2019-05-07T17:57:01-05:00 2018-06-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DRIVE 1600 SAN DIEGO CA 921212101 990 2017-07-01 990238120 THE QUEEN'S HEALTH SYSTEMS % 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 33577420191275000012 2019-05-07 P 29C16C867B914C9DD0A85029448902D9B1BE764A C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475 2017 2019-02-21 02:37:17Z ARTHUR A USHIJIMA 1301 PUNCHBOWL STREET HONOLULU HI 96813 214283895 false X www.queens.org X 1985 HI TO SUPPORT, PROMOTE AND MAINTAIN THE AFFILIATE CORPORATIONS OF QUEEN'S HEALTH SYSTEMS AND TO PROMOTE, SUPERVISE AND CONTRIBUTE TO HEALTHCARE RELATED ACTIVITIES. 26 23 363 0 49754 0 0 0 155188169 150168678 16349167 10635294 558054 2003477 172095390 162807449 0 0 0 0 86716925 86466662 0 0 0 69225200 65835684 155942125 152302346 16153265 10505103 217313317 384821174 142225354 294125370 75087963 90695804 X TO SUPPORT, PROMOTE AND MAINTAIN THE SUBSIDIARY AND AFFILIATE CORPORATIONS OF THE QUEEN'S HEALTH SYSTEMS AND TO PROMOTE, SUPERVISE AND OTHERWISE CONTRIBUTE TO HEALTHCARE RELATED ACTIVITIES. false false 127897663 0 152172155 THE QUEEN'S HEALTH SYSTEMS ("QHS") IS THE PARENT COMPANY OF THE QUEEN'S MEDICAL CENTER ("QMC"), QUEEN EMMA LAND COMPANY ("QEL"), QUEEN'S DEVELOPMENT CORPORATION ("QDC"), MOLOKAI GENERAL HOSPITAL ("MGH"), NORTH HAWAII COMMUNITY HOSPITAL ("NHCH") AND VARIOUS OTHER HEALTHCARE RELATED ENTITIES (COLLECTIVELY REFERRED TO AS "QUEEN'S"). SEE SCHEDULE O FOR MORE INFORMATION. 127897663 true false false true false false false false false false true true false true true true false true false false false false false false false false false false false true true false false false false false false false false false true false false false false false true true true false false true 1493 0 true 363 true true true false false false false false false false false false X 26 23 false false false false false false false true true false false true true true true true true true true false X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 MAENETTE BENHAM EDD TRUSTEE 1.0 2.0 X 0 0 0 GARY CAULFIELD TRUSTEE 2.0 1.0 X 0 0 0 DIANE CECCHETTINI RN TRUSTEE 2.0 1.0 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 ERNEST FUKEDA JR TRUSTEE 2.0 1.0 X 0 0 0 CHRISTINE GAYAGAS TRUSTEE 2.0 1.0 X 0 0 0 PETER HALFORD MD TRUSTEE 1.0 1.0 X 21407 0 0 PETER HANASHIRO TRUSTEE 2.0 1.0 X 0 0 0 LYLE HARADA TRUSTEE - PART YEAR 1.0 2.0 X 0 0 0 KEAWE KAHOLOKULA PHD TRUSTEE 2.0 1.0 X 0 0 0 KAMANI KUALA'AU TRUSTEE 1.0 1.0 X 0 0 0 STANLEY KURIYAMA TRUSTEE 2.0 1.0 X 0 0 0 MARK LUM MD TRUSTEE - PART YEAR 1.0 0.0 X 0 0 0 SHERRY MENOR-MCNAMARA TRUSTEE 2.0 1.0 X 0 0 0 ROBERT MOMSEN TRUSTEE 2.0 2.0 X 0 0 0 CAMERON NEKOTA TRUSTEE 1.0 1.0 X 0 0 0 STEVEN NISHIDA MD TRUSTEE 1.0 1.0 X 0 0 0 GLENN REDINGER MD TRUSTEE 1.0 0.0 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 PRESIDENT/CEO 32.0 33.0 X X 1047447 0 90826 ALLEN UYEDA TRUSTEE 2.0 1.0 X 0 0 0 JENAI WALL CHAIR/TRUSTEE 3.0 3.0 X X 0 0 0 BARRY WEINMAN TRUSTEE 2.0 1.0 