2017-05-08T12:53:13-05:00 2016-06-30 ERNST & YOUNG US LLP 370 17TH STREET 3300 DENVER CO 80202 990 2015-07-01 990073524 THE QUEEN'S MEDICAL CENTER % CLINTON YEE QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 ERIC MARTINSON TREASURER 2017-04-12 true KELLEY SIMON P00791436 7209314690 2015 2021-01-29 14:40:06Z ARTHUR A USHIJIMA 1301 PUNCHBOWL STREET HONOLULU HI 96813 1502698257 false X WWW.QUEENSMEDICALCENTER.NET X 1859 HI TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE QUALITY HEALTHCARE TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. 23 17 6016 410 18672289 -999492 35998498 38401500 915734107 982934948 19655180 22714144 32074379 33462657 1003462164 1077513249 2722215 2334706 0 0 478425498 516400398 0 0 1448 472252931 522427644 953400644 1041162748 50061520 36350501 1478889020 1559687478 846770690 964879840 632118330 594807638 X THE MISSION OF QMC IS TO FULFILL THE INTENT OF QUEEN EMMA AND KING KAMEHAMEHA IV TO PROVIDE IN PERPETUITY QUALITY HEALTHCARE SERVICES, TO IMPROVE THE WELL-BEING OF NATIVE HAWAIIANS AND ALL THE PEOPLE OF HAWAII. false false 992852913 2334706 1003404191 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. 992852913 true true false true false false false false false true true true false true true true false true false false false false false false true false true true true false true true false false false false false false false false false true false false false false false true true true false false true 1187 0 true 6016 true true true false false false false true true false false false false X 23 17 false false false false true true true true true false false true false false false false false true true X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 Maenette Benham EDD Trustee 1.0 2.0 X 0 0 0 Gary Caulfield Trustee 1.0 1.0 X 0 0 0 Diane Cecchettini RN Trustee 1.0 1.0 X 0 0 0 Ernest Fukeda Jr Trustee 1.0 3.0 X 0 0 0 Christine Gayagas Trustee 1.0 2.0 X 0 0 0 Peter Hanashiro Trustee 1.0 2.0 X 0 0 0 Lyle Harada Trustee 1.0 2.0 X 0 0 0 Keawe Kaholokula PHD Trustee 1.0 1.0 X 0 0 0 Stanley Kuriyama Trustee 1.0 1.0 X 0 0 0 Sherry Menor-McNamara Trustee 1.0 1.0 X 0 0 0 Robert Momsen Trustee 1.0 4.0 X 0 0 0 Steven Nishida MD Trustee 2.0 1.0 X 5488 0 0 Robb Ohtani MD Trustee 20.0 0.0 X 83171 0 0 James Steinwascher Trustee 1.0 2.0 X 0 0 0 Allen Uyeda Trustee 1.0 1.0 X 0 0 0 Jenai Wall Trustee 1.0 2.0 X 0 0 0 Barry Weinman Trustee 1.0 3.0 X 0 0 0 Leslie Wilcox Trustee 1.0 1.0 X 0 0 0 C Scott Wo PHD Trustee 1.0 2.0 X 0 0 0 Eric Yeaman Chair/Trustee 1.0 6.0 X X 0 0 0 Arthur Ushijima President/Trustee 25.0 40.0 X X 0 1570750 150484 Robert Hong MD Trustee 50.0 0.0 X 537637 0 36393 JIM YATES TRUSTEE 1.0 1.0 X 0 0 0 Whitney Limm MD SENIOR Vice President 12.0 48.0 X 0 618800 128588 John Nitao Vice President/General Counsel 2.0 53.0 X 0 413753 70620 Susan Murray COO, QMC-WEST OAHU 42.0 13.0 X 0 429066 67774 Sharlene Tsuda Secretary 2.0 53.0 X 0 272874 65715 LORI-ANN NOELANI HARRIS Assistant Secretary - PART YR 8.0 32.0 X 0 66009 11934 Robert Nobriga Treasurer 10.0 50.0 X 0 630440 110714 Clinton Yee Assistant Treasurer 37.0 18.0 X 186932 0 42827 JASON CHANG EXEC. VICE PRESIDENT & COO 25.0 30.0 X 0 339205 3605 JOELLE TANABE ASSISTANT SECRETARY 9.0 36.0 X 0 83877 30591 CYNTHIA KAMIKAWA INTERIM EVP & COO - PART YEAR 30.0 25.0 X 403041 0 90845 Sung Bae Lee MD Neurointerventional Surgeon 50.0 0.0 X 841261 0 61681 Nicholas Dang MD Cardiothoracic Surgeon 50.0 0.0 X 633533 0 22631 Scott DM Moon MD Radiation Oncologist 50.0 0.0 X 606869 0 58757 Christian Spies MD Cardiologist 50.0 0.0 X 611903 0 39749 RAMY BADAWI MD CARDIOLOGIST 50.0 0.0 X 598566 0 57280 4508401 4424774 1050188 1496 false true false DCK PACIFIC CONSTRUCTION LLC 707 RICHARDS STREET HONOLULU HI 96813 CONSTRUCTION SVCS 12257194 HAWAII RESIDENCY PROGRAMS 1356 LUSITANA STREET 510 HONOLULU HI 96813 MEDICAL SERVICES 9792796 UCERA 677 ALA MOANA BLVD 1001 HONOLULU HI 96813 MEDICAL SERVICES 7415403 PRICEWATERHOUSE COOPERS PO BOX 514038 LOS ANGELES CA 90051 CONSULTING SERVICES 6743646 ATOS IT OUTSOURCING SERVICES 1132 BISHOP STREET HONOLULU HI 96813 IT SERVICES 6256868 127 738494 35312961 2350045 0 38401500 NET PATIENT REVENUE 622110 964148388 964148388 0 0 INTERCO PURCHASED 561000 14057877 11733288 2324589 0 PATHOLOGY LABS 621500 3888047 0 3888047 0 MOLECULAR DIAGNOSTIC BIOREPOSITORY 621500 840636 0 840636 0 982934948 4084057 82588 4001469 0 0 1510406 1510406 0 1510406 1510406 443667045 24623 425011976 49605 18655069 -24982 18630087 18630087 70006 738494 123427 -53421 -53421 0 0 OTHER SERVICE 621500 3246027 2828401 417626 0 RESEARCH 621500 1668461 1668461 0 0 CIPN INCOME 621500 12354226 1235423 11118803 0 14736958 14736958 0 32005672 1077513249 996350919 18672289 24088541 X 2334706 2334706 0 0 0 0 0 0 1173538 956858 216680 0 0 0 0 0 406756292 393202938 13553354 0 35417398 34196700 1220698 0 45512472 43585767 1926705 0 27540698 26590082 950616 0 0 0 0 0 822484 395674 426810 0 934432 0 934432 0 63442 0 63442 0 0 0 0 0 0 0 107812318 97551734 10260584 1073912 970290 103622 0 4073599 3575097 498502 0 874406 579505 294901 0 0 0 0 0 17889662 17671443 218219 0 1109783 948781 161002 0 0 0 0 0 0 0 0 0 14530680 12094848 2435832 0 0 0 0 0 37388999 31965129 5423870 0 8924826 1907932 7016894 0 MEDICAL SUPPLIES 168199231 168199231 0 0 INTERCOMPANY EXPENSES 127512398 127512398 0 0 TAXES 17720719 17672032 48687 0 EDUCATION 3214437 2957499 256938 0 10282316 7984269 2296599 1448 1041162748 992852913 48308387 1448 0 46107 48908 29815496 26072200 0 0 163882685 190477483 0 0 0 0 0 0 12829308 12654783 9393659 9792602 825237864 488579219 341596241 336658645 291348485 470502589 460497667 267887716 5107139 4707975 0 0 164372233 240884577 1478889020 1559687478 309321505 379970933 0 0 0 0 348073644 368242024 0 0 0 0 0 0 0 0 189375541 216666883 846770690 964879840 X 611485977 573799511 14681539 15057313 5950814 5950814 632118330 594807638 1478889020 1559687478 X 36350501 -29391173 0 0 0 -44270020 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 63442 126289 63442 126289 992852914 1204929287 992916356 1205055576 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 113796 116026 52172 126289 408283 250000 250000 250000 250000 1000000 1500000 0 0 0 0 7486419 1000 -135813 14000 960 7336646 8061260 1000 128985 19000 685826 7486419 7084272 1000 1127457 13000 138469 