THE QUEENS MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: THE QUEENS MEDICAL CENTER (EIN 99-0073524)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-04
IRS object ID: 201611269349300101
Schema version: 2014v6.0
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	2016-05-04T21:25:46-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	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	ROBERT NOBRIGA	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	8085389011	PhoneNum
Signature	2016-05-04	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	$1,531,115,970	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	5443	TotalEmployeeCnt
Total Volunteers	400	TotalVolunteersCnt
Total Gross UBI	$8,733,616	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$688,094	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$37,158,601	PYContributionsGrantsAmt
CY Contributions Grants	$35,998,498	CYContributionsGrantsAmt
PY Program Service Revenue	$766,065,179	PYProgramServiceRevenueAmt
CY Program Service Revenue	$915,734,107	CYProgramServiceRevenueAmt
PY Investment Income	$19,569,135	PYInvestmentIncomeAmt
CY Investment Income	$19,655,180	CYInvestmentIncomeAmt
PY Other Revenue	$28,350,608	PYOtherRevenueAmt
CY Other Revenue	$32,074,379	CYOtherRevenueAmt
PY Total Revenue	$851,143,523	PYTotalRevenueAmt
CY Total Revenue	$1,003,462,164	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,390,007	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,722,215	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$431,416,609	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$478,425,498	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$117,213	CYTotalFundraisingExpenseAmt
PY Other Expenses	$387,151,077	PYOtherExpensesAmt
CY Other Expenses	$472,252,931	CYOtherExpensesAmt
PY Total Expenses	$819,957,693	PYTotalExpensesAmt
CY Total Expenses	$953,400,644	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,185,830	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,061,520	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,384,439,823	TotalAssetsBOYAmt
Total Assets EOY	$1,478,889,020	TotalAssetsEOYAmt
Total Liabilities BOY	$794,604,677	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$846,770,690	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$589,835,146	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$632,118,330	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	$907,476,665	ExpenseAmt
Grant	$2,722,215	GrantAmt
Revenue	$937,533,078	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	$907,476,665	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
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	837	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5443	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	22	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	false	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 (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Maenette Benham EDD
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Gary Caulfield
Trustee	1.0	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	2.0	Yes (X)	$0	$0	$0
Steven Nishida MD
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Caroline Ward Oda
Trustee - Part Year	1.0	0.0	Yes (X)	$0	$0	$0
Robb Ohtani MD
Trustee	21.0	0.0	Yes (X)	$76,799	$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	$1,608,484	$186,028	Yes (X)
Robert Hong MD
Trustee	51.0	0.0	Yes (X)	$528,710	$0	$22,959
Mark Yamakawa
EXECUTIVE VP - Part Year	41.0	14.0		$0	$761,843	$182,296	Yes (X)
Paula Yoshioka
SENIOR VP - Part Year	1.0	49.0		$0	$487,256	$74,797	Yes (X)
Whitney Limm MD
SENIOR Vice President	12.0	48.0		$0	$633,972	$124,152	Yes (X)
John Nitao
Vice President	2.0	53.0		$0	$439,196	$71,114	Yes (X)
Susan Murray
SENIOR Vice President	54.0	1.0		$0	$442,190	$87,861	Yes (X)
Sharlene Tsuda
Secretary	2.0	53.0		$0	$281,766	$67,474	Yes (X)
Noelani Harris
Assistant Secretary	8.0	32.0		$0	$58,356	$5,683	Yes (X)
Robert Nobriga
Treasurer	10.0	50.0		$0	$462,437	$78,779	Yes (X)
Hong Min
Assistant Treasurer - Part YR	55.0	0.0		$161,852	$0	$12,336	Yes (X)
Clinton Yee
Assistant Treasurer	37.0	18.0		$192,016	$0	$39,782	Yes (X)
Sung Bae Lee MD
Neurointerventional Surgeon	50.0	0.0		$871,847	$0	$39,619		Yes (X)
Nicholas Dang MD
Cardiothoracic Surgeon	50.0	0.0		$638,040	$0	$21,343		Yes (X)
Scott DM Moon MD
Radiaition Oncologist	50.0	0.0		$566,085	$0	$37,808		Yes (X)
Christian Spies MD
Cardiologist	50.0	0.0		$564,228	$0	$40,023		Yes (X)
Cory Tamiko Miyamoto MD
Gastroenterologist	50.0	0.0		$525,957	$0	$37,394		Yes (X)
RICHARD KEENE
EXEC VP/TREASURER - FORMER	0.0	0.0		$0	$752,882	$22,529			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,125,534	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,928,382	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,151,977	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1188	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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 400	HONOLULU	HI	96813	CONSTRUCTION SVCS	$9,059,165
PACIFIC ANASTHESIA INC
321 N KUKUI STREET 306	HONOLULU	HI	96817	MEDICAL SERVICES	$4,280,709
IRON BOW TECHNOLOGIES LLC
500 ALA MOANA BLVD 7425	HONOLULU	HI	96813	IT SERVICES	$1,924,503
CIPE CONSULTING GROUP LLC
22500 SE 64TH PLACE 230	ISSAQUAH	WA	98027	CONSULTING SERVICES	$1,509,280
ONCARE HAWAII INC
1329 LUSITANA STREET 307	HONOLULU	HI	96813	MEDICAL SERVICES	$1,436,242

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Fundraising	$582,682	FundraisingAmt
Related Organizations	$32,712,087	RelatedOrganizationsAmt
All Other Contributions	$2,703,729	AllOtherContributionsAmt
Noncash Contributions	$5,098	NoncashContributionsAmt
Total Contributions	$35,998,498	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	$898,248,787	$898,248,787	$0	$0
Interco Purchased	561000	$12,135,378	$12,135,378	$0	$0
PATHOLOGY LABS	621500	$4,561,244	$4,561,244	$0	$0
MOLECULAR DIAGNOSTIC BIOREPOSITORY	621500	$788,698	$788,698	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$915,734,107	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,074,935	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,724	UnrelatedBusinessRevenueAmt
Exclusion	$7,065,211	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	$1,565,998	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,565,998	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,565,998	TotalRevenueColumnAmt
Exclusion	$1,565,998	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$540,130,666	SecuritiesAmt
Other	$30	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$527,550,451	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,580,215	SecuritiesAmt
Other	$30	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,580,245	TotalRevenueColumnAmt
Exclusion	$12,580,245	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$88,873	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$582,682	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$103,355	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,482	TotalRevenueColumnAmt