X 0 0 0 LESLIE WILCOX TRUSTEE 1.0 1.0 X 0 0 0 C SCOTT WO PHD TRUSTEE 2.0 1.0 X 0 0 0 JIM YATES TRUSTEE 2.0 1.0 X 0 0 0 ERIC YEAMAN CHAIR/TRUSTEE - PART YEAR 2.0 3.0 X X 0 0 0 JASON CHANG EVP/COO 25.0 30.0 X 508279 20505 156867 JANICE KALANIHUIA VICE PRESIDENT 1.0 54.0 X 214541 0 49450 CYNTHIA KAMIKAWA VICE PRESIDENT 1.0 54.0 X 374846 0 121721 WHITNEY LIMM MD VICE PRESIDENT 48.0 12.0 X 589460 0 186412 ERIC MARTINSON VP/CIO 37.0 23.0 X 483441 0 116436 JOHN NITAO VP/GENERAL COUNSEL 51.0 4.0 X 410229 0 96577 MICHEL RICCIONI TREASURER/CFO 45.0 20.0 X 573896 0 50166 JOELLE TANABE ASSISTANT SECRETARY 27.0 18.0 X 103198 0 35552 SHARLENE TSUDA SECRETARY 52.0 3.0 X 261189 0 78967 CLINTON YEE ASSISTANT TREASURER 10.0 45.0 X 186628 0 45960 GERARD AKAKA VP NAT HWN AFFAIRS/CLIN SUPPRT 50.0 0.0 X 435391 0 102423 CHRISTOPHER MAHNKE CHIEF MED INFORMATION OFFICER 50.0 0.0 X 281712 0 1316 BERNADETTE MERLINO VP AMBULATORY SVCS/PRES QDC 50.0 0.0 X 326862 0 80747 BRIAN YOSHII VP IT/CIO 50.0 0.0 X 329547 0 55151 PAULA YOSHIOKA SVP CORP DEVELOPMENT 50.0 0.0 X 411507 0 101106 6559580 20505 1369677 83 false true false ALLIED BUILDERS SYSTEM 1717 AKAHI STREET HONOLULU HI 96819 CONSTRUCTION SVCS 12299870 UCERA PO BOX 29470 HONOLULU HI 96820 MEDICAL SERVICES 7791919 PACIFIC ANESTHESIA INC 321 N KUAKINI STREET STE 306 HONOLULU HI 96817 MEDICAL SERVICES 6709980 UNITED LAUNDRY SERVICES 2291 ALAHAO PLACE HONOLULU HI 96819 LAUNDRY SERVICES 5446923 CHELSEA GROUP LIMITED PO BOX 68 MAUNALOA HI 96770 CONSTRUCTION SVCS 3559701 143 0 0 0 SUPPORT SRVCS TO TAX-EXEMPT AFFILIATES 561000 150168678 150168678 0 0 150168678 3404558 49754 3354804 0 0 0 0 0 58707182 51476446 7230736 7230736 7230736 0 0 0 0 0 0 0 0 0 EXPENSE REIMBURSEMENT FROM AFFILIATES 900099 1389947 1389947 0 0 EPIC SOFTWARE SALES & SUPPORT 900099 265813 265813 0 0 CREDIT CARD REBATES 900099 138836 138836 0 0 208881 208881 0 0 2003477 162807449 152172155 49754 10585540 0 0 0 0 0 0 0 0 4695053 3990795 704258 0 0 0 0 0 62471428 53100714 9370714 0 5276890 4485357 791533 0 9250595 7863006 1387589 0 4772696 4056792 715904 0 0 0 0 0 756592 0 756592 0 1077917 0 1077917 0 84858 0 84858 0 0 0 0 0 0 0 20969806 17824335 3145471 0 147182 125105 22077 0 666787 566769 100018 0 16203879 13773297 2430582 0 0 0 0 0 1709557 1453123 256434 0 699768 594803 104965 0 0 0 0 0 231712 196955 34757 0 0 0 0 0 0 0 13916615 11829123 2087492 0 399513 339586 59927 0 PURCHASED AFFILIATE SVCS 6354069 5400959 953110 0 RECRUITMENT & RELOCATION 529329 449930 79399 0 REPAIRS & MAINTENANCE 372805 316885 55920 0 INVENTORY SERVICE FEE 350607 323516 27091 0 1364688 1206613 158075 152302346 127897663 24404683 0 0 0 0 3875772 61836084 0 0 179199 137374 0 0 0 0 0 0 0 0 2616787 5597938 142496388 90565943 66255569 51930445 35301799 36860834 37191017 41763463 0 0 0 0 71893174 186695036 217313317 384821174 72936944 68191285 0 0 0 0 50072918 41362823 0 0 0 0 2795454 0 0 0 16420038 184571262 142225354 294125370 X 75087963 90695804 0 0 0 0 75087963 90695804 217313317 384821174 X 10505103 4642354 0 0 