THE QUEENS MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-08
IRS object ID: 201721289349301547
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-08T12:53:13-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	370 17TH STREET 3300	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	990073524	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIC MARTINSON	PersonNm
Person Title	TREASURER	PersonTitleTxt
Signature	2017-04-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KELLEY SIMON	PreparerPersonNm
PTIN	P00791436	PTIN
Phone	7209314690	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,502,698,257	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.QUEENSMEDICALCENTER.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1859	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	6016	TotalEmployeeCnt
Total Volunteers	410	TotalVolunteersCnt
Total Gross UBI	$18,672,289	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$999,492	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,998,498	PYContributionsGrantsAmt
CY Contributions Grants	$38,401,500	CYContributionsGrantsAmt
PY Program Service Revenue	$915,734,107	PYProgramServiceRevenueAmt
CY Program Service Revenue	$982,934,948	CYProgramServiceRevenueAmt
PY Investment Income	$19,655,180	PYInvestmentIncomeAmt
CY Investment Income	$22,714,144	CYInvestmentIncomeAmt
PY Other Revenue	$32,074,379	PYOtherRevenueAmt
CY Other Revenue	$33,462,657	CYOtherRevenueAmt
PY Total Revenue	$1,003,462,164	PYTotalRevenueAmt
CY Total Revenue	$1,077,513,249	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,722,215	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,334,706	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$478,425,498	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$516,400,398	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,448	CYTotalFundraisingExpenseAmt
PY Other Expenses	$472,252,931	PYOtherExpensesAmt
CY Other Expenses	$522,427,644	CYOtherExpensesAmt
PY Total Expenses	$953,400,644	PYTotalExpensesAmt
CY Total Expenses	$1,041,162,748	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,061,520	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$36,350,501	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,478,889,020	TotalAssetsBOYAmt
Total Assets EOY	$1,559,687,478	TotalAssetsEOYAmt
Total Liabilities BOY	$846,770,690	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$964,879,840	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$632,118,330	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$594,807,638	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTHCARE SERVICES, TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$992,852,913	ExpenseAmt
Grant	$2,334,706	GrantAmt
Revenue	$1,003,404,191	RevenueAmt
Desc	THE QUEEN'S MEDICAL CENTER IS THE LARGEST PRIVATE, NONPROFIT ACUTE CARE MEDICAL FACILITY IN HAWAII. ITS STAFF IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE PEOPLE OF HAWAII AND THE PACIFIC. SEE SCHEDULE O FOR MORE INFORMATION.	Desc
Total Program Service Expenses	$992,852,913	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1187	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6016	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Maenette Benham EDD
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Gary Caulfield
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Diane Cecchettini RN
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Ernest Fukeda Jr
Trustee	1.0	3.0	Yes (X)	$0	$0	$0
Christine Gayagas
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Peter Hanashiro
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Lyle Harada
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Keawe Kaholokula PHD
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Stanley Kuriyama
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Sherry Menor-McNamara
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Robert Momsen
Trustee	1.0	4.0	Yes (X)	$0	$0	$0
Steven Nishida MD
Trustee	2.0	1.0	Yes (X)	$5,488	$0	$0
Robb Ohtani MD
Trustee	20.0	0.0	Yes (X)	$83,171	$0	$0
James Steinwascher
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Allen Uyeda
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Jenai Wall
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Barry Weinman
Trustee	1.0	3.0	Yes (X)	$0	$0	$0
Leslie Wilcox
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
C Scott Wo PHD
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Eric Yeaman
Chair/Trustee	1.0	6.0	Yes (X)	$0	$0	$0	Yes (X)
Arthur Ushijima
President/Trustee	25.0	40.0	Yes (X)	$0	$1,570,750	$150,484	Yes (X)
Robert Hong MD
Trustee	50.0	0.0	Yes (X)	$537,637	$0	$36,393
JIM YATES
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
Whitney Limm MD
SENIOR Vice President	12.0	48.0		$0	$618,800	$128,588	Yes (X)
John Nitao
Vice President/General Counsel	2.0	53.0		$0	$413,753	$70,620	Yes (X)
Susan Murray
COO, QMC-WEST OAHU	42.0	13.0		$0	$429,066	$67,774	Yes (X)
Sharlene Tsuda
Secretary	2.0	53.0		$0	$272,874	$65,715	Yes (X)
LORI-ANN NOELANI HARRIS
Assistant Secretary - PART YR	8.0	32.0		$0	$66,009	$11,934	Yes (X)
Robert Nobriga
Treasurer	10.0	50.0		$0	$630,440	$110,714	Yes (X)
Clinton Yee
Assistant Treasurer	37.0	18.0		$186,932	$0	$42,827	Yes (X)
JASON CHANG
EXEC. VICE PRESIDENT & COO	25.0	30.0		$0	$339,205	$3,605	Yes (X)
JOELLE TANABE
ASSISTANT SECRETARY	9.0	36.0		$0	$83,877	$30,591	Yes (X)
CYNTHIA KAMIKAWA
INTERIM EVP & COO - PART YEAR	30.0	25.0		$403,041	$0	$90,845	Yes (X)
Sung Bae Lee MD
Neurointerventional Surgeon	50.0	0.0		$841,261	$0	$61,681		Yes (X)
Nicholas Dang MD
Cardiothoracic Surgeon	50.0	0.0		$633,533	$0	$22,631		Yes (X)
Scott DM Moon MD
Radiation Oncologist	50.0	0.0		$606,869	$0	$58,757		Yes (X)
Christian Spies MD
Cardiologist	50.0	0.0		$611,903	$0	$39,749		Yes (X)
RAMY BADAWI MD
CARDIOLOGIST	50.0	0.0		$598,566	$0	$57,280		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,508,401	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,424,774	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,050,188	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1496	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DCK PACIFIC CONSTRUCTION LLC
707 RICHARDS STREET	HONOLULU	HI	96813	CONSTRUCTION SVCS	$12,257,194
HAWAII RESIDENCY PROGRAMS
1356 LUSITANA STREET 510	HONOLULU	HI	96813	MEDICAL SERVICES	$9,792,796
UCERA
677 ALA MOANA BLVD 1001	HONOLULU	HI	96813	MEDICAL SERVICES	$7,415,403
PRICEWATERHOUSE COOPERS
PO BOX 514038	LOS ANGELES	CA	90051	CONSULTING SERVICES	$6,743,646
ATOS IT OUTSOURCING SERVICES
1132 BISHOP STREET	HONOLULU	HI	96813	IT SERVICES	$6,256,868