Exclusion	-$14,482	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	$3,284,959	$3,284,959	$0	$0
Research	621500	$1,687,487	$1,687,487	$0	$0
CIPN Income	621500	$9,693,213	$969,321	$8,723,892	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,857,204	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,857,204	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$30,522,863	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,003,462,164	TotalRevenueColumnAmt
Related Or Exempt Func Income	$937,533,078	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,733,616	UnrelatedBusinessRevenueAmt
Exclusion	$21,196,972	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	$2,722,215	TotalAmt
Program Services	$2,722,215	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	$960,220	TotalAmt
Program Services	$533,960	ProgramServicesAmt
Management And General	$426,260	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	$377,036,469	TotalAmt
Program Services	$363,954,508	ProgramServicesAmt
Management And General	$13,081,961	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$32,513,852	TotalAmt
Program Services	$31,302,604	ProgramServicesAmt
Management And General	$1,211,248	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,534,469	TotalAmt
Program Services	$40,426,997	ProgramServicesAmt
Management And General	$2,107,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,380,488	TotalAmt
Program Services	$24,485,823	ProgramServicesAmt
Management And General	$894,665	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	$2,293,906	TotalAmt
Program Services	$1,606,293	ProgramServicesAmt
Management And General	$687,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$760,781	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$760,781	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$50,436	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$50,436	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	$100,863,449	TotalAmt
Program Services	$93,274,806	ProgramServicesAmt
Management And General	$7,588,643	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$863,642	TotalAmt
Program Services	$739,236	ProgramServicesAmt
Management And General	$124,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,407,783	TotalAmt
Program Services	$2,869,763	ProgramServicesAmt
Management And General	$538,020	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$581,490	TotalAmt
Program Services	$350,740	ProgramServicesAmt
Management And General	$230,750	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,340,553	TotalAmt
Program Services	$20,117,506	ProgramServicesAmt
Management And General	$223,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,151,319	TotalAmt
Program Services	$982,408	ProgramServicesAmt
Management And General	$168,911	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	$10,781,843	TotalAmt
Program Services	$8,829,064	ProgramServicesAmt
Management And General	$1,952,779	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	$36,862,180	TotalAmt
Program Services	$31,147,167	ProgramServicesAmt
Management And General	$5,715,013	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,283,807	TotalAmt
Program Services	$309,322	ProgramServicesAmt
Management And General	$7,974,485	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$150,750,648	$150,750,648	$0	$0
INTERCOMPANY EXPENSES	$104,478,287	$104,478,287	$0	$0
TAXES	$17,723,060	$17,694,291	$11,580	$17,189
EDUCATION	$2,787,303	$2,470,846	$316,457	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,272,444	TotalAmt
Program Services	$8,430,181	ProgramServicesAmt
Management And General	$1,742,239	ManagementAndGeneralAmt
Fundraising	$100,024	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$953,400,644	TotalAmt
Program Services	$907,476,665	ProgramServicesAmt
Management And General	$45,806,766	ManagementAndGeneralAmt
Fundraising	$117,213	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	$45,973	BOYAmt
EOY	$46,107	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,166,100	BOYAmt
EOY	$29,815,496	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	$124,771,400	BOYAmt
EOY	$163,882,685	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	$11,577,268	BOYAmt
EOY	$12,829,308	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,957,611	BOYAmt
EOY	$9,393,659	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$796,585,984	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$454,989,743	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$356,284,743	BOYAmt
EOY	$341,596,241	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$298,896,639	BOYAmt
EOY	$291,348,485	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$416,417,407	BOYAmt
EOY	$460,497,667	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,329,628	BOYAmt
EOY	$5,107,139	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	$140,993,054	BOYAmt
EOY	$164,372,233	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,384,439,823	BOYAmt
EOY	$1,478,889,020	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$308,730,859	BOYAmt
EOY	$309,321,505	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	$235,520,000	BOYAmt
EOY	$348,073,644	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	$67,500,000	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	$182,853,818	BOYAmt
EOY	$189,375,541	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$794,604,677	BOYAmt
EOY	$846,770,690	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$569,202,793	BOYAmt
EOY	$611,485,977	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,681,539	BOYAmt
EOY	$14,681,539	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	$589,835,146	BOYAmt
EOY	$632,118,330	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,384,439,823	BOYAmt
EOY	$1,478,889,020	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,061,520	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,508,756	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$7,730,420	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	$50,436	FilingOrganizationsTotalAmt
Affiliated Group Total	$52,172	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$50,436	FilingOrganizationsTotalAmt
Affiliated Group Total	$52,172	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$907,476,665	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,043,999,273	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$907,527,101	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,044,051,445	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
Form4720 Filed	false	Form4720FiledInd

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	$55,188	CurrentYearMinus3Amt
Current Year Minus2	$113,796	CurrentYearMinus2Amt
Current Year Minus1	$116,026	CurrentYearMinus1Amt
Current Year	$52,172	CurrentYearAmt