0 460384 X false true X true true true X X X 3 THE QUEEN'S MEDICAL CENTER 990073524 3 true 0 0 MOLOKAI GENERAL HOSPITAL 990251372 3 true 0 0 NORTH HAWAII COMMUNITY HOSPITAL 990260423 3 false 0 0 3 false false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART I, LINE 12H, COLUMN (VII) DESCRIPTION OF NON-MONETARY SUPPORT QUEEN'S HEALTH SYSTEM (QHS) PROVIDES LEGAL, ACCOUNTING, HUMAN RESOURCES AND ADMINISTRATIVE SERVICES TO THE QUEENS MEDICAL CENTER (QMC), MOLOKAI GENERAL HOSPITAL (MGH) AND NORTH HAWAII COMMUNITY HOSPITAL (NHCH). SCHEDULE A, PART IV, SECTION A, LINE 1 IN ITS ARTICLES OF INCORPORATION, QHS LISTS THE FOLLOWING SUPPORTED ORGANIZATIONS: QMC, MGH AND A CLASS DEFINED AS ALL SECTION 509(A)(1) ORGANIZATIONS IN WHICH QHS IS A MEMBER. NHCH BELONGS TO THIS SUPPORTED CLASS. QHS IS THE SOLE MEMBER OF QMC, MGH AND NHCH. NHCH IS THE NEWEST MEMBER OF THE AFFILIATED GROUP. QHS HAS MAINTAINED A CLINICAL AFFILIATION WITH NHCH SINCE 2005 AND A FORMAL AFFILIATION SINCE 2014. SCHEDULE A, PART IV, SECTION D, LINE 3 TWENTY-SIX TRUSTEES FOR QHS ALSO SERVE AS TRUSTEES FOR QMC, INCLUDING THE PRESIDENT OF QMC. SEVEN TRUSTEES FOR QHS ALSO SERVE AS TRUSTEES FOR NHCH AND FOUR TRUSTEES FOR QHS SERVE AS TRUSTEES FOR MGH. THEREFORE, QHS' SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICY AND DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS AT ALL TIMES DURING THE YEAR. SCHEDULE A, PART IV, SECTION E, LINE 3A QHS IS THE SOLE MEMBER WITH THE SOLE POWER TO ELECT BOARD MEMBERS FOR EACH OF ITS SUPPORTED ORGANIZATIONS, QMC, MGH AND NHCH. IN ADDITION, QHS' PRESIDENT SERVES AS THE CHAIR OF THE BOARD FOR MGH AND NHCH. SCHEDULE A, PART IV, SECTION E, LINE 3B QHS IS THE SOLE MEMBER OF QMC, NHCH AND MGH AND SETS ITS OVERARCHING ADMINISTRATIVE POLICIES FOR ITS SUPPORTED ORGANIZATIONS SUCH AS PRIVACY AND CORPORATE COMPLIANCE. IN ADDITION, CERTAIN MAJOR DECISIONS APPROVED BY THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATIONS MUST ALSO BE APPROVED BY QHS. SUCH DECISIONS INCLUDE: 1. A CHANGE TO THE PURPOSE OF THE COMPANY; 2. A FINANCING TRANSACTION IN EXCESS OF $500,000; 3. A LEASE TRANSACTION THAT HAS A TERM THAT IS LONGER THAN 3 YEARS OR HAS A RENT OBLIGATION IN EXCESS OF $1,000,000 OVER THE LEASE TERM; 4. A TRANSACTION INVOLVING THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY; 5. ANNUAL OPERATIONAL AND CAPITAL BUDGETS; 6. STRATEGIC PLANS; 7. MERGER OR MAJOR ACQUISITIONS; 8. CREATION OF A NEW ENTITY OR JOINT VENTURE; 9. SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; 10. DISSOLUTION; 11. AMENDMENT OF BYLAWS; 12. ADOPTION, AMENDMENT OR RESCISSION OF A BOARD POLICY; 13. CAPITAL EXPENDITURES IN EXCESS OF $2,000,000 FOR QMC, NHCH AND MGH. X 0 0 84858 122347 84858 122347 127897663 1313455757 127982521 1313578104 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 52172 126289 103797 122347 404605 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 12002 12002 133135097 90565943 42569154 9349289 9349289 51930445 POOLED INVESTMENTS-NON PUBLIC 41763463 F 41763463 