2019-05-07T17:53:15-05:00 2018-06-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DRIVE 1600 SAN DIEGO CA 921212101 990 2017-07-01 990073524 THE QUEEN'S MEDICAL CENTER % CLINTON YEE QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 MICHEL RICCIONI TREASURER 2019-04-30 true JOCELYNE MILLER P00634378 8585357200 73.162.182.118 33577420191275000005 2019-05-07 P 29C16C867B914C9DD0A85029448902D9B1BE764A C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475 2017 2019-02-21 02:37:17Z ARTHUR A USHIJIMA 1301 PUNCHBOWL STREET HONOLULU HI 96813 1751724073 false X WWW.QUEENSMEDICALCENTER.NET X 1859 HI 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. 25 21 6045 428 8772767 -3063831 41416763 71504792 1009960529 1081549811 47923390 16166041 27326469 20491658 1126627151 1189712302 2629413 3179151 0 0 533398090 530161399 0 0 165426 554625841 574790188 1090653344 1108130738 35973807 81581564 1421100514 1820754936 704496322 955667992 716604192 865086944 X 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. false false 1058807859 3179151 1096609945 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. 1058807859 true true false true false false false false false true true true false true true true false true false false false false false false true false true true true false true true false false false false false false false false false false true false false false true true true true false false true 0 0 6045 true true true false false false false true true false false false false X 25 21 false false false false true true true true true false false true false false false false false true true X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 MAENETTE BENHAM EDD TRUSTEE 1.0 2.0 X 0 0 0 GARY CAULFIELD TRUSTEE 1.0 2.0 X 0 0 0 DIANE CECCHETTINI RN TRUSTEE 1.0 2.0 X 0 0 0 PATRICK CHING TRUSTEE 1.0 1.0 X 0 0 0 KYLE CHOCK TRUSTEE 1.0 2.0 X 0 0 0 CHRISTINE GAYAGAS TRUSTEE 1.0 2.0 X 0 0 0 PETER HALFORD MD TRUSTEE 1.0 1.0 X 0 21407 0 PETER HANASHIRO TRUSTEE 1.0 2.0 X 0 0 0 LYLE HARADA TRUSTEE - PART YEAR 1.0 2.0 X 0 0 0 ROBERT HONG MD TRUSTEE 50.0 0.0 X 506112 0 34105 KEAWE KAHOLOKULA PHD TRUSTEE 1.0 2.0 X 0 0 0 KAMANI KUALA'AU TRUSTEE 1.0 1.0 X 0 0 0 STANLEY KURIYAMA TRUSTEE 1.0 2.0 X 0 0 0 SHERRY MENOR-MCNAMARA TRUSTEE 1.0 2.0 X 0 0 0 ROBERT MOMSEN TRUSTEE 1.0 3.0 X 0 0 0 CAMERON NEKOTA TRUSTEE 1.0 1.0 X 0 0 0 STEVEN NISHIDA MD TRUSTEE 1.0 1.0 X 0 0 0 JAMES STEINWASCHER TRUSTEE 1.0 1.0 X 0 0 0 NADINE TENN SALLE MD TRUSTEE 1.0 1.0 X 0 0 0 ARTHUR USHIJIMA TRUSTEE/PRESIDENT 25.0 40.0 X X 0 1047447 90826 ALLEN UYEDA TRUSTEE 1.0 2.0 X 0 0 0 JENAI WALL TRUSTEE/CHAIR 1.0 5.0 X X 0 0 0 BARRY WEINMAN TRUSTEE 1.0 2.0 X 0 0 0 LESLIE WILCOX TRUSTEE 1.0 1.0 X 0 0 0 C SCOTT WO PHD TRUSTEE 1.0 2.0 X 0 0 0 JIM YATES TRUSTEE 1.0 2.0 X X 0 0 0 ERIC YEAMAN TRUSTEE/CHAIR - 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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. BENEFIT DINNER 969750 838444 131306 7700 124761 35962 15117 0 969750 838444 131306 7700 124761 35962 15117 183540 -52234 true true X true X true X true true true false true true 2206000 2206000 0.00200 97186000 58651000 38535000 0.03480 99392000 58651000 40741000 0.03680 