING PROFESSIONALS, STUDENTS AND MEMBERS OF THE PUBLIC. 23. VOLUNTEER EFFORTS - QMC EMPLOYEES PERIODICALLY VOLUNTEER FOR OTHER CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2018, 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, QMC OFFICERS DEDICATE MANY HOURS SERVING AS VOLUNTEER BOARD MEMBERS FOR OTHER HAWAII BASED CHARITABLE ORGANIZATIONS. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS QMC HAS A SOLE MEMBER, WHICH IS THE QHS, A HAWAII NONPROFIT CORPORATION.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QMC BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7B	DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS CERTAIN MAJOR DECISIONS APPROVED BY THE QMC BOARD OF TRUSTEES 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.
FORM 990, PART VI, LINE 11B	PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 FOR THE 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 QMC RETURN WAS MADE AVAILABLE TO EACH OF THE MEMBERS OF THE QMC BOARD OF TRUSTEES PRIOR TO THE RETURNS BEING FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, LINE 12, 13 AND 14	APPROVED POLICIES QMC ABIDES BY THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES THAT HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QMC BOARD OF TRUSTEES, BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE QMC BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'.
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 & 15B	PROCESS USED FOR DETERMINING COMPENSATION ALTHOUGH NOT COMPENSATED BY THE QMC, A RELATED ORGANIZATION, THE QHS, GOES THROUGH THE FOLLOWING PROCEDURES FOR DETERMINING THE CEO'S 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. QMC'S EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY FOR ITS EXECUTIVE VP/COO, VP MEDICAL AFFAIRS, VP CLINICAL INTEGRATION, VP NURSING AND VP PATIENT CARE. 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 2018. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC QMC'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THE QHS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN, AS REQUIRED. QMC DOES NOT MAKE THE CONFLICT OF INTEREST POLICY THAT IT FOLLOWS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	OTHER CHANGES TO NET ASSETS PENSION FAS 87 ADJUSTMENTS $22,349,871 CHANGE IN INTEREST IN SUBSIDIARY ($ 2,671,922) RECLASS ELIMINATION ($ 611,669) ROUNDING ($ 3) ------------ TOTAL $19,066,227
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:84086162
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:35518115
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:2743108
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:4565807

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
QUEEN'S CLINICALLY INTG PHYS NETWORK LLC
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990073524	PHYS NETWORK	HI	$2,806,482	$4,346,571	QMC
QUEEN'S 'AKOAKOA LLC
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990073524	PHYS NETWORK	HI	$386,519	$0	QMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE QUEEN'S HEALTH SYSTEMS
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990238120	ADMIN SERVICE	HI	501(C)(3)	12c	NA	false
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990183769	SUPPORT SVCS	HI	501(C)(3)	12a	QHS	Yes (true)
NORTH HAWAII COMMUNITY HOSPITAL
67-1125 MAMALAHOA HIGHWAY	KAMUELA	HI	96743	990260423	MEDICAL SVCS	HI	501(C)(3)	3	QHS	Yes (true)
MOLOKAI GENERAL HOSPITAL
PO BOX 408	KAUNAKAKAI MOLOKAI	HI	96748	990251372	MEDICAL SVCS	HI	501(C)(3)	3	QHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HAMAMATSUQUEEN'S PET IMAGING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SEE	AddressLine1Txt
City	PART VII	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96813	ZIPCd

Field	Value	IRS element (for citing)
EIN	943266916	EIN
Primary Activities	PET IMAGING	PrimaryActivitiesTxt
Legal Domicile State	HI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	QMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$844,133	ShareOfTotalIncomeAmt
Share Of EOY Assets	$7,207,436	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.70000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
THE QUEEN'S DEVELOPMENT CORPORATION
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990240109	DEVELOPMENT	HI	NA	C Corp	Yes (true)
QUEEN'S INSURANCE EXCHANGE
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	911913839	INSURANCE	HI	NA	C Corp	Yes (true)
DIAGNOSTIC LABORATORY SERVICES INC
99-859 IWAIWA STREET	AIEA	HI	96701	990240499	MEDICAL LAB SVC	HI	NA	C Corp	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
QUEEN EMMA LAND COMPANY
c	$66,305,424	FMV
QUEEN EMMA LAND COMPANY
k	$594,949	FMV
QUEEN EMMA LAND COMPANY
m	$88,300	FMV
DIAGNOSTIC LABORATORY SERVICES INC
P	$16,275,524	FMV
DIAGNOSTIC LABORATORY SERVICES INC
l	$721,865	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
j	$2,796,506	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
k	$2,930,575	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
q	$1,315,746	FMV
MOLOKAI GENERAL HOSPITAL
l	$61,710	FMV
NORTH HAWAII COMMUNITY HOSPITAL
l	$206,742	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP	FormAndLineReferenceDesc
Explanation	HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813	ExplanationTxt

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	NAME: QUEEN EMMA LAND COMPANY ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0183769 EXPENSES: $67,562,847 501(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: $127,897,663 501(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: $1,058,807,859 501(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: $11,185,322 501(H) ELECTION: YES SHARE OF EXCESS LOBBYING EXPENDITURES: $0 NAME: NORTH HAWAII COMMUNITY HOSPITAL ADDRESS: 67-1125 MAMALAHOA HIGHWAY KAMUELA, HI 96743-8496 EIN: 99-0260423 EXPENSES: $48,002,066 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0	MeduimExplanationTxt