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      <Description>THE QUEEN'S HEALTH SYSTEM IS THE PARENT OF THE QUEEN'S MEDICAL CENTER, THE QUEEN EMMA LAND COMPANY, THE QUEEN'S DEVELOPMENT CORPORATION, AND OTHER VARIOUS HEALTHCARE RELATED ENTITIES. QHS PROVIDES LONG RANGE PLANNING, MANAGEMENT AND SUPPORT SERVICES, AND COORDINATES POLICY MAKING FOR THESE ENTITIES.</Description>
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        <Description>THE QUEEN'S HEALTH SYSTEM PROVIDES VARIOUS COMMUNITY BENEFIT PROGRAMS TO FULFILL ITS TAX EXEMPT PURPOSE AS A CHARITABLE HEALTHCARE SYSTEM. FOR THE YEAR ENDED 06/30/10, THE QUEEN'S HEALTH SYSTEM PROVIDED COMMUNITY BENEFITS TOTALING APPROXIMATELY $83.8 MILLION, ON A SYSTEM-WIDE BASIS. SEE LINE 4C (SCHEDULE O ATTACHMENT 3) FOR A DETAILED EXPLANATION.</Description>
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        <Description>The Queen's Health Systems ("QHS") is the parent company of The Queen's Medical Center ("QMC"), Queen Emma Land Company, Queen's Development Corporation, Molokai General Hospital ("MGH"), and various other healthcare related entities (collectively referred to as "Queen's"). The mission of Queen's 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 of the people of Hawaii. 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 $83.8 million on a system-wide basis, for the year ended June 30, 2010. The Queen's Medical Center ("QMC") supports Native Hawaiian Health initiatives through many of its programs and services, particularly its Native Hawaiian Health Program (NHH). The focus areas of NHH include improvements in clinical outcomes, healthcare training, research, access and outreach. NHH conducts ongoing assessment and development of QMC programs and services focused on Native Hawaiians, including specific clinical programs in areas such as cardiology, oncology and behavioral health. QMC collaborates and partners to provide healthcare training and education opportunities to Native Hawaiian students and those committed to serving Native Hawaiian communities, for example, 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, NHH 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, NHH 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 NHH, 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. 1. Uncompensated care - 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). For the year ended June 30, 2010, the estimated losses from providing charity care and for services that were bad debts was $2,628,000 and $12,200,000 respectively. 2. Behavioral Health - QMC provides inpatient and outpatient behavioral health services that are necessary and in certain instances, not generally available in the State of Hawaii. The estimated losses from operations resulting from behavioral health services were $8,640,000 for the year ended June 30, 2010. 3. Queen Emma Clinics - QMC provides outpatient services to indigent patients and others though the Queen Emma Clinics. The losses from operations from the Queen Emma Clinics were approximately $3,843,000 for the year ended June 30, 2010. 4. On call physician compensation - QMC maintains the only Level II trauma center in the State of Hawaii. In order to provide Level II trauma coverage, the Medical Center incurred approximately $5,776,000 in on call physician coverage during the year ended June 30, 2010. 5. Resident and Intern Costs - QMC incurred costs in excess of reimbursement of approximately $4,491,000 during the year ended June 30, 2010 related to resident and intern programs. As a teaching facility, the Medical Center participates in and shares the costs of the Hawaii Residency Program. 6. Hawaii Medical Library - QMC maintains a medical library that benefits healthcare professionals in the State of Hawaii. The operating losses of the Hawaii Medical Library for the year ended June 30, 2010 were $975,000. 7. Transfer Hotline - QMC maintains a cardiac transfer hotline and a referral hotline to assist patients and other healthcare providers with the transfer and/or referral of patients to appropriate healthcare services. The operating losses of providing these services for the year ended June 30, 2010 were $1,259,000. 8. Transportation Services - QMC provides transportation to and from the Medical Center to patients who require assistance. The cost of providing these services was $155,000 for the year ended June 30, 2010. 9. 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, 2010, losses of providing health and wellness education were $404,000. 10. Research Losses - QMC employs staff and incurs unfunded costs for medical research. For the year ended June 30, 2010, research costs were $1,029,000. 11. Charitable Contributions - QMC makes contributions to outside charitable organizations. For the year ended June 30, 2010, contributions to outside charitable organizations were $859,000. 