DUE FROM AFFILIATES 139242839 FIRST TRUST ASSETS 1952412 TRUSTEE HELD ASSETS 45499785 186695036 0 DUE TO AFFILIATES 177771293 INTEREST PAYABLE 6799969 184571262 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) Footnote QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2018. X X X X X false false false false false false false false false ARTHUR USHIJIMA PRESIDENT/CEO 899382 0 0 0 148065 0 75991 0 14835 0 1138273 0 0 0 JASON CHANG EVP/COO 503915 20482 0 0 4364 23 134138 721 21072 936 663489 22162 0 0 JANICE KALANIHUIA VICE PRESIDENT 190449 0 0 0 24092 0 34166 0 15284 0 263991 0 0 0 CYNTHIA KAMIKAWA VICE PRESIDENT 342516 0 0 0 32330 0 107583 0 14138 0 496567 0 0 0 WHITNEY LIMM MD VICE PRESIDENT 521925 0 0 0 67535 0 168628 0 17784 0 775872 0 0 0 ERIC MARTINSON VP/CIO 433166 0 0 0 50275 0 91902 0 24534 0 599877 0 0 0 JOHN NITAO VP/GENERAL COUNSEL 367304 0 0 0 42925 0 73199 0 23378 0 506806 0 0 0 MICHEL RICCIONI TREASURER/CFO 297541 0 275000 0 1355 0 42888 0 7278 0 624062 0 0 0 SHARLENE TSUDA SECRETARY 235602 0 0 0 25587 0 64065 0 14902 0 340156 0 0 0 CLINTON YEE ASSISTANT TREASURER 178525 0 0 0 8103 0 18763 0 27197 0 232588 0 0 0 GERARD AKAKA VP NAT HWN AFFAIRS/CLIN SUPPRT 385572 0 0 0 49819 0 84003 0 18420 0 537814 0 0 0 CHRISTOPHER MAHNKE CHIEF MED INFORMATION OFFICER 281071 0 0 0 641 0 0 0 1316 0 283028 0 0 0 BERNADETTE MERLINO VP AMBULATORY SVCS/PRES QDC 320990 0 0 0 5872 0 64485 0 16262 0 407609 0 0 0 BRIAN YOSHII VP IT/CIO 325997 0 0 0 3550 0 33204 0 21947 0 384698 0 0 0 PAULA YOSHIOKA SVP CORP DEVELOPMENT 377454 0 0 0 34053 0 87758 0 13348 0 512613 0 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION COMMITTEE REFERS TO A COMMITTEE OF THE ORGANIZATIONS GOVERNING BODY RESPONSIBLE FOR DETERMINING THE TOP MANAGEMENT OFFICIALS COMPENSATION PACKAGE, WHETHER OR NOT THE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO MAKE AN EMPLOYMENT AGREEMENT WITH THE TOP MANAGEMENT OFFICIAL ON BEHALF OF THE ORGANIZATION. THE COMPENSATION COMMITTEE MAY ALSO HAVE OTHER DUTIES. SCHEDULE J, PART II COMPENSATION PAID FOR SERVICES ARTHUR A. USHIJIMA MR. USHIJIMA SERVES AS A TRUSTEE FOR THE QUEENS HEALTH SYSTEMS ("QHS") AND SEVERAL OTHER QUEENS RELATED AFFILIATES. HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. HIS HOURS SERVED AS A TRUSTEE OF QHS ARE 2 HOURS PER WEEK. MR. USHIJIMA ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF QHS AND AS PRESIDENT OF THE QUEENS MEDICAL CENTER ("QMC"). THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR HIS VARIOUS SERVICES. JASON CHANG MR. CHANG SERVES AS EVP OF QHS AND EVP AND COO OF QMC. HE WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. JANICE KALANIHUIA MS. KALANIHUIA SERVES AS VP FOR QHS AND PRESIDENT OF MOLOKAI GENERAL HOSPITAL ("MGH"). SHE WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER 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. 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. 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. 