Total	$337,182	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,061,260	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,195,561	BeginningYearBalanceAmt
Contributions	$40,500	ContributionsAmt
Investment Earnings Or Losses	$662,352	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$48,405	GrantsOrScholarshipsAmt
Other Expenditures	$612,152	OtherExpendituresAmt
End Year Balance	$7,237,856	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.79000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.21000	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	$38,107,957	OtherCostOrOtherBasisAmt
Book Value	$38,107,957	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$505,899,181	OtherCostOrOtherBasisAmt
Depreciation	$301,244,590	DepreciationAmt
Book Value	$204,654,591	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,830,939	OtherCostOrOtherBasisAmt
Depreciation	$9,677,709	DepreciationAmt
Book Value	$5,153,230	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$213,752,679	OtherCostOrOtherBasisAmt
Depreciation	$144,067,444	DepreciationAmt
Book Value	$69,685,235	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,995,228	OtherCostOrOtherBasisAmt
Book Value	$23,995,228	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$341,596,241	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$460,497,667	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$460,497,667	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$163,427,758
OTHER ASSETS RESTRICTED FOR LT	$944,475

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$164,372,233	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$157,090,981
DUE TO GOVERNMENT REIMBURSEMENT	$20,260,009
DUE TO GOVERNMENT	$12,024,551

Field	Value	IRS element (for citing)
Total Liability	$189,375,541	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 QMC EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2015.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BENEFIT DINNER	Event1Nm
Gross Receipts Event1	$582,682	GrossReceiptsEvent1Amt
Charitable Contri Event1	$493,809	CharitableContriEvent1Amt
Gross Revenue Event1	$88,873	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,289	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$83,941	FoodAndBeverageEvent1Amt
Entertainment Event1	$11,756	EntertainmentEvent1Amt
Other Direct Expenses Event1	$6,369	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$582,682	GrossReceiptsTotalAmt
Charitable Contributions Tot	$493,809	CharitableContributionsTotAmt
Gross Revenue Total Events	$88,873	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$1,289	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$83,941	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$11,756	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$6,369	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$103,355	DirectExpenseSummaryEventsAmt
Net Income Summary	-$14,482	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,395,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,395,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,167,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,020,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,147,000	NetCommunityBenefitExpnsAmt
Total Expense	0.05260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,562,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,020,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,542,000	NetCommunityBenefitExpnsAmt
Total Expense	0.05510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,038,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,038,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,439,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,439,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01510	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,099,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,849,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$799,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$799,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,523,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,523,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,898,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,648,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,460,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,270,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,190,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$31,717,000	BadDebtExpenseAmt
Reimbursed By Medicare	$240,460,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$265,129,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$24,669,000	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
THE QUEEN'S MEDICAL CENTER
1	1301 PUNCHBOWL STREET	HONOLULU	HI	96813	WWW.QUEENS.ORG	29-H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
THE QUEEN'S MEDICAL CENTER-WEST OAHU
2	91-2141 FORT WEAVER ROAD	EWA BEACH	HI	96706	www.queens.org	29-H	Yes (X)	Yes (X)			Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
The Queen's Medical Center
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (true)	13	false	Yes (true)	false	Yes (true)	Yes (X)	150.	250.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
THE QUEEN'S MEDICAL CENTER-WEST OAHU
2	Yes (true)	false	false																						false	Yes (true)	Yes (X)	150.	250.	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)		Yes (X)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, SECTION B, Line 5	FACILITY 1 - QUEEN'S MEDICAL CENTER INPUT FROM COMMUNITY REPRESENTATIVES TWENTY-TWO KEY INFORMANTS WERE INTERVIEWED FOR THEIR STATEWIDE KNOWLEDGE OF THE HEALTH NEEDS; WHEN CERTAIN TOPIC AREAS WERE LACKING AN INTERVIEW WITH A STATE WIDE PERSPECTIVE; RELEVANT FINDINGS FROM HONOLULU COUNTY INTERVIEWS WERE INCLUDED. THE INTERVIEWS WERE WITH INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: DEPARTMENT OF EDUCATION; HAWAII DEPARTMENT OF HEALTH; DEPARTMENT OF HUMAN SERVICES; HAWAII STATE DEPARTMENT OF HEALTH; OFFICE OF THE GOVERNOR; STATE SENATOR & HAWAII INDEPENDENT PHYSICIANS ASSOCIATION; HAWAII PRIMARY CARE ASSOCIATION; HAWAII DEPARTMENT OF HEALTH; UNIVERSITY OF HAWAII; AMERICAN DIABETES ASSOCIATION HAWAII; KAMEHAMEHA SCHOOLS; HAWAII STATE DEPARTMENT OF EDUCATION; MOUNTAIN-PACIFIC QUALITY HEALTH; UNIVERSITY OF HAWAII; HAWAII MEDICAL SERVICE ASSOCIATION; UNIVERSITY OF HAWAII; DEPARTMENT OF HEALTH; HAWAII STATE DEPARTMENT OF HEALTH; HAWAII STATE DEPARTMENT OF HEALTH; CARERESOURCE HAWAII; PAPA OLA LOKAHI; AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY HAWAII SITE; AND HOSPICE HAWAII. THE INFORMATION OBTAINED FROM THESE INTERVIEWS WAS INCORPORATED INTO THE REPORT IN THREE WAYS. A SUMMARY QUALITATIVE ANALYSIS TOOL CALLED A "WORD CLOUD" WAS PRODUCED USING TAGCROWD.COM TO IDENTIFY THE MOST COMMON THEMES AND TOPICS. WORDS OR PHRASES THAT WERE MENTIONED MOST OFTEN DISPLAY IN THE WORD CLOUD IN THE LARGEST AND DARKEST FONT. NEXT, INPUT FROM THE KEY INFORMANTS WAS INCLUDED IN EACH RELEVANT TOPIC AREA IN SECTION 3.2 OF THE CHNA.