13270000 13270000 0.01200 16365000 16365000 0.01480 10576000 6818000 3758000 0.00340 753000 753000 0.00070 2524000 2524000 0.00230 43488000 6818000 36670000 0.03320 142880000 65469000 77411000 0.07000 332000 332000 0.00010 332000 332000 0.00010 true 47656000 276315000 310184000 -33869000 X true true 1 1 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 WWW.QUEENS.ORG 29-H X X X X X The Queen's Medical Center 1 false false true X X X X X X X X X 15 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 15 false true false true X 150. 250. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X true X false false 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. 18 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 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 true After School Allstars 4747 Kilauea Avenue 210 Honolulu HI 96816 274604870 501(c)(3) 6000 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) 25000 Contribution "Acute & Critical Care Nursing Symposium" Aloha Medical Mission 810 North Vineyard Honolulu HI 96817 990234811 501(c)(3) 10000 Contribution "Hope Lodge Fundraising, Matching Challenge" American Cancer Society 2370 Nuuanu Avenue Honolulu HI 96817 131788491 501(c)(3) 17500 2017 Multi-Level Sponsorship American Diabetes Association 875 Waimanu Street Ste 601 Honolulu HI 96813 131623888 501(c)(3) 57500 Sponsorship "Heart Ball 2017" American Heart Association 677 Ala Moana Boulevard Ste 600 Honolulu HI 968135485 135613797 501(c)(3) 25000 2017 Red Cross Corporate Partner American Red Cross 4155 Diamond Head Road Honolulu HI 96816 530196605 501(c)(3) 15000 Sponsorship "2017 Walk to Cure Arthritis" Arthritis Foundation Hawaii Branch 615 Piikoi Street Ste 1109 Honolulu HI 96814 951885447 501(c)(3) 15000 Sponsorship "Giving Thanks Benefit Event" Assistance Dogs of Hawaii 675 Kealaloa Avenue Makawao HI 96768 990353694 501(c)(3) 10000 Sponsorship "Ellison Onizuka Day of Exploration" Bishop Museum 1525 Bernice Street Honolulu HI 968172704 990161980 501(c)(3) 10000 Sponsoship "21st Annual Walk in the Country" Boy Scouts of America Aloha Council 42 Puiwa Road Honolulu HI 96817 990073482 501(c)(3) 7000 Sponsorship "Mahalo Dinner for Jerry Rauckhorst" Boys and Girls Club of Hawaii 345 Queen Street Ste 900 Honolulu HI 96813 996005407 501(c)(3) 6000 Donation Child & Family Service 91-1841 Fort Weaver Road Ewa Beach HI 96706 990073483 501(c)(3) 20000 Donation Friends of the Future 64-1032 Mamalahoa Hwy Kamuela HI 96743 990296604 501(c)(3) 25000 Donation Hale Kipa Inc 615 Piikoi Street Ste 203 Honolulu HI 96814 237061499 501(c)(3) 20000 Kipuka o ke Ola - Primary Care Program Hawaii Academy of Science 1776 University Avenue UA4 Rm 4 Honolulu HI 96822 996006863 501(c)(3) 30000 Sponsorship "50th Anniversary Celebration" Hawaii Food & Wine Festival 3538 Waialae Ave 203 Honolulu HI 96816 460618609 501(c)(3) 30000 Contribution "A New Home for Hale Kipa" Hawaii Meals on Wheels PO Box 61194 Honolulu HI 96839 990198132 501(c)(3) 8000 Sponsorship "2017 Hawaii State Science & Engineering Fair" Hospice Hawaii Inc 860 Iwilei Road Honolulu HI 96817 990203930 501(c)(3) 12500 Sponsorship "2016 Annual Ka Mana O Ke Kanaka