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. CYNTHIA KAMIKAWA MS. KAMIKAWA SERVES AS VP OF QHS AND IS PRESIDENT OF NHCH. 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, AND QEL, AND TREASURER OF MGH. HE WAS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. A DEPT OF BUDGET & FINANCE STATE OF HI 990266961 419800LM7 2015-01-29 350356476 SEE PART VI false false false A 0 0 350362507 0 0 0 4726000 0 0 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 HEALTH SYSTEMS (QHS) BORROWED ON BEHALF OF ITSELF AND ITS AFFILIATES, THE QUEENS MEDICAL CENTER (QMC) AND 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. QHS' SHARE OF THE OUTSTANDING LIABILITY IS $41,362,823. PART I, LINE A, COLUMN (F) DESCRIPTION OF PURPOSE THE BONDS ARE ISSUED FOR THE BENEFIT OF THE BORROWER (THE QUEEN'S HEALTH SYSTEMS) AND THE FOLLOWING ORGANIZATIONS, EACH OF WHICH IS CONTROLLED BY THE BORROWER AND WHICH IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE: THE QUEEN'S MEDICAL CENTER AND 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 CS WO SONS LTD C. SCOTT WO, TRUSTEE-QHS 544252 RENTAL OF PROPERTY false SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS C. SCOTT WO IS THE OWNER OF C.S. WO & SONS LTD, WHICH PROVIDES RENTAL SPACE TO THE ORGANIZATION. DURING THE YEAR, THE ORGANIZATION PAID RENT IN THE AMOUNT OF $544,252. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS THE MISSION OF QUEEN'S HEALTH SYSTEMS ("QHS") IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTH CARE SERVICES TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. QHS FULFILLS ITS EXEMPT PURPOSE BY SUPPORTING THE QUEENS MEDICAL CENTER ("QMC"), MOLOKAI GENERAL HOSPITAL ("MGH") AND NORTH HAWAII COMMUNITY HOSPITAL ("NHCH"). IN ADDITION, QHS SUPPORTS ITS SUBSIDIARIES BY PROVIDING ADMINISTRATIVE AND SUPPORT SERVICES (INCLUDING LEGAL, ACCOUNTING AND HUMAN RESOURCES). QMC SUPPORTS NATIVE HAWAIIAN HEALTH INITIATIVES THROUGH MANY OF ITS PROGRAMS AND SERVICES, PARTICULARLY ITS NATIVE HAWAIIAN HEALTH PROGRAM (NHHP). THE FOCUS AREAS OF NHHP INCLUDE IMPROVEMENTS IN CLINICAL OUTCOMES, HEALTHCARE TRAINING, RESEARCH, AND ACCESS AND OUTREACH. NHHP CONDUCTS ONGOING ASSESSMENT AND DEVELOPMENT OF QMC PROGRAMS AND SERVICES FOCUSED ON NATIVE HAWAIIANS, INCLUDING SPECIFIC CLINICAL PROGRAMS IN AREAS SUCH AS CARDIOLOGY, ONCOLOGY, COMPREHENSIVE WEIGHT MANAGEMENT, MEDICINE, NEUROSCIENCE, AND DIABETES. QMC COLLABORATES AND PARTNERS TO PROVIDE HEALTHCARE TRAINING AND EDUCATION OPPORTUNITIES TO NATIVE HAWAIIAN STUDENTS AND THOSE COMMITTED TO SERVING NATIVE HAWAIIAN COMMUNITIES FROM ADOLESCENCE TO GRADUATE STUDIES, SUCH AS, THE ULU KUKUI PROJECT, WHICH IS A PRE-COLLEGE SCIENCE EDUCATION PROGRAM AT STEVENSON MIDDLE SCHOOL TO PROMOTE EXCELLENCE IN SCIENCE EDUCATION AND THE PURSUIT OF BIOMEDICAL CAREERS BY NATIVE HAWAIIANS AND PACIFIC ISLANDERS. IN ADDITION, NHHP PROGRAMS FOCUS ON QUALITY IMPROVEMENT AND INCREASED ACCESS FOR NATIVE HAWAIIANS TO QMC AND COLLABORATE WITH THE NATIVE HAWAIIAN COMMUNITY IN EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. THROUGH