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	127	CntrctRcvdGreaterThan100KCnt
Fundraising	$738,494	FundraisingAmt
Related Organizations	$35,312,961	RelatedOrganizationsAmt
All Other Contributions	$2,350,045	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$38,401,500	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$964,148,388	$964,148,388	$0	$0
INTERCO PURCHASED	561000	$14,057,877	$11,733,288	$2,324,589	$0
PATHOLOGY LABS	621500	$3,888,047	$0	$3,888,047	$0
MOLECULAR DIAGNOSTIC BIOREPOSITORY	621500	$840,636	$0	$840,636	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$982,934,948	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,084,057	TotalRevenueColumnAmt
Unrelated Business Revenue	$82,588	UnrelatedBusinessRevenueAmt
Exclusion	$4,001,469	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,510,406	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,510,406	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,510,406	TotalRevenueColumnAmt
Exclusion	$1,510,406	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$443,667,045	SecuritiesAmt
Other	$24,623	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$425,011,976	SecuritiesAmt
Other	$49,605	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,655,069	SecuritiesAmt
Other	-$24,982	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,630,087	TotalRevenueColumnAmt
Exclusion	$18,630,087	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$70,006	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$738,494	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$123,427	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$53,421	TotalRevenueColumnAmt
Exclusion	-$53,421	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER SERVICE	621500	$3,246,027	$2,828,401	$417,626	$0
RESEARCH	621500	$1,668,461	$1,668,461	$0	$0
CIPN INCOME	621500	$12,354,226	$1,235,423	$11,118,803	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,736,958	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,736,958	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$32,005,672	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,077,513,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$996,350,919	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,672,289	UnrelatedBusinessRevenueAmt
Exclusion	$24,088,541	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,334,706	TotalAmt
Program Services	$2,334,706	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,173,538	TotalAmt
Program Services	$956,858	ProgramServicesAmt
Management And General	$216,680	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$406,756,292	TotalAmt
Program Services	$393,202,938	ProgramServicesAmt
Management And General	$13,553,354	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$35,417,398	TotalAmt
Program Services	$34,196,700	ProgramServicesAmt
Management And General	$1,220,698	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,512,472	TotalAmt
Program Services	$43,585,767	ProgramServicesAmt
Management And General	$1,926,705	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,540,698	TotalAmt
Program Services	$26,590,082	ProgramServicesAmt
Management And General	$950,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$822,484	TotalAmt
Program Services	$395,674	ProgramServicesAmt
Management And General	$426,810	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$934,432	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$934,432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$63,442	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$63,442	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$107,812,318	TotalAmt
Program Services	$97,551,734	ProgramServicesAmt
Management And General	$10,260,584	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,073,912	TotalAmt
Program Services	$970,290	ProgramServicesAmt
Management And General	$103,622	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,073,599	TotalAmt
Program Services	$3,575,097	ProgramServicesAmt
Management And General	$498,502	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$874,406	TotalAmt
Program Services	$579,505	ProgramServicesAmt
Management And General	$294,901	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,889,662	TotalAmt
Program Services	$17,671,443	ProgramServicesAmt
Management And General	$218,219	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,109,783	TotalAmt
Program Services	$948,781	ProgramServicesAmt
Management And General	$161,002	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,530,680	TotalAmt
Program Services	$12,094,848	ProgramServicesAmt
Management And General	$2,435,832	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,388,999	TotalAmt
Program Services	$31,965,129	ProgramServicesAmt
Management And General	$5,423,870	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,924,826	TotalAmt
Program Services	$1,907,932	ProgramServicesAmt
Management And General	$7,016,894	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$168,199,231	$168,199,231	$0	$0
INTERCOMPANY EXPENSES	$127,512,398	$127,512,398	$0	$0
TAXES	$17,720,719	$17,672,032	$48,687	$0
EDUCATION	$3,214,437	$2,957,499	$256,938	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,282,316	TotalAmt
Program Services	$7,984,269	ProgramServicesAmt
Management And General	$2,296,599	ManagementAndGeneralAmt
Fundraising	$1,448	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,041,162,748	TotalAmt
Program Services	$992,852,913	ProgramServicesAmt
Management And General	$48,308,387	ManagementAndGeneralAmt
Fundraising	$1,448	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,107	BOYAmt
EOY	$48,908	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$29,815,496	BOYAmt
EOY	$26,072,200	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$163,882,685	BOYAmt
EOY	$190,477,483	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,829,308	BOYAmt
EOY	$12,654,783	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,393,659	BOYAmt
EOY	$9,792,602	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$825,237,864	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$488,579,219	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$341,596,241	BOYAmt
EOY	$336,658,645	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$291,348,485	BOYAmt
EOY	$470,502,589	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$460,497,667	BOYAmt
EOY	$267,887,716	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,107,139	BOYAmt
EOY	$4,707,975	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$164,372,233	BOYAmt
EOY	$240,884,577	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,478,889,020	BOYAmt
EOY	$1,559,687,478	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$309,321,505	BOYAmt
EOY	$379,970,933	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$348,073,644	BOYAmt
EOY	$368,242,024	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$189,375,541	BOYAmt
EOY	$216,666,883	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$846,770,690	BOYAmt
EOY	$964,879,840	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$611,485,977	BOYAmt
EOY	$573,799,511	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,681,539	BOYAmt
EOY	$15,057,313	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$632,118,330	BOYAmt
EOY	$594,807,638	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,478,889,020	BOYAmt
EOY	$1,559,687,478	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$36,350,501	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$29,391,173	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$44,270,020	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