Awards" Island Pacific Academy 909 Haumea St Kapolei HI 96707 680534162 501(c)(3) 6000 Contribution "HPU Trustees Dinner" KAMP Hawaii 92-681 Wainohia Place Kapolei HI 96707 203412425 501(c)(3) 6000 Sponsorship "Ho'ola, The Hawaii Health Care Conference" KUPU 677 Ala Moana Boulevard Ste 1200 Honolulu HI 96813 510652665 501(c)(3) 25000 Contribution "West Oahu Capital Campaign" Lunalilo Home 501 Kekauluohi Street Honolulu HI 96825 990075244 501(c)(3) 5500 Contribution "A Musical Journey, Hawaiian Language" March of Dimes 1451 South King Street Ste 504 Honolulu HI 96814 131846366 501(c)(3) 15500 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) 25075 Sponsorship "3rd Annual Gala, The Pearl" Polynesian Football Hall of Fame PO Box 11266 Honolulu HI 96828 463158865 501(c)(3) 25000 Sponsorship "40th Anniversary Gala 2016" Public Schools of Hawaii Foundation PO Box 4148 Honolulu HI 96812 880243449 501(c)(3) 15000 Sponsorship "1st Annual Alana Gala" Rehab Foundation 226 North Kuakini Street Honolulu HI 96817 990241634 501(c)(3) 6000 Sponsorship "2016 Order of Ke Alii Pauahi Award Gala" Rotary District 5000 Foundation 705 Queen Street Honolulu HI 96813 990053560 501(c)(3) 25000 Contribution "25th Annual Lunalilo Home Golf Tournament" Salvation Army PO Box 620 Honolulu HI 96809 990073540 501(c)(3) 10000 Sponsorship 2016 Jingle Rock Run, "Rock the Wish" ST ANDREW'S PRIORY SCHOOL 224 Queen Emma Square Honolulu HI 96813 990073525 501(c)(3) 28000 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) 25000 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) 25000 Donation Teach for America - Hawaii 315 West 36th Street 6th Floor New York NY 10018 133541913 501(c)(3) 6000 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) 250000 Sponsorship "Inaugural Polynesian Bowl" University of Hawaii Foundation 2444 Dole Street Bachman Hall 105 Honolulu HI 96822 990085260 501(c)(3) 426158 Sponsorship "Hokule'a Homecoming" Waimanalo Health Center 41-1347 Kalanianaole Highway Waimanalo HI 967951274 990273205 501(c)(3) 40000 Contribution "2016 Kalaniana'ole Scholarship Pa'ina" Hawaii Cancer Consortium 55 Merchant Street Ste 2700 Honolulu HI 96813 452280259 501(c)(3) 1000000 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) 12500 Sponsorship "2017 Hall of Honor Awards" Hawaii Police Department 349 Kapiolani Street Hilo HI 96720 996000567 GOVT 12146 FMV RESPIRATORS Sponsorship "15th Annual Waikiki Spam Jam" Chamber of Commerce of Hawaii 1132 Bishop Street Ste 2105 Honolulu HI 96813 990035510 501(c)(6) 10000 Sponsorship "2017 Queen Emma Ball" University of Hawaii PO Box 11270 Honolulu HI 968280270 996000354 GOVT 599776 Sponsorship "2017 Pink Tie Ball" 40 2 SCHEDULE I, PART I, LINE 2 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. false false false false false false false true false ROBERT HONG MD TRUSTEE 407734 94652 3726 26813 0 7292 0 540217 0 0 0 ARTHUR USHIJIMA TRUSTEE/PRESIDENT 899382 148065 0 75991 0 14835 0 1138273 0 0 JASON CHANG EVP/COO 503915 20482 4364 23 134138 721 21072 936 663489 22162 0 0 WHITNEY LIMM MD SENIOR VICE PRESIDENT 521925 67535 0 168628 0 17784 0 775872 0 0 SUSAN MURRAY VP/COO - QMC WEST OAHU 13956 343983 0 0 