EACH OF THESE AREAS OF FOCUS, NHHP WORKS TO PROVIDE A FRAMEWORK FOR THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF CLINICAL INITIATIVES THAT AIM TO ENHANCE THE OLA PONO (WELL BEING) OF NATIVE HAWAIIANS. IN ADDITION TO NHHP, MANY OF QMC'S PROGRAM SERVICES DESCRIBED BELOW PROVIDE BENEFITS TO NATIVE HAWAIIANS, INCLUDING COMPONENTS OF CHARITY CARE AND UNCOMPENSATED CARE PROVIDED TO OUR PATIENTS. THE QUEENS MEDICAL CENTER WEST OAHU WAS OPENED IN MAY 2014. QHS WAS ABLE TO EXTEND ITS MISSION BY OPENING QMC WEST OAHU, A COMMUNITY HOSPITAL THAT PROVIDES WEST OAHU RESIDENTS AND VISITORS WITH HIGH QUALITY, STATE-OF-THE-ART HEALTH CARE CLOSE TO HOME. QMC - WEST OAHU FEATURES COMPLETELY NEW AND CONVENIENT FACILITIES WITH A CARING, DEDICATED STAFF WHO DEMONSTRATE COMMITMENT TO THE LEGACY OF OUR FOUNDERS, QUEEN EMMA AND KING KAMEHAMEHA IV. TO SUPPORT THE QUEENS MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEENS PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $172M 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 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. MOLOKAI GENERAL HOSPITAL QUEENS SUPPORTS MGH IN PROVIDING HEALTHCARE SERVICES TO THE ISLAND OF MOLOKAI. FOR THE YEAR ENDED JUNE 30, 2018, MGH PROVIDED COMMUNITY BENEFITS TOTALING $3,223,952. 16. NORTH HAWAII COMMUNITY HOSPITAL QUEENS SUPPORTS NHCH IN PROVIDING HEALTHCARE SERVICES TO THE NORTH HAWAII REGION. FOR THE YEAR ENDED JUNE 30, 2018, NHCH PROVIDED COMMUNITY BENEFITS TOTALING $8,747,000. 17. NATIVE HAWAIIAN HEALTH AT QMC QUEENS SUPPORTS A NATIVE HAWAIIAN HEALTH PROGRAM AT QMC. FOR THE YEAR ENDED JUNE 30, 2018, EXPENSES TOTALED $390,000. 18. 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. 19. 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. FORM 990, PART III, LINE 4A - CONTINUED 20. DONATED USE OF CONFERENCE ROOMS - QMC ALLOWS PHYSICIANS AND TEACHERS FROM THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII, VARIOUS GOVERNMENTAL ENTITIES INCLUDING THE HAWAII DEPARTMENT OF HEALTH AND OTHER NONPROFIT ORGANIZATIONS THE FREE USE OF ITS FACILITIES AT THE QUEEN'S CONFERENCE CENTER. FOR THE YEAR ENDED JUNE 30, 2018, THE VALUE OF THE USE OF THE CENTER WAS $204,000. 21. TUTU BERTS HOUSE TUTU BERT'S HOUSE IS AN 8-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QUEEN'S MEDICAL CENTER AND HOMEAID HAWAII. TUTU BERT'S HOUSE OFFERS MEDICALLY FRAIL HOMELESS DISCHARGED FROM THE QUEEN'S MEDICAL CENTER WHO NO LONGER IN NEED OF IN-PATIENT HOSPITALIZATION, BUT WHO ARE STILL TOO FRAIL TO RECUPERATE ON THE STREETS OR IN AN URBAN SHELTER, WITH A SAFETY NET RESOURCE. THE HOUSE FACILITATES SHORT-TERM STABILIZATION AND SUPPORTIVE CASE MANAGEMENT THAT ACCELERATES THEIR TRANSITION OUT OF HOMELESSNESS, AND INTO AVAILABLE HOUSING OPTIONS. FOR THE YEAR ENDED JUNE 30, 2018 COSTS INCURRED FOR THE PROGRAM WERE $788,000. 