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

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$63,442	FilingOrganizationsTotalAmt
Affiliated Group Total	$126,289	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$63,442	FilingOrganizationsTotalAmt
Affiliated Group Total	$126,289	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$992,852,914	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,204,929,287	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$992,916,356	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,205,055,576	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$113,796	CurrentYearMinus3Amt
Current Year Minus2	$116,026	CurrentYearMinus2Amt
Current Year Minus1	$52,172	CurrentYearMinus1Amt
Current Year	$126,289	CurrentYearAmt
Total	$408,283	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,221,401	BeginningYearBalanceAmt
Contributions	$500	ContributionsAmt
Investment Earnings Or Losses	$697,700	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$19,000	GrantsOrScholarshipsAmt
Other Expenditures	$816,329	OtherExpendituresAmt
End Year Balance	$7,084,272	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,237,856	BeginningYearBalanceAmt
Contributions	$1,125	ContributionsAmt
Investment Earnings Or Losses	$119,980	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,543	GrantsOrScholarshipsAmt
Other Expenditures	$132,017	OtherExpendituresAmt
End Year Balance	$7,221,401	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.81000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.19000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,163,352	OtherCostOrOtherBasisAmt
Book Value	$37,163,352	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$517,617,518	OtherCostOrOtherBasisAmt
Depreciation	$320,525,609	DepreciationAmt
Book Value	$197,091,909	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,985,558	OtherCostOrOtherBasisAmt
Depreciation	$10,284,471	DepreciationAmt
Book Value	$4,701,087	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$228,381,972	OtherCostOrOtherBasisAmt
Depreciation	$157,769,139	DepreciationAmt
Book Value	$70,612,833	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,089,464	OtherCostOrOtherBasisAmt
Book Value	$27,089,464	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$336,658,645	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS-NON PUBLIC	Desc
Book Value	$267,887,716	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$267,887,716	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$239,939,928
OTHER ASSETS RESTRICTED FOR LT	$944,649

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$240,884,577	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$187,705,847
DUE TO GOVERNMENT REIMBURSEMENT	$17,576,758
DUE TO GOVERNMENT	$11,384,278

Field	Value	IRS element (for citing)
Total Liability	$216,666,883	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE OF ENDOWMENT FUNDS THE QUEEN'S MEDICAL CENTER USES THE EARNINGS ON PERMANENTLY ENDOWED INVESTMENTS FOR THE PURPOSES INTENDED BY THE DONORS OF THESE FUNDS.
SCHEDULE D, PART X, LINE 2	FIN 48 (ASC 740) FOOTNOTE QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2016.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BENEFIT DINNER	Event1Nm
Gross Receipts Event1	$808,500	GrossReceiptsEvent1Amt
Charitable Contri Event1	$738,494	CharitableContriEvent1Amt
Gross Revenue Event1	$70,006	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$6,220	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$86,815	FoodAndBeverageEvent1Amt
Entertainment Event1	$15,830	EntertainmentEvent1Amt
Other Direct Expenses Event1	$14,562	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$808,500	GrossReceiptsTotalAmt
Charitable Contributions Tot	$738,494	CharitableContributionsTotAmt
Gross Revenue Total Events	$70,006	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$6,220	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$86,815	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$15,830	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$14,562	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$123,427	DirectExpenseSummaryEventsAmt
Net Income Summary	-$53,421	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,209,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,209,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,863,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,609,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,254,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,072,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,609,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,463,000	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,974,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,974,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,045,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,045,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01450	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,019,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,120,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,899,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$801,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$801,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,252,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,252,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,091,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,120,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,971,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,163,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,729,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,434,000	NetCommunityBenefitExpnsAmt
Total Expense	0.09280	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,873,000	BadDebtExpenseAmt
Reimbursed By Medicare	$261,563,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$316,296,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$54,733,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 HEALTHCARE ASSOCIATION OF HAWAII (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 QUEENS MEDICAL CENTER FACILITY'S CHNA CAN BE ACCESSED: HTTP://QUEENSMEDICALCENTER.ORG/COMMUNITY-BENEFITS
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ASSESSED TOGETHER, THE HEALTHCARE ASSOCIATION OF HAWAII 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 TOP 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. 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: HTTP://QUEENSMEDICALCENTER.ORG/CHARITY-CARE-POLICY
SCHEDULE H, PART V, SECTION B, LINE 16I	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.
SCHEDULE H, PART V, SECTION B, LINE 22D	OTHER METHOD FOR DETERMINING MAXIMUM CHARGED AMOUNT CHARGES BILLED TO UNINSURED PATIENTS ARE THE SAME AMOUNTS AS CHARGES TO INSURED PATIENTS. PER QMC'S DISCOUNTED CARE POLICY, UNINSURED PATIENTS ARE ELIGIBLE FOR A 30% DISCOUNT PROVIDED "PATIENT AGREES TO A PROMPT PAYMENT SCHEDULE ACCEPTABLE TO QMC."

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
QUEEN'S HEARTGERIATRICS
550 S BERETANIA STREET STE 601	HONOLULU	HI	96813	CARDIAC CARE CENTER
QMC - ENDOSCOPY
550 S BERETANIA STREET STE 701	HONOLULU	HI	96813	ENDOSCOPY SERVICES
QMC - PAIN & SPINE
550 S BERETANIA STREET STE 703/704	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 510	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 404/406	HONOLULU	HI	96813	ORGAN TRANSPLANT CENTER AND ILLNESS
QUEEN'S IMAGING
91-2139 FORT WEAVER ROAD STE 108	EWA BEACH	HI	96706	IMAGING SERVICES
QMC - VALVE & STRUCTURAL HEART
551 S BERETANIA STREET STE 702	HONOLULU	HI	96813	CARDIAC CARE CENTER AND ILLNESS
QMC - LIVER CENTER
550 S BERETANIA STREET STE 405	HONOLULU	HI	96813	MANAGEMENT OF LIVER HEALTH ILLNESS
QUEEN'S REHABILITATION CENTER
550 S BERETANIA STREET STE 300	HONOLULU	HI	96813	OCCUPATIONAL THERAPY
PHYSICIAN CENTER
91-2135 FORT WEAVER ROAD STE 150	EWA BEACH	HI	96706	PHYSICIAN CENTER
QUEEN'S HEART PHYSICIAN PRACTICE
98-1247 KAAHUMANU STREET STE 206	AIEA	HI	96701	CARDIAC CARE CENTER
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	SURGICAL CENTER
QMC - RESEARCH SERVICES
1330 LUSITANA STREET STE 107	AIEA	HI	96701	RESEARCH
DIABETES COMMUNITY EDUCATION
91-2135 FORT WEAVER ROAD STE 180	EWA BEACH	HI	96706	DIABETES EDUCATION CENTER
QMC - GENETICS COUNSELING
1329 LUSITANA STREET STE B-8	HONOLULU	HI	96706	GENETICS COUNSELING SERVICES
QMC - HEPATOLOGY
550 S BERETANIA STREET STE 400	HONOLULU	HI	96706	MANAGEMENT OF LIVER HEALTH AND ILLNESS