1409 44870 0 47020 634 14351 15999 450224 0 0 JOHN NITAO VP/GENERAL COUNSEL 0 367304 0 0 0 42925 0 73199 0 23378 0 506806 0 0 MICHEL RICCIONI TREASURER 297541 275000 1355 0 42888 0 7278 0 624062 0 0 SHARLENE TSUDA SECRETARY 235602 25587 0 64065 0 14902 0 340156 0 0 CLINTON YEE ASSISTANT TREASURER 178525 8103 0 18763 0 27197 0 232588 0 0 JEFFREY MING SHAN LAU MD PHYSICIAN 448771 265699 0 14446 728916 0 0 SUNG BAE LEE MD PHYSICIAN 598197 346705 24332 42993 0 23638 0 1035865 0 0 0 JEFFREY LOH MD PHYSICIAN 452898 723397 933 37307 0 22351 0 1236886 0 0 0 TODD SETO MD PHYSICIAN 415570 295913 17255 30953 0 7709 0 767400 0 0 0 ROGER YIM MD PHYSICIAN 422909 295538 18740 43677 0 24893 0 805757 0 0 0 ERIC MARTINSON FORMER TREASURER 433166 0 50275 0 91902 0 24534 0 599877 0 0 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. A DEPARTMENT OF BUDGET AND FINANCE STATE OF HI 990266961 419800LM7 2015-01-29 350356476 SEE PART VI false false false A 0 0 350362507 0 0 0 4726000 0 0 156477605 160009007 29149895 true false false true A false false false true true 0 false false true A false true false false true true ML CAPITAL SERVICES 6.5 false false false 0 false true A true SCHEDULE K DESCRIPTION OF ARRANGEMENT RELATED ORGANIZATION REPORTING THE 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 X 2 10609 FMV X TABLE FAVORS 1 6240 FMV X 34 CASES OF WINE 1 6120 FMV X FLORAL & TABLE FAVORS 1 7550 FMV false false false SCHEDULE M, PART I, COLUMN B THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 QUEEN'S CLINICALLY INTG PHYS NETWORK LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 PHYS NETWORK HI 2806482 4346571 QMC QUEEN'S 'AKOAKOA LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 PHYS NETWORK HI 386519 0 QMC 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 true NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 MEDICAL SVCS HI 501(C)(3) 3 QHS true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI MOLOKAI HI 96748 990251372 MEDICAL SVCS HI 501(C)(3) 3 QHS true HAMAMATSUQUEEN'S PET IMAGING LLC SEE PART VII HI 96813 943266916 PET IMAGING HI QMC RELATED 844133 7207436 false 0 false 0.70000 THE QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI NA C Corp true QUEEN'S INSURANCE EXCHANGE 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI NA C Corp true DIAGNOSTIC LABORATORY SERVICES INC 99-859 IWAIWA STREET AIEA HI 96701 990240499 MEDICAL LAB SVC HI NA C Corp true false false true false false false false false false true true true true false false true true false false QUEEN EMMA LAND COMPANY c 66305424 FMV QUEEN EMMA LAND COMPANY k 594949 FMV QUEEN EMMA LAND COMPANY m 88300 FMV DIAGNOSTIC LABORATORY SERVICES INC P 16275524 FMV DIAGNOSTIC LABORATORY SERVICES INC l 721865 FMV THE QUEEN'S DEVELOPMENT CORPORATION j 2796506 FMV THE QUEEN'S DEVELOPMENT CORPORATION k 2930575 FMV THE QUEEN'S DEVELOPMENT CORPORATION q 1315746 FMV MOLOKAI GENERAL HOSPITAL l 61710 FMV NORTH HAWAII COMMUNITY HOSPITAL l 206742 FMV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 NAME: QUEEN EMMA LAND COMPANY ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0183769 EXPENSES: $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