8061260 7221401 500 697700 19000 816329 7084272 7237856 1125 119980 5543 132017 7221401 0.00000 0.81000 0.19000 false false 37163352 37163352 517617518 320525609 197091909 14985558 10284471 4701087 228381972 157769139 70612833 27089464 27089464 336658645 POOLED INVESTMENTS-NON PUBLIC 267887716 F 267887716 DUE FROM AFFILIATES 239939928 OTHER ASSETS RESTRICTED FOR LT 944649 240884577 0 DUE TO AFFILIATES 187705847 DUE TO GOVERNMENT REIMBURSEMENT 17576758 DUE TO GOVERNMENT 11384278 216666883 X 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. BENEFIT DINNER 808500 738494 70006 6220 86815 15830 14562 0 808500 738494 70006 6220 86815 15830 14562 123427 -53421 true true X true X true X true true true false true true 3209000 3209000 0.00310 80863000 30609000 50254000 0.04830 84072000 30609000 53463000 0.05140 12974000 12974000 0.01250 15045000 15045000 0.01450 37019000 25120000 11899000 0.01140 801000 801000 0.00080 2252000 2252000 0.00220 68091000 25120000 42971000 0.04140 152163000 55729000 96434000 0.09280 66000 66000 0.00010 66000 66000 0.00010 true 26873000 261563000 316296000 -54733000 X true true 1 1 THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 WWW.QUEENS.ORG 29-H X X X X X The Queen's Medical Center 1 false false true X X X X X X X X X 15 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 15 false true false true X 150. 250. X X X X X true true X X X true X SEE PART V, SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X X false false 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." 19 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 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 true AMERICAN ASSC OF CRITICAL CARE NURSES PO BOX 23207 HONOLULU HI 968233207 952706905 501(C)(3) 15000 Sponsorship "Acute and Critical Care Nursing Symposium" AMERICAN CANCER SOCIETY 2370 NUUANU AVENUE HONOLULU HI 96817 131788491 501(C)(3) 20000 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) 57500 2016 Multi-Level Sponsorship AMERICAN HEART ASSOCIATION 677 ALA MOANA BLVD STE 600 HONOLULU HI 968135485 135613797 501(C)(3) 50000 Sponsorship "Heart Ball 2016" AMERICAN RED CROSS 4155 DIAMOND HEAD ROAD HONOLULU HI 96816 530196605 501(C)(3) 25000 2016 Red Cross Corporate Partner ARTHRITIS FOUNDATION 615 PIIKOI STREET STE 1109 HONOLULU HI 96814 951885447 501(C)(3) 35000 Sponsorship "2015 Taste of the Town" ASSISTANCE DOGS OF HAWAII 675 KEALALOA AVENUE MAKAWAO HI 96768 990353694 501(C)(3) 10000 Sponsorship "Giving Thanks Benefit Event" BISHOP MUSEUM 1525 BERNICE STREET HONOLULU HI 968172704 990161980 501(C)(3) 10000 Sponsorship "18th Annual Bernice Pauahi Bishop Museum Dinner" BOY SCOUTS OF AMERICA ALOHA COUNCIL 42 PUIWA ROAD HONOLULU HI 96817 990073482 501(C)(3) 11000 Sponsorship "2015 Hawaii's Distinguished Citizen" CHAMBER OF COMMERCE OF HAWAII 1132 BISHOP STREET STE 2105 HONOLULU HI 96813 990035510 501(C)(6) 10250 Sponsorship "2015 Executive Roast and Toast" DAUGHTERS OF HAWAII 2913 PALI HIGHWAY HONOLULU HI 96817 990075505 501(C)(3) 11500 Contribution "Kanikapila Under the Nuuanu Moonlight" FAMILY PROGRAMS HAWAII 250 VINEYARD STREET HONOLULU HI 96813 990280498 501(C)(3) 15000 