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6	COMMUNITY BENEFIT REPORT RELATED ORGANIZATION COMMUNITY BENEFITS ARE REPORTED ANNUALLY AS PART OF THE FORM 990. THIS IS NOT SEPARATELY AVAILABLE TO THE PUBLIC. A FORMAL REPORT ISSUED BY THE PARENT COMPANY, THE QUEENS HEALTH SYSTEMS, INCLUDES THE COMMUNITY BENEFITS OF THE QUEENS MEDICAL CENTER. THIS REPORT IS PUBLISHED PERIODICALLY AND IS SEPARATELY AVAILABLE TO THE PUBLIC.
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY CONSIDERS ALL PATIENT SEGMENTS. AMOUNTS REPRESENT THE NET COSTS FOR THE VARIOUS PROGRAMS AND OPERATIONS, CONSIDERING ACTUAL AMOUNTS INCURRED AND CALCULATED BENEFITS BASED ON COST-TO-CHARGE RATIOS AND AVERAGE RATES (I.E. WAGE RATES). SCHEDULE H, PART I, LINE 7G The Queen Emma Clinics provide comprehensive patient care to indigent patients and serve a large homeless population. The net costs associated with these clinics were $4,845,000.
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 PLAN BY ADDING TWO NEW GENERATORS THAT ARE CAPABLE OF PROVIDING ELECTRICAL POWER FOR THE MEDICAL CENTER. QMC IS THE ONLY LEVEL II 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 AN ALLOWANCE AGAINST ACCOUNTS RECEIVALBE 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, 2016 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 $57,864,000. 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 SOME OR ALL OF ITS DEPARTMENTS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM QMC IS A MEMBER OF THE QUEENS HEALTH SYSTEMS (QHS) AFFILIATED GROUP. THE GROUP ALSO INCLUDES QUEEN EMMA LAND COMPANY (QEL), QUEENS INSURANCE EXCHANGE (QIE), QUEENS DEVELOPMENT CORPORATION (QDC), MOLOKAI GENERAL HOSPITAL (MGH) AND NORTH HAWAII COMMUNITY HOSPITAL (NHCH). QHS PROVIDED LEGAL, ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO QMC AND QIE PROVIDED MEDICAL MALPRACTICE INSURANCE TO QMC. AFFILIATE ORGANIZATIONS OF THE QUEENS HEALTH SYSTEMS OPERATE THE ONLY HOSPITAL ON THE ISLAND OF MOLOKAI, OPERATE THE NORTH HAWAII COMMUNITY HOSPITAL ON THE BIG ISLAND, PROVIDE DIAGNOSTIC LABORATORY SERVICES, OPERATE PHARMACIES AND PROVIDE THE HOSPITALS WITH GENERAL AND PROFESSIONAL LIABILITY INSURANCE.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN ASSC OF CRITICAL CARE NURSES
PO BOX 23207	HONOLULU	HI	968233207	952706905	501(C)(3)	$15,000	Sponsorship "Acute and Critical Care Nursing Symposium"
AMERICAN CANCER SOCIETY
2370 NUUANU AVENUE	HONOLULU	HI	96817	131788491	501(C)(3)	$20,000	EVESponsorship "4th Annual Hope Gala Honolulu-Midnight in New Orleans"
AMERICAN DIABETES ASSOCIATION
875 WAIMANU ST STE 601	HONOLULU	HI	96813	131623888	501(C)(3)	$57,500	2016 Multi-Level Sponsorship
AMERICAN HEART ASSOCIATION
677 ALA MOANA BLVD STE 600	HONOLULU	HI	968135485	135613797	501(C)(3)	$50,000	Sponsorship "Heart Ball 2016"
AMERICAN RED CROSS
4155 DIAMOND HEAD ROAD	HONOLULU	HI	96816	530196605	501(C)(3)	$25,000	2016 Red Cross Corporate Partner
ARTHRITIS FOUNDATION
615 PIIKOI STREET STE 1109	HONOLULU	HI	96814	951885447	501(C)(3)	$35,000	Sponsorship "2015 Taste of the Town"
ASSISTANCE DOGS OF HAWAII
675 KEALALOA AVENUE	MAKAWAO	HI	96768	990353694	501(C)(3)	$10,000	Sponsorship "Giving Thanks Benefit Event"
BISHOP MUSEUM
1525 BERNICE STREET	HONOLULU	HI	968172704	990161980	501(C)(3)	$10,000	Sponsorship "18th Annual Bernice Pauahi Bishop Museum Dinner"
BOY SCOUTS OF AMERICA ALOHA COUNCIL
42 PUIWA ROAD	HONOLULU	HI	96817	990073482	501(C)(3)	$11,000	Sponsorship "2015 Hawaii's Distinguished Citizen"
CHAMBER OF COMMERCE OF HAWAII
1132 BISHOP STREET STE 2105	HONOLULU	HI	96813	990035510	501(C)(6)	$10,250	Sponsorship "2015 Executive Roast and Toast"
DAUGHTERS OF HAWAII
2913 PALI HIGHWAY	HONOLULU	HI	96817	990075505	501(C)(3)	$11,500	Contribution "Kanikapila Under the Nuuanu Moonlight"
FAMILY PROGRAMS HAWAII
250 VINEYARD STREET	HONOLULU	HI	96813	990280498	501(C)(3)	$15,000	Sponsorship "Hawai'i International Training Summit on Preventing, Assessing & Treating Trauma Across the Lifespan"
FIVE MOUNTAINS HAWAII INC
65-1158 MAMALAHOA HWY STE 2D	KAMUELA	HI	96743	990330168	501(C)(3)	$199,720	Contribution "Kipuka o ke Ola - Primary Care Program Grant"
GIRL SCOUTS OF HAWAII