Schedule H, Part V, SECTION B, Line 6A	FACILITY 1 - QUEEN'S MEDICAL CENTER CHNA HOSPITAL FACILITIES TWENTY-SIX OF THE TWENTY-EIGHT HAWAII HOSPITALS, LOCATED ON ALL ISLANDS, PARTICIPATED IN THE CHNA PROJECT: CASTLE MEDICAL CENTER HALE HO'OLA HAMAKUA HILO MEDICAL CENTER KAHI MOHALA BEHAVIORAL HEALTH KAHUKU MEDICAL CENTER KAISER PERMANENTE MEDICAL CENTER KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN KA'U HOSPITAL KAUAI VETERANS MEMORIAL HOSPITAL KOHALA HOSPITAL KONA COMMUNITY HOSPITAL KUAKINI MEDICAL CENTER KULA HOSPITAL LANA'I COMMUNITY HOSPITAL LEAHI HOSPITAL MAUI MEMORIAL MEDICAL CENTER MOLOKAI GENERAL HOSPITAL NORTH HAWAII COMMUNITY HOSPITAL PALI MOMI MEDICAL CENTER REHABILITATION HOSPITAL OF THE PACIFIC SAMUEL MAHELONA MEMORIAL HOSPITAL SHRINERS HOSPITAL FOR CHILDREN - HONOLULU STRAUB CLINIC & HOSPITAL THE QUEEN'S MEDICAL CENTER WAHIAWA GENERAL HOSPITAL WILCOX MEMORIAL HOSPITAL
Schedule H, Part V, SECTION B, Line 6B	FACILITY 1 - QUEEN'S MEDICAL CENTER 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	FACILITY 1 - QUEEN'S MEDICAL CENTER 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	FACILITY 1 - QUEEN'S MEDICAL CENTER NEEDS ASSESSED THE CHNA IDENTIFIED 20 AREAS OF COMMUNITY HEALTH NEEDS. THE QUEEN'S MEDICAL CENTER RECOGNIZES THE IMPORTANCE OF THESE NEEDS AND HAS SUPPORTED EFFORTS TO ADDRESS MANY OF THEM. IT IS ALSO RECOGNIZED THAT THERE ARE HEALTH NEEDS THAT QMC WILL NOT DIRECTLY BE ADDRESSING FOR VARIOUS REASONS. AS PART OF THE PROCESS TO SELECT QMC'S PRIORITY AREA, EACH OF THE 20 IDENTIFIED AREAS OF NEED WERE MAPPED TO THREE CORE NEEDS TO BE ADDRESSED TO IMPROVE COMMUNITY HEALTH: PRIMARY HEALTH CARE NEEDS, SECONDARY HEALTH CARE NEEDS AND SOCIETAL NEEDS. THIS MAPPING ALLOWED QMC TO FOCUS ON ADDRESSING THE NEEDS WITHIN THE SCOPE OF ITS CORE COMPETENCIES. AS AN ACUTE CARE TERTIARY/QUATERNARY HOSPITAL, QMC'S CORE COMPETENCIES ARE IN THE PRIMARY HEALTH NEEDS CATEGORY. PRIMARY HEALTHCARE NEEDS INCLUDE THE FOLLOWING: ACCESS TO HEALTH SERVICES RESPIRATORY DISEASE MANAGEMENT CANCER SCREENING & PREVENTION HEART DISEASE & STROKE PREVENTION IMMUNIZATIONS & INFECTIOUS DISEASE MENTAL HEALTH & MENTAL DISORDERS MATERNAL, FETAL, & INFANT HEALTH DIABETES PREVENTION & MANAGEMENT OLDER ADULTS & AGING OF THE AREAS MAPPED TO THE PRIMARY HEALTH CARE NEEDS CATEGORY, QMC SELECTED DIABETES AS ITS PRIORITY AREA. ACCORDING TO THE AMERICAN DIABETES ASSOCIATION, THERE ARE 29.1 MILLION PEOPLE OF 9.3% OF THE POPULATION IN THE UNITED STATES WHO HAVE DIABETES. OVER 107,000 PEOPLE IN HAWAII HAVE DIABETES AND 390,800 ARE LIVING WITH PREDIABETES. QMC PROVIDES OUTPATIENT DIABETES EDUCATION IN A COMPREHENSIVE, INTERACTIVE APPROACH WHICH TEACHES A MEMBER OF THE COMMUNITY HOW TO SUCCESSFULLY SELF MANAGE THEIR DIABETES AND DEVELOP HEALTH PRACTICES THAT FIT INTO THEIR LIVES. THE DIABETES MANAGEMENT CENTER AT QUEEN'S MEDICAL CENTER AND QUEEN'S MEDICAL CENTER - WEST OAHU HAVE BEEN RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION (ADA) EDUCATION RECOGNITION CERTIFICATION FOR A QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAMS. IN ADDITION, QMC HAS STARTED A PILOT PROGRAM FOR ITS EMPLOYEES WITH THE INTENTION OF PARTNERING WITH OTHER ORGANIZATIONS TO EXTEND THE PROGRAM INTO THE COMMUNITY, IF FEASIBLE. THE PROGRAM INCLUDES COMPONENTS SUCH AS CLINICAL MANAGEMENT, DIABETES SELF-MANAGEMENT EDUCATION, LONG-TERM SUPPORT THROUGH POST-PROGRAM EDUCATION, SUPPORT GROUPS AND PATIENT AND FAMILY EDUCATION. QMC DOES NOT DIRECTLY ADDRESS SECONDARY AND SOCIETAL HEALTH NEEDS INCLUDING THE FOLLOWING: DISABILITIES ECONOMY EDUCATION SOCIAL ENVIRONMENT EXERCISE, NUTRITION AND WEIGHT FAMILY PLANNING INJURY PREVENTION AND SAFETY ORAL HEALTH SOCIAL ENVIRONMENT SUBSTANCE ABUSE AND LIFESTYLE TRANSPORTATION ALTHOUGH QMC WILL NOT DIRECTLY BE ADDRESSING ALL OF THE AREAS OF NEED IDENTIFIED, WE HAVE SUPPORTED AND PARTNERED WITH OTHERS TO ADDRESS SEVERAL OF THEM AND WILL CONTINUE TO SUPPORT OPPORTUNITIES TO ADDRESS COMMUNITY HEALTH NEEDS IN COLLABORATION WITH OTHERS. AS AN EXAMPLE, FOR EDUCATION, QMC AND STEVENSON MIDDLE SCHOOL, WHICH HAS A HIGH PERCENTAGE OF NATIVE HAWAIIAN AND PACIFIC ISLAND STUDENTS, HAVE PARTNERED ON A PROJECT TO INCREASE THE NUMBER OF NATIVE HAWAIIAN AND PACIFIC ISLAND STUDENTS INTERESTED IN BIOMEDICAL SCIENCES. 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 QMC'S 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	FACILITY 1 - QUEEN'S MEDICAL CENTER INCOME LEVEL OTHER THAN FPG FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE.
SCHEDULE H, PART V, SECTION B, LINE 13H	FACILITY 1 - QUEEN'S MEDICAL CENTER OTHER ELIGIBILITY CRITERIA Medicare/Medicaid eligibility
SCHEDULE H, PART V, SECTION B, LINE 16I	FACILITY 1 - QUEEN'S MEDICAL CENTER 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	FACILITY 1 - QUEEN'S MEDICAL CENTER 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."
Schedule H, Part V, SECTION B, Line 1	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU In May 2012, The Queen's Health Systems (QHS) and St. Francis Healthcare Systems of Hawaii announced a signed letter-of-intent to enable QHS to explore the feasibility of acquiring and reopening the former Hawaii Medical Center (HMC) West Campus, which was in the process of being returned to St. Francis Healthcare System following a lengthy bankruptcy process. In December 2012, QHS announced that it officially acquired HMC from St. Francis Healthcare System of Hawaii. The Queen's Medical Center - West Oahu was opened in May 2014.
SCHEDULE H, PART V, SECTION B, LINE 3	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU COMMUNITY HEALTH NEEDS ASSESSMENT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HAS NOT YET BEEN CONDUCTED FOR THE QUEEN'S MEDICAL CENTER-WEST OAHU BECAUSE THE HOSPITAL FACILITY OPENED IN MAY 2014.