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) 199720 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) 10000 Sponsorship "2016 Women of Distinction Dinner" HAWAII ACADEMY OF SCIENCE 1776 UNIVERSITY AVENUE UA4 RM 4 HONOLULU HI 96822 996006863 501(C)(3) 30000 Sponsorship "Friends of the Science Fair" HAWAII CANCER CONSORTIUM 55 MERCHANT STREET STE 2700 HONOLULU HI 96813 452280259 501(C)(3) 500000 GENERAL SUPPORT HAWAII CHILDREN'S CANCER FOUNDATION 1814 LILIHA STREET HONOLULU HI 96817 990299937 501(C)(3) 7500 CATALYST FUND HAWAII COUNCIL ON ECONOMIC EDUCATION 111 HEKILI STREET STE 232 KAILUA HI 96734 996010090 501(C)(3) 5500 Sponsorship "50th Anniversary 2015 Annual Dinner" HAWAII FOODBANK INC 2611 KILIHAU STREET HONOLULU HI 968192021 990220699 501(C)(3) 16000 Sponsorship "RACK-A-THON Campaign" HAWAII MEALS ON WHEELS INC PO BOX 61194 HONOLULU HI 968391194 990198132 501(C)(3) 6000 Donation "September Spooktacular" HAWAII PACIFIC UNIVERSITY 1164 BISHOP STREET STE 1200 HONOLULU HI 96813 990113930 501(C)(3) 6000 Sponsorship "2016 HPU Sharks Club" HEALTHCARE ASSOCIATION OF HAWAII 707 RICHARDS STREET PH2 HONOLULU HI 96813 990105817 501(C)(6) 7500 Sponsorship "2015 Awards & Scholarship Dinner HELPING HANDS HAWAII 2100 N NIMITZ HIGHWAY HONOLULU HI 96819 237365077 501(C)(3) 7000 Contribution "Annual Fundraising Dinner" HOSPICE HAWAII INC 860 IWILEI ROAD HONOLULU HI 96817 990203930 501(C)(3) 7500 Sponsorship "7th Annual Hot Pursuit" KUAKINI FOUNDATION 347 N KUAKINI STREET HONOLULU HI 96817 990225067 501(C)(3) 10000 Sponsorship "12th Annual Holiday Trees & Treasures"12 LUNALILO HOME 501 KEKAULUOHI STREET HONOLULU HI 96825 990075244 501(C)(3) 26000 Contribution "Environmental Scan of Elder Care" MAKE-A-WISH HAWAII INC 223 SOUTH KING STREET STE 100 HONOLULU HI 96813 990220777 501(C)(3) 10000 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) 12500 Contribution "2015 Governors' Ball" NATIONAL KIDNEY FOUNDATION OF HAWAII (NKFH) 1314 SOUTH KING ST STE 1555 HONOLULU HI 96814 990266733 501(C)(3) 25000 GENERAL SUPPORT PALAMA SETTLEMENT 810 NORTH VINEYARD BLVD HONOLULU HI 96817 990074140 501(C)(3) 8000 Sponsorship "3rd Annual Malama Palama Gala" PUBLIC SCHOOLS OF HAWAII FOUNDATION PO BOX 4148 HONOLULU HI 96812 880243449 501(C)(3) 15000 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) 9000 Sponsorship "2015 Hall of Honor Awards" SPIKE AND SERVE CLUB 1669 ST LOUIS DRIVE HONOLULU HI 96816 461014354 501(C)(3) 10000 2016 Corporate Partnership ST ANDREW'S PRIORY SCHOOL 224 QUEEN EMMA SQUARE HONOLULU HI 96813 990073525 501(C)(3) 10000 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) 14000 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) 8000 Sponsorship "5th Annual Pink Tie Ball" TEACH FOR AMERICA HAWAII 315 WEST 36TH STREET 6TH FLOOR NEW YORK NY 10018 133541913 501(C)(3) 7500 Contribution "2016 School's Cool" Univ Clinical Education & Research Assocs 677 ALA MOANA BOULEVARD STE 1001 HONOLULU HI 968135485 990307152 501(C)(3) 250000 Family Medicine Primary Care Consortium UNIVERSITY OF HAWAII PO BOX 11270 HONOLULU HI 968280270 996000354 501(C)(3) 12500 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) 8500 Sponsorship "2016 