410 ATKINSON DRIVE SUITE 2E1 BOX	HONOLULU	HI	96814	990073488	501(C)(3)	$10,000	Sponsorship "2016 Women of Distinction Dinner"
HAWAII ACADEMY OF SCIENCE
1776 UNIVERSITY AVENUE UA4 RM 4	HONOLULU	HI	96822	996006863	501(C)(3)	$30,000	Sponsorship "Friends of the Science Fair"
HAWAII CANCER CONSORTIUM
55 MERCHANT STREET STE 2700	HONOLULU	HI	96813	452280259	501(C)(3)	$500,000	GENERAL SUPPORT
HAWAII CHILDREN'S CANCER FOUNDATION
1814 LILIHA STREET	HONOLULU	HI	96817	990299937	501(C)(3)	$7,500	CATALYST FUND
HAWAII COUNCIL ON ECONOMIC EDUCATION
111 HEKILI STREET STE 232	KAILUA	HI	96734	996010090	501(C)(3)	$5,500	Sponsorship "50th Anniversary 2015 Annual Dinner"
HAWAII FOODBANK INC
2611 KILIHAU STREET	HONOLULU	HI	968192021	990220699	501(C)(3)	$16,000	Sponsorship "RACK-A-THON Campaign"
HAWAII MEALS ON WHEELS INC
PO BOX 61194	HONOLULU	HI	968391194	990198132	501(C)(3)	$6,000	Donation "September Spooktacular"
HAWAII PACIFIC UNIVERSITY
1164 BISHOP STREET STE 1200	HONOLULU	HI	96813	990113930	501(C)(3)	$6,000	Sponsorship "2016 HPU Sharks Club"
HEALTHCARE ASSOCIATION OF HAWAII
707 RICHARDS STREET PH2	HONOLULU	HI	96813	990105817	501(C)(6)	$7,500	Sponsorship "2015 Awards & Scholarship Dinner
HELPING HANDS HAWAII
2100 N NIMITZ HIGHWAY	HONOLULU	HI	96819	237365077	501(C)(3)	$7,000	Contribution "Annual Fundraising Dinner"
HOSPICE HAWAII INC
860 IWILEI ROAD	HONOLULU	HI	96817	990203930	501(C)(3)	$7,500	Sponsorship "7th Annual Hot Pursuit"
KUAKINI FOUNDATION
347 N KUAKINI STREET	HONOLULU	HI	96817	990225067	501(C)(3)	$10,000	Sponsorship "12th Annual Holiday Trees & Treasures"12
LUNALILO HOME
501 KEKAULUOHI STREET	HONOLULU	HI	96825	990075244	501(C)(3)	$26,000	Contribution "Environmental Scan of Elder Care"
MAKE-A-WISH HAWAII INC
223 SOUTH KING STREET STE 100	HONOLULU	HI	96813	990220777	501(C)(3)	$10,000	Sponsorship 2015 Jingle Rock Run, "Rock the Wish"
MARCH OF DIMES FOUNDATION
1451 SOUTH KING ST STE 504	HONOLULU	HI	96814	131846366	501(C)(3)	$12,500	Contribution "2015 Governors' Ball"
NATIONAL KIDNEY FOUNDATION OF HAWAII (NKFH)
1314 SOUTH KING ST STE 1555	HONOLULU	HI	96814	990266733	501(C)(3)	$25,000	GENERAL SUPPORT
PALAMA SETTLEMENT
810 NORTH VINEYARD BLVD	HONOLULU	HI	96817	990074140	501(C)(3)	$8,000	Sponsorship "3rd Annual Malama Palama Gala"
PUBLIC SCHOOLS OF HAWAII FOUNDATION
PO BOX 4148	HONOLULU	HI	96812	880243449	501(C)(3)	$15,000	Sponsorship "25th Annual Kulia I Ka Nu'u Awards Banquet"
SHIDLER COLLEGE OF BUSINESS ALUMNI ASSN
2404 MAILE WAY A-303F	HONOLULU	HI	96822	990339302	501(C)(3)	$9,000	Sponsorship "2015 Hall of Honor Awards"
SPIKE AND SERVE CLUB
1669 ST LOUIS DRIVE	HONOLULU	HI	96816	461014354	501(C)(3)	$10,000	2016 Corporate Partnership
ST ANDREW'S PRIORY SCHOOL
224 QUEEN EMMA SQUARE	HONOLULU	HI	96813	990073525	501(C)(3)	$10,000	Contribution "10th Annual Queen Emma Ball"
ST FRANCIS HEALTHCARE SYSTEM FNDN OF HAWAII
2228 LILIHA ST STE 205	HONOLULU	HI	96817	990240060	501(C)(3)	$14,000	Contribution "15th Annual St. Francis Golf Healthy Challenge"
SUSAN G KOMEN BREAST CANCER FOUNDATION
3555 HARDING AVE STE 2D	HONOLULU	HI	96816	752844635	501(C)(3)	$8,000	Sponsorship "5th Annual Pink Tie Ball"
TEACH FOR AMERICA HAWAII
315 WEST 36TH STREET 6TH FLOOR	NEW YORK	NY	10018	133541913	501(C)(3)	$7,500	Contribution "2016 School's Cool"
Univ Clinical Education & Research Assocs
677 ALA MOANA BOULEVARD STE 1001	HONOLULU	HI	968135485	990307152	501(C)(3)	$250,000	Family Medicine Primary Care Consortium
UNIVERSITY OF HAWAII
PO BOX 11270	HONOLULU	HI	968280270	996000354	501(C)(3)	$12,500	Sponsorship "7th Annual Hawai'i Strength and Conditioning Coaches Clinic"
UNIVERSITY OF HAWAII ALUMNI ASSOCIATION
2440 CAMPUS RD 307	HONOLULU	HI	968222234	990272310	501(C)(3)	$8,500	Sponsorship "2016 Distinguished Alumni Awards Dinner"
UNIVERSITY OF HAWAII FOUNDATION
2444 DOLE ST BACHMAN 105	HONOLULU	HI	96822	990085260	501(C)(3)	$259,000	Annual Funding for Ike Ao Pono Program
UNIVERSITY OF PITTSBURGH
FORBES TOWER STE 8084	PITTSBURGH	PA	15213	250965591	501(C)(3)	$6,000	Contribution "Support for 2 UPCI Academy Scholars"
YWCA OF OAHU
1566 WILDER AVENUE	HONOLULU	HI	96822	990073534	501(C)(3)	$9,150	Sponsorship "LeaderLuncheon 2016"
THE QUEEN'S HEALTH SYSTEMS
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990238120	501(C)(3)	$338,000