22. OHANA HOUSE OHANA HOUSE IS A 14-BED PRIVATE MEDICAL RESPITE HOUSE IN PARTNERSHIP WITH THE QUEEN'S MEDICAL CENTER AND KALIHI PALAMA HEALTH CENTER. THIS PROGRAM PROVIDES CASE MANAGEMENT AND SHORT-TERM RESIDENTIAL CARE THAT ALLOWS HOMELESS DISCHARGED FROM THE HOSPITAL THE OPPORTUNITY TO REST IN A SAFE ENVIRONMENT WHILE ACCESSING MEDICAL CARE AND OTHER SUPPORTIVE SERVICES. THE SERVICES PROVIDED TO CLIENTS INCLUDE CASE MANAGEMENT, TRANSPORTATION, SHELTER, MEALS, EMERGENCY CLOTHING AND HYGIENE SERVICES. FOR THE YEAR ENDED JUNE 30, 2018 COSTS INCURRED FOR THE PROGRAM WERE $392,000. 23. 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. 24. 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. 25. COMMUNITY OUTREACH - QHS EMPLOYEES VOLUNTEER THEIR TIME AND EXPERIENCE PROVIDING FREE LECTURES TO MEMBERS OF THE COMMUNITY INCLUDING PROFESSIONALS, STUDENTS AND MEMBERS OF THE PUBLIC. 26. VOLUNTEER EFFORTS - QHS 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, QHS OFFICERS DEDICATE MANY HOURS SERVING AS VOLUNTEER BOARD MEMBERS FOR OTHER HAWAII BASED CHARITABLE ORGANIZATIONS. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 FOR THE QUEEN'S HEALTH SYSTEMS (QHS) AND THE SEPARATE FORMS FOR EACH OF THE NOT-FOR-PROFIT SUBSIDIARIES OF QHS WERE REVIEWED BY THE GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN. THE QHS AUDIT COMMITTEE, WHICH IS COMPRISED OF MEMBERS OF THE QHS BOARD OF TRUSTEES, WAS DELEGATED THE RESPONSIBILITY TO REVIEW THE RETURNS PRIOR TO THEIR FILING. THE RETURNS WERE PRESENTED TO THE COMMITTEE BY MANAGEMENT AND BY THE INDEPENDENT PUBLIC ACCOUNTING FIRM THAT PREPARED THE RETURNS. IN ADDITION, COMPENSATION RELATED DISCLOSURES IN THE RETURNS WERE REVIEWED BY THE CHAIRPERSON OF THE COMPENSATION COMMITTEE PRIOR TO FILING THE RETURNS. ALSO, A COPY OF THE QHS RETURN WAS MADE AVAILABLE TO EACH OF THE MEMBERS OF THE QHS BOARD OF TRUSTEES PRIOR TO THE RETURNS BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ALL QHS COMPANIES ARE SUBJECT TO A WRITTEN CONFLICT OF INTEREST POLICY. ALL TRUSTEES, OFFICERS, DESIGNATED EMPLOYEES AND CONTRACTORS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM. THE DESIGNATED EMPLOYEES ARE THOSE SELECTED BY EXECUTIVES IN THE ORGANIZATION WHO IDENTIFY THOSE EMPLOYEES (TYPICALLY MANAGER LEVEL AND ABOVE) WHO MAY BE IN A POSITION TO SELECT OR INFLUENCE THE SELECTION OF A VENDOR. DISCLOSURES ARE SUMMARIZED AND MAINTAINED BY EACH COMPANY'S CORPORATE SECRETARY. THE CONTRACTS MANAGEMENT DEPARTMENT AND LEGAL DEPARTMENT HAVE THE CONFLICT OF INTEREST SUMMARIES AND CHECK FOR CONFLICTS OF INTEREST AT THE BEGINNING OF THE CONTRACT PROCESS. ANY CONFLICT OF INTEREST INVOLVING A TRUSTEE IS PRESENTED TO THE BOARD OF TRUSTEES. ANY CONFLICT OF INTEREST INVOLVING A DISQUALIFIED PERSON IS SUBJECT TO THE PROCESS OF ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY TRUSTEE WITH A CONFLICT OF INTEREST IS EXCUSED FOR THE PORTION OF THE MEETING WHERE THE SUBJECT MATTER IS DISCUSSED AND VOTED ON. FORM 990, PART VI, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION A COMMITTEE OF THE BOARD OF TRUSTEES CALLED THE COMPENSATION COMMITTEE MEETS REGULARLY TO REVIEW THE COMPENSATION OF ALL EXECUTIVES OF ALL COMPANIES