Distinguished Alumni Awards Dinner" UNIVERSITY OF HAWAII FOUNDATION 2444 DOLE ST BACHMAN 105 HONOLULU HI 96822 990085260 501(C)(3) 259000 Annual Funding for Ike Ao Pono Program UNIVERSITY OF PITTSBURGH FORBES TOWER STE 8084 PITTSBURGH PA 15213 250965591 501(C)(3) 6000 Contribution "Support for 2 UPCI Academy Scholars" YWCA OF OAHU 1566 WILDER AVENUE HONOLULU HI 96822 990073534 501(C)(3) 9150 Sponsorship "LeaderLuncheon 2016" THE QUEEN'S HEALTH SYSTEMS 1301 PUNCHBOWL STREET HONOLULU HI 96813 990238120 501(C)(3) 338000 42 2 SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE QUEEN'S MEDICAL CENTER MAKES DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS WITH THE PURPOSE OF PROVIDING OPPORTUNITIES FOR BETTER HEALTH AND WELLNESS TO ALL THE PEOPLE OF HAWAII. THERE ARE GENERALLY NO RESTRICTIONS PLACED ON THE USE OF THOSE DONATIONS AND THE RECEIVING 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. false true false false false false false true false Arthur Ushijima President/Trustee 0 828804 0 741946 0 0 0 135496 0 14988 0 1721234 0 0 Robert Hong MD Trustee 486494 0 46013 0 5130 0 35146 0 1247 0 574030 0 0 0 Whitney Limm MD SENIOR Vice President 0 468429 0 108245 0 42126 0 97309 0 31279 0 747388 0 0 John Nitao Vice President/General Counsel 0 329841 0 63789 0 20123 0 49327 0 21293 0 484373 0 0 Susan Murray COO, QMC-WEST OAHU 0 325249 0 51176 0 52641 0 46944 0 20830 0 496840 0 0 Sharlene Tsuda Secretary 0 217015 0 33070 0 22789 0 51428 0 14287 0 338589 0 0 Robert Nobriga Treasurer 0 475824 0 133931 0 20685 0 79410 0 31304 0 741154 0 0 Clinton Yee Assistant Treasurer 171846 0 7300 0 7786 0 16497 0 26330 0 229759 0 0 0 Sung Bae Lee MD Neurointerventional Surgeon 594804 0 222125 0 24332 0 37088 0 24593 0 902942 0 0 0 Nicholas Dang MD Cardiothoracic Surgeon 512604 0 99400 0 21529 0 18881 0 3750 0 656164 0 0 0 Scott DM Moon MD Radiation Oncologist 471441 0 128378 0 7050 0 37312 0 21445 0 665626 0 0 0 Christian Spies MD Cardiologist 527031 0 83750 0 1122 0 19932 0 19817 0 651652 0 0 0 RAMY BADAWI MD CARDIOLOGIST 492585 0 104930 0 1051 0 36955 0 20325 0 655846 0 0 0 JASON CHANG EXEC. VICE PRESIDENT & COO 0 95144 0 240134 0 3927 0 0 0 3605 0 342810 0 0 CYNTHIA KAMIKAWA INTERIM EVP & COO - PART YEAR 329169 0 46900 0 26972 0 83471 0 7374 0 493886 0 0 0 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. A DEPT OF BUDGET & FINANCE STATE OF HI 990266961 419800LM7 2015-01-29 350356476 SEE PART VI false false false A 0 0 350362507 0 0 0 4726000 0 0 147627222 8116086 55914757 true false false true A false false false true true 0 false false true A false true false false true true ML CAPITAL SERVICES 6.5 false false false 0 false true A true SCHEDULE K 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 B DONOR 6 SUBSTANTIAL CONTRIBUTOR 518707 LEGAL SERVICES false SCHEDULE B DONOR 10 SUBSTANTIAL CONTRIBUTOR 6968377 IT SERVICES false SCHEDULE B DONOR 24 SUBSTANTIAL CONTRIBUTOR 1992854 CONSULTING SERVICES false SCHEDULE B DONOR 33 SUBSTANTIAL CONTRIBUTOR 1503864 PARKING SERVICES false SCHEDULE B DONOR 34 SUBSTANTIAL CONTRIBUTOR 4487594 CONSULTING SERVICES false SCHEDULE B DONOR 35 SUBSTANTIAL CONTRIBUTOR 787193 ACCOUNTING