Field	Value	IRS element (for citing)
Total501c3 Org	42	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Arthur Ushijima
President/Trustee	$0	$828,804	$0	$741,946	$0	$0	$0	$135,496	$0	$14,988	$0	$1,721,234	$0	$0
Robert Hong MD
Trustee	$486,494	$0	$46,013	$0	$5,130	$0	$35,146	$0	$1,247	$0	$574,030	$0	$0	$0
Whitney Limm MD
SENIOR Vice President	$0	$468,429	$0	$108,245	$0	$42,126	$0	$97,309	$0	$31,279	$0	$747,388	$0	$0
John Nitao
Vice President/General Counsel	$0	$329,841	$0	$63,789	$0	$20,123	$0	$49,327	$0	$21,293	$0	$484,373	$0	$0
Susan Murray
COO, QMC-WEST OAHU	$0	$325,249	$0	$51,176	$0	$52,641	$0	$46,944	$0	$20,830	$0	$496,840	$0	$0
Sharlene Tsuda
Secretary	$0	$217,015	$0	$33,070	$0	$22,789	$0	$51,428	$0	$14,287	$0	$338,589	$0	$0
Robert Nobriga
Treasurer	$0	$475,824	$0	$133,931	$0	$20,685	$0	$79,410	$0	$31,304	$0	$741,154	$0	$0
Clinton Yee
Assistant Treasurer	$171,846	$0	$7,300	$0	$7,786	$0	$16,497	$0	$26,330	$0	$229,759	$0	$0	$0
Sung Bae Lee MD
Neurointerventional Surgeon	$594,804	$0	$222,125	$0	$24,332	$0	$37,088	$0	$24,593	$0	$902,942	$0	$0	$0
Nicholas Dang MD
Cardiothoracic Surgeon	$512,604	$0	$99,400	$0	$21,529	$0	$18,881	$0	$3,750	$0	$656,164	$0	$0	$0
Scott DM Moon MD
Radiation Oncologist	$471,441	$0	$128,378	$0	$7,050	$0	$37,312	$0	$21,445	$0	$665,626	$0	$0	$0
Christian Spies MD
Cardiologist	$527,031	$0	$83,750	$0	$1,122	$0	$19,932	$0	$19,817	$0	$651,652	$0	$0	$0
RAMY BADAWI MD
CARDIOLOGIST	$492,585	$0	$104,930	$0	$1,051	$0	$36,955	$0	$20,325	$0	$655,846	$0	$0	$0
JASON CHANG
EXEC. VICE PRESIDENT & COO	$0	$95,144	$0	$240,134	$0	$3,927	$0	$0	$0	$3,605	$0	$342,810	$0	$0
CYNTHIA KAMIKAWA
INTERIM EVP & COO - PART YEAR	$329,169	$0	$46,900	$0	$26,972	$0	$83,471	$0	$7,374	$0	$493,886	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	COMPENSATION COMMITTEE 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 4B	THE CEO PARTICIPATES IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT PROVIDES FOR AN UMBRELLA BENEFIT EQUAL TO A LIFE ANNUITY OF 60% OF FINAL AVERAGE SALARY AT NORMAL RETIREMENT AGE (WHICH BENEFIT IS OFFSET HOWEVER BY THE BENEFIT PROVIDED TO THE CEO UNDER THE QHS PENSION PLAN, THE QHS 401(K) PLAN FOR MATCHING CONTRIBUTIONS ONLY, THE QHS PENSION RESTORATION PLAN, AND 50% OF ESTIMATED SOCIAL SECURITY RETIREMENT BENEFITS). NORMAL RETIREMENT AGE IS DEFINED AS AGE 65 AND THE BENEFIT VESTS AND IS PAID OUT AS A LUMP SUM AT THAT POINT REGARDLESS IF EMPLOYMENT IS CONTINUED PAST AGE 65. THERE WERE NO PAYOUTS MADE IN 2015.
SCHEDULE J, PART I, LINE 7	OTHER NON-FIXED PAYMENTS RECOGNITION AWARDS WERE PAID TO ALL LISTED EMPLOYEES BASED ON ACCOMPLISHMENTS OF PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND BECAUSE THEY MET DEFINED ELIGIBILITY REQUIREMENTS. 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 HE PERFORMS IN THOSE ROLES. JASON CHANG MR. CHANG SERVES AS EXECUTIVE VP AND COO OF QHS AND EXECUTIVE VP AND COO OF QMC. HE IS 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 IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. ROBERT NOBRIGA MR. NOBRIGA SERVES AS TREASURER OF QUEEN EMMA LAND COMPANY (QEL), QMC AND THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. WHITNEY LIMM, MD DR. LIMM SERVES AS SENIOR VP OF CLINICAL INTEGRATION AND CHIEF PHYSICIAN EXECUTIVE OF QHS AND QMC. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. JOHN NITAO MR. NITAO SERVES AS VP/GENERAL COUNSEL FOR QHS AND AFFILIATES. HE IS 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 REGION. SHE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. CLINTON YEE MR. YEE SERVES AS CORPORATE CONTROLLER OF QHS, ASSISTANT TREASURER OF QMC, QHS, QEL AND TREASURER OF MOLOKAI GENERAL HOSPITAL. HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. ROBERT HONG, MD DR. HONG SERVES AS A TRUSTEE AND CHIEF OF STAFF OF QMC. HE IS A VOLUNTEER TRUSTEE AND IS NOT COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR HIS ON-CALL SPECIALTY SERVICES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$350,362,507	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$4,726,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$147,627,222	CapitalExpendituresAmt
Other Spent Proceeds	$8,116,086	OtherSpentProceedsAmt
Unspent	$55,914,757	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Hedge Provider Name HedgeProviderName