SCHEDULE H, PART V, SECTION B, LINE 13B	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU INCOME LEVEL OTHER THAN FPG FOR CITIZENS OF FOREIGN COUNTRIES, THE INCOME QUALIFYING LEVEL IS BASED ON THE RESIDENT'S COUNTRY'S MINIMUM WAGE.
SCHEDULE H, PART V, SECTION B, LINE 13H	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU OTHER ELIGIBILITY CRITERIA Medicare/Medicaid eligibility
SCHEDULE H, PART V, SECTION B, LINE 16I	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU 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	FACILITY 2 - THE QUEEN'S MEDICAL CENTER-WEST OAHU 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	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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 - 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
Queen's Imaging
91-2139 Fort Weaver Road Ste 108	Ewa Beach	HI	96706	IMAGING SERVICES
QMC - Liver Center
550 S Beretania Street Ste 509	Honolulu	HI	96813	MANAGEMENT OF LIVER HEALTH AND 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 - Gastroenterology
550 S Beretania Street Ste 510	HONOLULU	HI	96813	GASTROENTEROLOGY
QMC - Acute Care Surgical Center
550 S Beretania Street Ste 509	HONOLULU	HI	96813	SURGICAL CENTER
Diabetes Community Education
91-2135 Fort Weaver Road Ste 180	Ewa Beach	HI	96706	DIABETES EDUCATION
QMC - Genetics Counseling
1329 Lusitana Street Ste B-8	HONOLULU	HI	96813	GENETICS COUNSELING
QMC - Hepatology
550 S Beretania Street Ste 400	HONOLULU	HI	96813	MANAGEMENT OF LIVER HEALTH AND ILLNESS

Supplemental Information Detail SupplementalInformationDetail (14 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 Queen's Health Systems, includes the community benefits of the Queen's Medical Center. This report is published periodically and is separately available to the public.
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 $5,858,000.
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 II, LINE 10	COMMUNITY BUILDING ACTIVITIES In order to maintain necessary life support, diagnostic and operating systems, in the event of an emergency, QUEEN'S MEDICAL CENTER (QMC) significantly upgraded its power plant by adding two new generators that are capable of providing electrical power for the Medical Center. QMC is the only Level 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 receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. QMC estimates the allowance based on the aging of the accounts receivable, historical collection experience by payor, and other relevant factors."
SCHEDULE H, PART III, LINE 8	MEDICARE COSTING METHODOLOGY The Medicare amounts above are calculated with data from the June 30, 2015 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 $37,241,000. 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 QMC's 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 patient's 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 QMC's 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 Queen's entities, creating a sustainable infrastructure that allows Queen's 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 inpatient's 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, it's 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: 38.5 years old (1) - 38% Asian, 25% white, 9% Native Hawaiian/Other Pacific Islander, 24% Two or more races (1) - Median household income: $66,420 (2006 - 2010) (1) - 9.6% of Hawaii's 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 - 35% of hospital inpatient discharges covered by Medicare, 25% by Medicaid/Quest (Data from January - November 2012) (2) (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 Queen's mission and to fulfill the tax-exempt purpose as a charitable hospital, Queen's 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). Queen's 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 women's health issues. A majority of QMC's governing body is comprised of persons who reside in QMC's 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 Queen's Health Systems (QHS) Affiliated Group. The group also includes Queen Emma Land Company (QEL), Queen's Insurance Exchange (QIE), Queen's 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 Queen's Health Systems operate the only hospital on the island of Moloka'i, 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 (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Philippine Medical Association of Hawaii
PO BOX 1294	PEARL CITY	HI	96782	990206653	501(C)(6)	$10,000	Spomsorship Distinguished Citizen Dinner
After-School All-Stars Hawaii
4747 Kilauea Ave 210	Honolulu	HI	96816	274604870	501(c)(3)	$6,000	Sponsor "30th Anniversaryn Event" and Donation
Aloha United Way Inc
200 North Vineyard Boulevard	Honolulu	HI	96817	990073494	501(c)(3)	$5,564	Contribution "10th Annual Charity Golf Tournament" and Donation
American Cancer Society
2370 Nuuanu Avenue	Honolulu	HI	96817	131788491	501(c)(3)	$14,500	Sponsor "Step Out Walk to Fight Diabetes" "Tour de Cure"
American Diabetes Association
875 Waimanu Street	Honolulu	HI	96813	131623888	501(c)(3)	$57,500	Sponsor "Heart Ball 2013" and "2013 Oahu Heart Walk"
American Heart Association
677 Ala Moana Boulevard	Honolulu	HI	968135485	135613797	501(c)(3)	$25,000	2013 Red Cross Corporate Partner and Donation
American Lung Association
822 John Street	Seattle	WA	98109	930386887	501(c)(3)	$7,500	Sponsor "2013 State of Hawaii Arthritis Walk"
American Red Cross
4155 Diamond Head Road	Honolulu	HI	96816	530196605	501(c)(3)	$25,000	Sponsor "15th Annual Bernice Pauahi Bishop Awards Dinner"
Arthritis Foundation
615 Piikoi Street	Honolulu	HI	96814	951885447	501(c)(3)	$10,000	Contribution for purchase of a Bloodmobile