SERVICES false SCHEDULE B DONOR 48 SUBSTANTIAL CONTRIBUTOR 371334 CONSULTING SERVICES false SCHEDULE B DONOR 50 SUBSTANTIAL CONTRIBUTOR 1107455 UTILITY false SCHEDULE B DONOR 53 SUBSTANTIAL CONTRIBUTOR 2035068 MEDICAL SERVICES false SCHEDULE B DONOR 54 SUBSTANTIAL CONTRIBUTOR 854101 MEDICAL SERVICES false SCHEDULE B DONOR 55 SUBSTANTIAL CONTRIBUTOR 1944735 CONSTRUCTION false SCHEDULE B DONOR 56 SUBSTANTIAL CONTRIBUTOR 596920 UTILITY false SCHEDULE B DONOR 71 SUBSTANTIAL CONTRIBUTOR 3629830 CONSULTING SERVICES false SCHEDULE B DONOR 73 SUBSTANTIAL CONTRIBUTOR 183881 MEDICAL SUPPLIES false SCHEDULE B DONOR 75 SUBSTANTIAL CONTRIBUTOR 599245 ACCOUNTING SERVICES false SCHEDULE B DONOR 95 SUBSTANTIAL CONTRIBUTOR 261144 CONSTRUCTION false SCHEDULE B DONOR 98 SUBSTANTIAL CONTRIBUTOR 671215 CONSTRUCTION false SCHEDULE B DONOR 101 SUBSTANTIAL CONTRIBUTOR 1480535 MANAGEMENT SERVICES false SCHEDULE B DONOR 104 SUBSTANTIAL CONTRIBUTOR 165648 MEDICAL SERVICES false SCHEDULE B DONOR 105 SUBSTANTIAL CONTRIBUTOR 450802 CONSTRUCTION false SCHEDULE B DONOR 110 SUBSTANTIAL CONTRIBUTOR 506615 CONSULTING SERVICES false SCHEDULE B DONOR 118 SUBSTANTIAL CONTRIBUTOR 105874 MEDICAL SERVICES false SCHEDULE B DONOR 122 SUBSTANTIAL CONTRIBUTOR 1860484 CONSTRUCTION false SCHEDULE B DONOR 125 SUBSTANTIAL CONTRIBUTOR 3535228 LAUNDRY SERVICES false CS WO SONS LTD C. SCOTT WO, TRUSTEE-QMC 527902 RENTAL OF PROPERTY false JEANETTE HANASHIRO RELATIVE OF TRUSTEE 62091 EMPLOYEE OF QMC false Business Transactions C. Scott Wo is the owner of C.S. Wo & Sons Ltd, which provides rental space to the organization. During the year, the organization paid rent in the amount of $527,902. 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 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 true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI MOLOKAI HI 96748 990251372 HEALTH CARE HI 501(c)(3) 3 QHS true NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 HEALTH CARE HI 501(c)(3) 3 QHS true HAMAMATSUQUEEN'S PET IMAGING 1301 PUNCHBOWL STREET HONOLULU HI 96813 943266916 PET IMAGING HI QMC Related false false 0.70000 THE QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI QHS C Corp true QUEEN'S INSURANCE EXCHANGE INC 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI QHS C Corp true DIAGNOSTIC LABORATORY SERVICES INC 99-859 IWAIWA STREET AIEA HI 96701 990240499 MEDICAL LAB SVCS HI QDC C Corp true false false true false false false false false false true true true true false false true true false false QUEEN EMMA LAND COMPANY c 35312961 FMV DIAGNOSTIC LABORATORY SERVICES INC p 19827951 FMV THE QUEEN'S DEVELOPMENT CORPORATION k 4245841 FMV THE QUEEN'S DEVELOPMENT CORPORATION q 1686374 FMV THE QUEEN'S DEVELOPMENT CORPORATION j 2310924 FMV DIAGNOSTIC LABORATORY SERVICES j 771862 FMV QUEEN EMMA LAND COMPANY k 504514 FMV MOLOKAI GENERAL HOSPITAL l 135598 FMV NORTH HAWAII COMMUNITY HOSPITAL l 562370 FMV QUEEN EMMA LAND COMPANY M 245025 FMV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 Name: Queen Emma Land Company Address: 1301 Punchbowl Street Honolulu, HI 96813 EIN: 99-0183769 Expenses: $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