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

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

GIC Provider Name GICProviderName

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

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K

THE QUEEN'S MEDICAL CENTER'S (QMC) SOLE CORPORATE MEMBER, THE QUEEN'S 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 THE ENTITIES AND REPORTED SEPARATELY ON FORM 990, PART X. QMC'S SHARE OF THE OUTSTANDING LIABILITY IS $368,242,024.

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 QUEEN'S MEDICAL CENTER, AND OTHER AFFILIATED CORPORATIONS, AND THE MASTER TRUSTEE NAMED THEREIN, FINANCE, REFINANCE OR REIMBURSE THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING FACILITIES BENEFITING THE OBLIGATED GROUP MEMBERS AND PAY COSTS OF ISSUANCE OF THE BONDS. OBLIGATED GROUP MEMBERS AND PAY COSTS OF ISSUANCE OF THE BONDS. THE ISSUE DATES FOR THE REFUNDED BONDS WERE: 12/11/2003 5/6/2009 3/16/2006

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (26 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SCHEDULE B DONOR 6
SUBSTANTIAL CONTRIBUTOR	$518,707	LEGAL SERVICES	false
SCHEDULE B DONOR 10
SUBSTANTIAL CONTRIBUTOR	$6,968,377	IT SERVICES	false
SCHEDULE B DONOR 24
SUBSTANTIAL CONTRIBUTOR	$1,992,854	CONSULTING SERVICES	false
SCHEDULE B DONOR 33
SUBSTANTIAL CONTRIBUTOR	$1,503,864	PARKING SERVICES	false
SCHEDULE B DONOR 34
SUBSTANTIAL CONTRIBUTOR	$4,487,594	CONSULTING SERVICES	false
SCHEDULE B DONOR 35
SUBSTANTIAL CONTRIBUTOR	$787,193	ACCOUNTING SERVICES	false
SCHEDULE B DONOR 48
SUBSTANTIAL CONTRIBUTOR	$371,334	CONSULTING SERVICES	false
SCHEDULE B DONOR 50
SUBSTANTIAL CONTRIBUTOR	$1,107,455	UTILITY	false
SCHEDULE B DONOR 53
SUBSTANTIAL CONTRIBUTOR	$2,035,068	MEDICAL SERVICES	false
SCHEDULE B DONOR 54
SUBSTANTIAL CONTRIBUTOR	$854,101	MEDICAL SERVICES	false
SCHEDULE B DONOR 55
SUBSTANTIAL CONTRIBUTOR	$1,944,735	CONSTRUCTION	false
SCHEDULE B DONOR 56
SUBSTANTIAL CONTRIBUTOR	$596,920	UTILITY	false
SCHEDULE B DONOR 71
SUBSTANTIAL CONTRIBUTOR	$3,629,830	CONSULTING SERVICES	false
SCHEDULE B DONOR 73
SUBSTANTIAL CONTRIBUTOR	$183,881	MEDICAL SUPPLIES	false
SCHEDULE B DONOR 75
SUBSTANTIAL CONTRIBUTOR	$599,245	ACCOUNTING SERVICES	false
SCHEDULE B DONOR 95
SUBSTANTIAL CONTRIBUTOR	$261,144	CONSTRUCTION	false
SCHEDULE B DONOR 98
SUBSTANTIAL CONTRIBUTOR	$671,215	CONSTRUCTION	false
SCHEDULE B DONOR 101
SUBSTANTIAL CONTRIBUTOR	$1,480,535	MANAGEMENT SERVICES	false
SCHEDULE B DONOR 104
SUBSTANTIAL CONTRIBUTOR	$165,648	MEDICAL SERVICES	false
SCHEDULE B DONOR 105
SUBSTANTIAL CONTRIBUTOR	$450,802	CONSTRUCTION	false
SCHEDULE B DONOR 110
SUBSTANTIAL CONTRIBUTOR	$506,615	CONSULTING SERVICES	false
SCHEDULE B DONOR 118
SUBSTANTIAL CONTRIBUTOR	$105,874	MEDICAL SERVICES	false
SCHEDULE B DONOR 122
SUBSTANTIAL CONTRIBUTOR	$1,860,484	CONSTRUCTION	false
SCHEDULE B DONOR 125
SUBSTANTIAL CONTRIBUTOR	$3,535,228	LAUNDRY SERVICES	false
CS WO SONS LTD
C. SCOTT WO, TRUSTEE-QMC	$527,902	RENTAL OF PROPERTY	false
JEANETTE HANASHIRO
RELATIVE OF TRUSTEE	$62,091	EMPLOYEE OF QMC	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Business Transactions	FormAndLineReferenceDesc
Explanation	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 $527,902.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, 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 QUEENS MEDICAL CENTER HAS 505 ACUTE CARE BEDS AND 28 SUB-ACUTE CARE BEDS. WITH OVER 3,000 EMPLOYEES AND OVER 1,200 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 II 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 QUEENS MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEENS PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $178,106,000 ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2016. 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, 2016, THE ESTIMATED COST OF PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $3,209,000 AND $26,873,000 RESPECTIVELY. 2. QUEEN'S TRANSPLANT CENTER - IN JANUARY 2012, QMC OPENED THE ONLY ORGAN TRANSPLANT CENTER IN HAWAII AND THE PACIFIC BASIN. THIS NEW CENTER IS HOME TO PHYSICIANS AND STAFF WITH OVER 20 YEARS OF EXPERIENCE IN TRANSPLANTATION. FOR THE YEAR ENDED JUNE 30, 2016, THE ESTIMATED COST OF OPERATIONS OF THE QUEEN'S TRANSPLANT CENTER WAS $1,775,000. 3. 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 $1,300,000 FOR THE YEAR ENDED JUNE 30, 2016. 4. 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 $4,845,000 FOR THE YEAR ENDED JUNE 30, 2016. 5. 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 $9,092,000 IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2016. 6. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $14,204,000 DURING THE YEAR ENDED JUNE 30, 2016 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. 7. 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, 2016 WAS $831,000. 8. 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, 2016 WAS $2,112,000. 9. TRANSPORTATION SERVICES - QMC PROVIDES TRANSPORTATION TO AND FROM THE MEDICAL CENTER TO PATIENTS WHO REQUIRE ASSISTANCE. THE COST OF PROVIDING THESE SERVICES WAS $95,000 FOR THE YEAR ENDED JUNE 30, 2016. 