Assistance Dogs of Hawaii
675 Kealaloa Avenue	Makawao	HI	96768	990353694	501(c)(3)	$10,000	Sponsorship "2012 Medal of Honor Convention"
Bishop Museum
1525 Bernice Street	Honolulu	HI	968172704	990161980	501(c)(3)	$10,000	Sponsor "Boogie Wonderland" and WHC gift certificates donation
Girl Scouts of Hawaii
410 Atkinson Drive	Honolulu	HI	96814	990073488	501(c)(3)	$10,000	Contribution "Huaka'i: A Musical Journey" and Donation
Hawaii Academy of Science
1776 University Avenue	Honolulu	HI	96822	996006863	501(c)(3)	$35,000	Sponsor "2012 Kama'aina of the Year"
Hawaii Children's Cancer Foundation
1814 Liliha Street	Honolulu	HI	96817	990299937	501(c)(3)	$7,500	Sponsor "Na Hoa Malama"
Hawaii Foodbank Inc
2611 Kilihau Street	Honolulu	HI	968192021	990220699	501(c)(3)	$8,500	Sponsor "An Evening of Hope"
Hawaii Hotel Industry Foundation
2270 Kalakaua Avenue Suite 1506	Honolulu	HI	96816	990194293	501(c)(3)	$10,000	Contibution for purchase of medical transport van
Hawaii Island United Way
142 Kinoole St A	Hilo	HI	96720	996012257	501(c)(3)	$10,000	Sponsor "32nd Annual Lunalilo Home Golf Tournament"
Hawaii Women's Legal Foundation
PO Box 2576	Honolulu	HI	96803	990217537	501(c)(3)	$6,000	Sponsor "2012 March of Dimes Govenor's Ball" and "March for Babies"
Hawaiian Civic Club of Honolulu
PO Box 1513	Honolulu	HI	96806	996014851	501(c)(3)	$10,000	Sponsor "Peace on Earth Concert"
HINA Mauka
45-845 Pookela Street	Kaneohe	HI	96744	990173356	501(c)(3)	$10,000	Sponsor "Pacific Links Hawaii Championship"
Historic Hawaii Foundation
PO Box 1658	Honolulu	HI	96806	237441972	501(c)(3)	$10,000	Support "HOSW"
Hospice Hawaii Inc
860 Iwilei Road	Honolulu	HI	96817	990203930	501(c)(3)	$7,500	Sponsor "Kulia I Ka Nu'u Awards Banquet"
Lunalilo Home
501 Kekauluohi Street	Honolulu	HI	96825	990075244	501(c)(3)	$13,500	Contibution "A Night of Magic and Miracles"
March of Dimes
1451 South King Street	Honolulu	HI	96814	131846366	501(c)(3)	$35,000
Polynesian Voyaging Society
10 Sand Island Parkway	Honolulu	HI	96819	237302232	501(c)(3)	$50,000	Funding of Naleen N Andrade Scholarship Fund
Public Schools of Hawaii Foundation
PO Box 4148	Honolulu	HI	96812	880243449	501(c)(3)	$10,000	Donation
Spike and Serve Club
1669 St Louis Drive	Honolulu	HI	96816	461014354	501(c)(3)	$10,000	Sponsor 2013 Awards & Scholarship Dinner
St Andrew's Priory School
224 Queen Emma Square	Honolulu	HI	96813	990073525	501(c)(3)	$7,500	Sponsor "Ola Pono Ike Medical Gala" 2012 and 2013
Susan G Komen Hawaii
3555 Harding Ave Ste 2D	Honolulu	HI	96816	752844635	501(c)(3)	$6,000	Donations
UCERA - University of Hawaii Foundation
95-390 Kuahelani Ave	Mililani	HI	96789	990085260	501(c)(3)	$250,000
University of Hawaii Foundation
2444 Dole Street	Honolulu	HI	96822	990085260	501(c)(3)	$170,989
Waianae Coast Comprehensive Health Center
86-260 Farrington Highway	Waianae	HI	96792	990148164	501(c)(3)	$40,000
The Queen's Health Systems
1301 Punchbowl Street	Honolulu	HI	96813	990238120	501(c)(3)	$537,204
Chamber of Commerce of Hawaii
1132 BISHOP STREET 402	HONOLULU	HI	96813	990035510	501(C)(6)	$15,000
Healthcare Association of Hawaii
707 RICHARDS STREET 2	HONOLULU	HI	96813	990035510	501(C)(6)	$15,000

Field	Value	IRS element (for citing)
Total501c3 Org	49	Total501c3OrgCnt
Total Other Org	3	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	Yes (true)	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 (17 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	$811,198	$0	$303,171	$0	$494,115	$0	$172,690	$0	$13,338	$0	$1,794,512	$0	$0
Robert Hong MD
Trustee	$519,811	$0	$0	$0	$8,899	$0	$22,018	$0	$941	$0	$551,669	$0	$0	$0
Mark Yamakawa
EXECUTIVE VP - Part Year	$0	$431,351	$0	$137,306	$0	$193,186	$0	$169,881	$0	$12,415	$0	$944,139	$0	$0
Paula Yoshioka
SENIOR VP - Part Year	$0	$364,781	$0	$93,403	$0	$29,072	$0	$65,098	$0	$9,699	$0	$562,053	$0	$0
Whitney Limm MD
SENIOR Vice President	$0	$470,976	$0	$121,015	$0	$41,981	$0	$96,473	$0	$27,679	$0	$758,124	$0	$0
John Nitao
Vice President	$0	$330,236	$0	$90,500	$0	$18,460	$0	$52,212	$0	$18,902	$0	$510,310	$0	$0
Susan Murray
SENIOR Vice President	$0	$306,013	$0	$91,699	$0	$44,478	$0	$69,400	$0	$18,461	$0	$530,051	$0	$0
Sharlene Tsuda
Secretary	$0	$210,401	$0	$50,138	$0	$21,227	$0	$54,359	$0	$13,115	$0	$349,240	$0	$0
Robert Nobriga
Treasurer	$0	$391,677	$0	$54,031	$0	$16,729	$0	$57,000	$0	$21,779	$0	$541,216	$0	$0
Hong Min
Assistant Treasurer - Part YR	$149,108	$0	$12,200	$0	$544	$0	$6,078	$0	$6,258	$0	$174,188	$0	$0	$0
Clinton Yee
Assistant Treasurer	$170,191	$0	$14,200	$0	$7,625	$0	$17,380	$0	$22,402	$0	$231,798	$0	$0	$0
Sung Bae Lee MD
Neurointerventional Surgeon	$598,209	$0	$249,606	$0	$24,032	$0	$19,014	$0	$20,605	$0	$911,466	$0	$0	$0
Nicholas Dang MD
Cardiothoracic Surgeon	$506,819	$0	$109,500	$0	$21,721	$0	$18,522	$0	$2,821	$0	$659,383	$0	$0	$0
Scott DM Moon MD
Radiaition Oncologist	$470,829	$0	$93,636	$0	$1,620	$0	$18,828	$0	$18,980	$0	$603,893	$0	$0	$0
Christian Spies MD
Cardiologist	$488,110	$0	$75,000	$0	$1,118	$0	$20,711	$0	$19,312	$0	$604,251	$0	$0	$0
Cory Tamiko Miyamoto MD
Gastroenterologist	$409,507	$0	$99,613	$0	$16,837	$0	$22,295	$0	$15,099	$0	$563,351	$0	$0	$0
RICHARD KEENE
EXEC VP/TREASURER - FORMER	$0	$84,703	$0	$0	$0	$668,179	$0	$19,385	$0	$3,144	$0	$775,411	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	COMPENSATION COMMITTEE THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEM (QHS) 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 4A	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM QHS DURING THE YEAR: RICHARD KEENE - $775,411
SCHEDULE J, PART I, LINE 4B	THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 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 2014.