WITHIN QHS. QHS' EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY FOR ITS PRESIDENT/CEO, EXECUTIVE VP/COO, EXECUTIVE VP/CFO, QHS SENIOR VP ENDOWMENT, QHS SENIOR VP CORPORATE DEVELOPMENT, QHS VP GENERAL COUNSEL, QHS VP HUMAN RESOURCES, QHS VP INFORMATION TECHNOLOGY/CIO, QHS VP COMMUNITY DEVELOPMENT, QHS VP MEDICAL AFFAIRS AND QHS VP CLINICAL INTEGRATION. ALL DECISIONS REGARDING EXECUTIVE COMPENSATION ARE MADE IN CONFORMITY WITH THE PROCEDURES REQUIRED TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY ADJUSTMENT TO COMPENSATION IS SUBJECT TO THE PROCESS OF ANNUAL PERFORMANCE REVIEWS AND COMPARISON TO COMPARABLE COMPENSATION DATA PREPARED BY A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. THE MOST RECENT REVIEW TOOK PLACE IN OCTOBER 2018. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC QHS GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THE QHS CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE QUEENS MEDICAL CENTER ("QMC"), MOLOKAI GENERAL HOSPITAL ("MGH") AND NORTH HAWAII COMMUNITY HOSPITAL ("NHCH") TAX RETURNS, AS REQUIRED. QHS DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS PENSION FAS 87 ADJUSTMENT $ 103,815 CHANGE IN OTHER COMPREHENSIVE INCOME $ 356,571 ROUNDING $( 2) ---------- TOTAL $ 460,384 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:15588820 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:4506620 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:874366 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 MEDICAL SVCS HI 501(c)(3) 3 QHS true QUEEN EMMA LAND COMPANY 1301 PUNCHBOWL STREET HONOLULU HI 96813 990183769 SUPPORT SVCS HI 501(c)(3) 12a QHS true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI MOLOKAI HI 96748 990251372 MEDICAL SVCS HI 501(c)(3) 3 QHS true NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 MEDICAL SVCS HI 501(c)(3) 3 QHS true HAMAMATSUQUEEN'S PET IMAGING CENER LLC 943266916 PET IMAGING HI NA N/A QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI QHS C Corp 1.00000 true DIAGNOSTIC LABORATORY SERVICES 99-859 IWAIWA STREET AIEA HI 96701 990240499 MEDICAL LAB SVCS HI NA C Corp true QUEEN'S INSURANCE EXCHANGE 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI QHS C Corp 1.00000 true false false false false false false false false false false false false false false false true true false false QUEEN'S MEDICAL CENTER p 5447046 FMV MOLOKAI GENERAL HOSPITAL q 1556604 FMV QUEEN EMMA LAND COMPANY q 2454228 FMV QUEEN'S MEDICAL CENTER q 131280971 FMV QUEEN'S DEVELOPMENT CORPORATION q 2811435 FMV QUEEN'S INSURANCE EXCHANGE q 335909 FMV NORTH HAWAII COMMUNITY HOSPITAL q 7778126 FMV QUEEN'S INSURANCE EXCHANGE p 180192 FMV QUEEN'S DEVELOPMENT CORPORATION p 569096 FMV DIAGNOSTIC LABORATORY SERVICES p 157361 FMV DIAGNOSTIC LABORATORY SERVICES q 3951404 FMV SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 NAME: QUEEN EMMA LAND COMPANY ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 EIN: 99-0183769 EXPENSES: $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