10. HEALTH AND WELLNESS EDUCATION - QMC PROVIDES HEALTH AND WELLNESS EDUCATION TO THE COMMUNITY IN AN EFFORT TO PROMOTE HEALTHY LIFESTYLES. FOR THE YEAR ENDED JUNE 30, 2016, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $407,000. 11. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2016, RESEARCH COSTS WERE $801,000. 12. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2016, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS WERE $1,967,000. OF THIS AMOUNT, $338,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $500,000 WAS DONATED TO THE UNIVERSITY OF HAWAII CANCER CONSORTIUM. 13. 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, 2016, COSTS INCURRED FOR THE ELECTRICAL GENERATOR PROJECT WERE $32,000. TOTAL PROJECT COSTS INCURRED AS OF JUNE 30, 2016 WERE APPROXIMATELY $34,303,000. 14. 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 $50,254,000 DURING THE YEAR ENDED JUNE 30, 2016. 15. 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 $54,733,000 DURING THE YEAR ENDED JUNE 30, 2016. CONSISTENT WITH COST REPORT REQUIREMENTS, THERE ARE AMOUNTS THAT ARE EXCLUDED FROM THE COSTS ABOVE. 16. 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, 2016, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $79,000. 17. PROGRAMS THAT IMPROVE ACCESS TO HEALTHCARE - QMC IMPROVES THE COMMUNITY'S ACCESS TO HEALTHCARE BY HELPING PATIENTS QUALIFY FOR MEDICAID AND OTHER TYPES OF INSURANCE. FOR THE YEAR ENDED JUNE 30, 2016, THESE PROGRAM COSTS TOTALED $983,000. 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, 2016, COSTS INCURRED FOR THE IMPROVEMENT PROJECT WERE $34,000. 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 $714,000 FOR THE YEAR ENDED JUNE 30, 2016. 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 EN
FORM 990, PART VI, LINE 6	MEMBERS OR STOCKHOLDERS QMC HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS").
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	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 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	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	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 MANAGER 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	ALTHOUGH NOT COMPENSATED BY THE QUEEN'S MEDICAL CENTER, A RELATED ORGANIZATION, THE QUEEN'S HEALTH SYSTEMS, 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. QMCS 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 2016. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE.
FORM 990, PART VI, LINE 19	QMCS 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 ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	OTHER CHANGES TO NET ASSETS PENSION FAS 87 ADJUSTMENTS $ (42,218,921) CHANGE IN INTEREST IN SUBSIDIARY $ (4,751,487) UNREALIZED GAIN ON HEDGING TRANSACTION $ (166,578) SHARED SERVICES TRANSFER FROM AFFILIATE $ 2,866,966 -------------- TOTAL $ (44,270,020)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:53602511
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:31627427
FORM 990 PART IX LINE 11G	DESCRIPTION:CIPN PAYMENTS TOTAL FEES:9441241
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:10116906
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:3024233

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE QUEEN'S HEALTH SYSTEMS
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990238120	ADMIN SERVICE	HI	501(c)(3)	11C	NA	false
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990183769	SUPPORT SVCS	HI	501(c)(3)	11B	QHS	Yes (true)
MOLOKAI GENERAL HOSPITAL
PO BOX 408	KAUNAKAKAI MOLOKAI	HI	96748	990251372	HEALTH CARE	HI	501(c)(3)	3	QHS	Yes (true)
NORTH HAWAII COMMUNITY HOSPITAL
67-1125 MAMALAHOA HIGHWAY	KAMUELA	HI	96743	990260423	HEALTH CARE	HI	501(c)(3)	3	QHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.70000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
QUEEN EMMA LAND COMPANY
c	$35,312,961	FMV
DIAGNOSTIC LABORATORY SERVICES INC
p	$19,827,951	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
k	$4,245,841	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
q	$1,686,374	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
j	$2,310,924	FMV
DIAGNOSTIC LABORATORY SERVICES
j	$771,862	FMV
QUEEN EMMA LAND COMPANY
k	$504,514	FMV
MOLOKAI GENERAL HOSPITAL
l	$135,598	FMV
NORTH HAWAII COMMUNITY HOSPITAL
l	$562,370	FMV
QUEEN EMMA LAND COMPANY
M	$245,025	FMV

Supplemental Information Detail SupplementalInformationDetail

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

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	Name: Queen Emma Land Company Address: 1301 Punchbowl Street Honolulu, HI 96813 EIN: 99-0183769 Expenses: $35,312,961 501(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: $118,166,977 501(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: $992,852,914 501(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: $10,376,293 501(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: $48,220,142 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0	MeduimExplanationTxt