SCHEDULE J, PART I, LINE 7	OTHER NON-FIXED PAYMENTS RECOGNITION AWARDS WERE PAID TO ALL EMPLOYEES BASED ON ACCOMPLISHMENTS OF PREDETERMINED GOALS SET FORTH IN THE INCENTIVE AND STRATEGIC PLANS AND DEFINED ELIGIBILITY OF THE EMPLOYEE. RECOGNITION AWARDS ARE DISCRETIONARY AND CONSIDER QUALITY THRESHOLDS WHICH INCLUDE ANNUAL ACCREDITATION AND MINIMUM OPERATING INCOME LEVEL CRITERIA. IN ADDITION, EXECUTIVE AWARDS ARE WEIGHTED BASED ON INDIVIDUAL GOALS ESTABLISHED FOR EACH EXECUTIVE. ALSO, CERTAIN PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON PROFESSIONAL SERVICES COLLECTIONS BY THE QUEEN'S MEDICAL CENTER (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 THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MR. USHIJIMA ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS (QHS, PARENT COMPANY) AND AS PRESIDENT OF THE QUEEN'S 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. MARK YAMAKAWA MR. YAMAKAWA SERVES AS EVP AND COO OF THE QHS, EVP AND COO OF QMC AND PRESIDENT OF QUEEN'S DEVELOPMENT CORPORATION (QDC). HE IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. SHARLENE TSUDA MS. TSUDA SERVES AS SECRETARY FOR QHS, QMC AND 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 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 THE QUEEN'S HEALTH SYSTEMS AND SECRETARY OF QEL. 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. 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 QUEEN'S HEALTH SYSTEMS, ASSISTANT TREASURER OF QMC, QHS QEL AND TREASURER OF MGH. 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 SERIES ABC	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	$114,000,000	CapitalExpendituresAmt
Other Spent Proceeds	$8,116,086	OtherSpentProceedsAmt
Unspent	$89,541,979	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	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
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 AFFILIATES, QMC AND NORTH HAWAII COMMUNITY HOSPITAL (NHCH). INFORMATION REPORTED ON SCHEDULE K, IS FOR THE ENTIRE BOND ISSUE. THE OUTSTANDING BOND LIABILITY IS ALLOCATED BETWEEN THE ENTITIES AND REPORTED SEPARATELY ON FORM 990, PART X. QMC'S SHARE OF THE OUTSTANDING LIABILITY IS $348,073,644.

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, MOLOKA'I GENERAL HOSPITAL 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 (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SCHEDULE B DONOR 4
SUBSTANTIAL CONTRIBUTOR	$688,554	LEGAL SERVICES	false
SCHEDULE B DONOR 5
SUBSTANTIAL CONTRIBUTOR	$472,780	ARCHITECTURAL SERVICES	false
CS WO SONS LTD
C.SCOTT WO, TRUSTEE-QMC	$479,199	RENTAL OF PROPERTY	false
SCHEDULE B DONOR 19
SUBSTANTIAL CONTRIBUTOR	$146,913	LEGAL SERVICES	false
SCHEDULE B DONOR 28
SUBSTANTIAL CONTRIBUTOR	$135,084	PARKING SERVICES	false
SCHEDULE B DONOR 29
SUBSTANTIAL CONTRIBUTOR	$2,762,098	CONSULTING SERVICES	false
SCHEDULE B DONOR 30
SUBSTANTIAL CONTRIBUTOR	$345,240	ACCOUNTING SERVICES	false
SCHEDULE B DONOR 40
SUBSTANTIAL CONTRIBUTOR	$1,415,793	UTILITIES	false
SCHEDULE B DONOR 42
SUBSTANTIAL CONTRIBUTOR	$538,218	MEDICAL SERVICES	false
SCHEDULE B DONOR 64
SUBSTANTIAL CONTRIBUTOR	$167,577	ELECTRICAL SERVICES	false
SCHEDULE B DONOR 75
SUBSTANTIAL CONTRIBUTOR	$257,600	MEDICAL SERVICES	false
SCHEDULE B DONOR 77
SUBSTANTIAL CONTRIBUTOR	$607,607	MEDICAL SERVICES	false
SCHEDULE B DONOR 84
SUBSTANTIAL CONTRIBUTOR	$3,148,444	LAUNDRY SERVICES	false
JEANETTE HANASHIRO
RELATIVE OF TRUSTEE	$61,619	EMPLOYEE OF QMC	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	TRANSACTIONS WITH INTERESTED PERSON 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 $479,199.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1859 BY KING KAMEHAMEHA IV AND QUEEN EMMA, THE QUEEN'S MEDICAL CENTER (QMC) IS THE FIRST HOSPITAL IN THE UNITED STATES FOUNDED BY ROYALTY. TODAY, IT IS THE LARGEST PRIVATE HOSPITAL IN HAWAII AND THE PACIFIC BASIN. QMC 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 HAWAII'S 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 WOMEN'S 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 COMMISION (TJC). QMC IS ALSO APPROVED TO PARTICIPATE IN RESIDENCY TRAINING BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (QCGME), AND IS A MEMBER OF VHA, 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 QUEEN'S MISSION AND TO FULFILL THE TAX EXEMPT PURPOSE AS A CHARITABLE HOSPITAL, QUEEN'S PROVIDED THE FOLLOWING COMMUNITY BENEFITS, TOTALING APPROXIMATELY $153M ON A SYSTEM-WIDE BASIS, FOR THE YEAR ENDED JUNE 30, 2015. 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, 2015, THE ESTIMATED COST OF PROVIDING CHARITY CARE AND FOR SERVICES THAT WERE BAD DEBTS WAS $2,395,000 AND $31,717,000, 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, 2015, THE ESTIMATED COST OF OPERATIONS OF THE QUEEN'S TRANSPLANT CENTER WAS $5,181,000. 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 $1,256,000 FOR THE YEAR ENDED JUNE 30, 2015. 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 $5,858,000 FOR THE YEAR ENDED JUNE 30, 2015. 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 $9,629,000 IN ON CALL PHYSICIAN COVERAGE DURING THE YEAR ENDED JUNE 30, 2015. 6. FELLOWSHIP, RESIDENT AND INTERN COSTS - QMC INCURRED COSTS IN EXCESS OF REIMBURSEMENT OF APPROXIMATELY $13,542,000 DURING THE YEAR ENDED JUNE 30, 2015 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, 2015 WAS $887,000. 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, 2015 WAS $1,839,000. 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, 2015. 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, 2015, THE COST OF PROVIDING HEALTH AND WELLNESS EDUCATION WAS $424,000. 11. RESEARCH LOSSES - QMC EMPLOYS STAFF AND INCURS UNFUNDED COSTS FOR MEDICAL RESEARCH. FOR THE YEAR ENDED JUNE 30, 2015, RESEARCH COSTS WERE $799,000. 12. CHARITABLE CONTRIBUTIONS - QMC MAKES CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS. FOR THE YEAR ENDED JUNE 30, 2015, CONTRIBUTIONS TO OUTSIDE CHARITABLE ORGANIZATIONS WERE $2,198,000. OF THIS AMOUNT, $437,000 WAS FOR FUNDING TO THE DEPARTMENT OF NATIVE HAWAIIAN HEALTH UNDER THE JOHN A. BURNS SCHOOL OF MEDICINE OF THE UNIVERSITY OF HAWAII AND $1,000,000 WAS DONATED TO THE UNIVERSITY OF HAWAII CANCER CONSORTIUM. 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, 2015, COSTS INCURRED FOR THE ELECTRICAL GENERATOR PROJECT WERE $43,000. TOTAL PROJECT COSTS INCURRED AS OF JUNE 30, 2015 WERE APPROXIMATELY $34,260,000. 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 $50,147,000 DURING THE YEAR ENDED JUNE 30, 2015. 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 $24,669,000 DURING THE YEAR ENDED JUNE 30, 2015. 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, 2015, REVENUES FOREGONE FROM LEASE RATES THAT WERE BELOW FAIR MARKET VALUE WERE $75,000. 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, 2015, THESE PROGRAM COSTS TOTALED $1,051,000. 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, 2015, COSTS INCURRED FOR THE IMPROVEMENT PROJECT WERE $42,000. 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 $554,000 FOR THE YEAR ENDED JUNE 30, 2015. 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 GOVERNMEN
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 OF 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, LINES 12, 13 & 14	THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QMC BOARD 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 MANAGEMENT DEPARTMENT AND LEGAL DEPARTMENT HAVE THE CONFLICT 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 TRANSACTION 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, LINE 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 COMPENSATION OF ALL EXECUTIVES OF ALL COMPANIES WITHIN QHS. QMC'S EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY FOR ITS EXECUTIVE VP/COO, VP MEDICAL AFFAIRS, VP CLINICAL INTEGRATION, VP NURSING AND VP PATIENT CARE. ALL DECISIONS REGARDING EXECUTIVE COMPENSATION ARE MADE IN CONFORMITY WITH THE PROCEDURES REQUIRED TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY ADJUSTMENT TO COMPENSATION IS SUBJECT TO THE PROCESS OF PERFORMANCE REVIEWS AND COMPARISON TO COMPARABLE COMPENSATION DATA PREPARED BY A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE.
FORM 990, PART VI, LINE 19	QMC'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AND THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS RETURN, AS REQUIRED. QMC DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES PROGRAM SERVICE EXPENSE: MANAGEMENT & GENERAL: PURCHASED SERVICES $47,581,185 $2,758,864 MEDICAL SERVICES 33,419,428 CIPN PAYMENTS 7,601,711 CONSULTING SERVICES 2,031,912 4,829,779 OTHER SERVICES 2,640,570 TOTAL 93,274,806 7,588,643
FORM 990, PART XI, LINE 9	OTHER CHANGES TO NET ASSETS PENSION FAS 87 ADJUSTMENTS $ (2,120,497) GAIN ON INTEREST RATE SWAP $ (5,046,200) CHANGE IN INTEREST IN SUBSIDIARY $ (912,604) LOSS ON ADVANCED REFUNDING $ (3,708,488) UNREALIZED GAIN ON HEDGING TRANSACTION $ (277,281) SHARED SERVICES TRANSFER FROM AFFILIATE $ 19,795,490 ---------------- TOTAL $ 7,730,420

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)	11b	NA	false
QUEEN EMMA LAND COMPANY
1301 PUNCHBOWL STREET	HONOLULU	HI	96813	990183769	SUPPORT SVCS	HI	501(c)(3)	11c	QHS	Yes (true)
MOLOKAI GENERAL HOSPITAL
PO BOX 408	KAUNAKAKAI	HI	96748	990251372	HEALTH CARE	HI	501(c)(3)	3	QHS	Yes (true)
NORTH HAWAII COMMUNITY HOSPITAL
67-1125 MAMALAHOA HIGHWAY	KAMUELA	HI	967438496	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

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	false	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 (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
QUEEN EMMA LAND COMPANY
c	$32,712,087	FMV
DIAGNOSTIC LABORATORY SERVICES INC
p	$19,369,575	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
k	$3,630,459	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
q	$2,063,050	FMV
THE QUEEN'S DEVELOPMENT CORPORATION
j	$2,232,969	FMV
DIAGNOSTIC LABORATORY SERVICES
j	$735,575	FMV
QUEEN EMMA LAND COMPANY
k	$478,843	FMV
MOLOKAI GENERAL HOSPITAL
l	$504,675	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: $39,712,087 501(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: $93,948,987 501(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: $907,476,665 501(H) ELECTION: YES Share of excess Lobbying Expenditures: $0 Name: Molokai General Hospital Address: P.O. Box 408 Kaunakakai, HI 96748 EIN: 99-0251372 Expenses: $9,861,534 501(H) ELECTION: YES Share of excess Lobbying Expenditures: $0 NAME: NORTH HAWAII COMMUNITY HOSPITAL ADDRESS: 67-1125 MAMALAHOA HIGHWAY EIN: 99-0260423 EXPENSES: $39,869,046 501(H) ELECTION: NO SHARE OF EXCESS LOBBYING EXPENDITURES: $0	MeduimExplanationTxt