12. Emergency Preparedness - QMC is the only Level II trauma center in the State of Hawaii. QMC allocated resources to plan and test its readiness for community emergencies, including trauma, terrorist attacks and conditions resulting from hazardous material spills. For the year ended June 30, 2010, the costs of emergency preparedness were $237,000. 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, 2010, costs incurred for the electrical generator project were $4,969,000. Total project costs incurred as of June 30, 2010 were approximately $33,669,000. 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 $28,398,000 during the year ended June 30, 2010. 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 $2,949,000 during the year ended June 30, 2010. 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, 2010, revenues foregone from lease rates that were below fair market value were $84,000. 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, 2010, these program costs totaled $1,029,000. 18. Molokai General Hospital - Queen's supports MGH in providing healthcare services to the island of Molokai. For the year ended June 30, 2010, MGH's loss from operations was $2,000,000. 19. Native Hawaiian Health at QMC - Queen's supports a Native Hawaiian Health program at QMC. For the year ended June 30, 2010, expenses totaled approximately $790,000. 20. 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, began construction to the Kinau Street off-ramp. For the year ended June 30, 2010, costs incurred for the improvement project were $337,000. 21. Dental Clinic - QMC provides dental services to indigent patients and others though its Dental Clinic. The losses from operations from the Queen Emma Clinics were approximately $71,000 for the year ended June 30, 2010. 22. Donated Use of Conference Rooms - QMC allows physicians and teachers from the John A. Burns School of Medicine of the University of Hawaii, various governmental agencies including the Department of Health, and other nonprofit agencies the free use of its facilities at The Queen's Conference Center. For the year ended June 30, 2010, costs incurred for the use of the center were $100,000. 23. Job Shadowing Program - QMC sponsors a job shadowing program for students in the state of Hawaii. For the year ended June 30, 2010, costs incurred for the program were $8,000. 24. Community Health Improvement - Queen's sponsors health fairs on neighbor islands. For the year ended June 30, 2010, non-marketing costs incurred related to the health fairs were $38,000. 25. QMC Nursing Program - QMC provides nursing internships and nurse training that help address the continued need for skilled nurses in the islands. For the year ended June 30, 2010, these costs totaled $584,000.</Description>
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        <Identifier>COMPENSATION COMMITTEE</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>Compensation committee refers to a committee of the organization's governing body responsible for determining the top management official's compensation package, whether or not the committee has been delegated the authority to make an employment agreement with the top management official on behalf of the organization. The compensation committee may also have other duties.</Explanation>
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        <Identifier>Arthur A Ushijima</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>Arthur A Ushijima AVERAGE HOURS PER WEEK: 6 hours per week - QHS PARENT COMPANY 2 hours per week - QHS Trustee 65 hrs per week - QHS &amp; affiliates Mr. Ushijima serves as a Trustee for The Queen's Health Systems (parent company) and several other Queen's related affiliates. He is a volunteer Trustee and is not compensated for those services. His hours served as a trustee for QHS is 2 hrs per week. Mr. Ushijima also serves as the President &amp; Chief Executive Officer of The Queen's Health Systems (parent company) and as the President of QMC. The compensation listed on Form 990 Part VII is his total compensation for his various services and the hours listed on Form 990 Part VII are his hours for his QHS roles (parent company only) and also all affiliates combined.</Explanation>
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        <Identifier>Mark Yamakawa</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>Mark Yamakawa AVERAGE HOURS PER WEEK: 8 hours per week - QHS PARENT COMPANY 55 hrs per week - QHS &amp; affiliates Mr. Yamakawa serves as QHS EVP &amp; COO (parent company), QMC VP, President of QDC and President of QEL. He is not separately compensated for these various services. The compensation listed on Form 990 Part VII is his total compensation for his various services and the hours listed on Form 990 Part VII are his hours for his QHS roles (parent company only) and also all affiliates combined.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Janice Kalanihuia</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>Janice Kalanihuia AVERAGE HOURS PER WEEK: 1 HR PER WEEK - QHS PARENT COMPANY 55 HRS PER WEEK - QHS &amp; AFFILIATES Ms. Kalanihuia serves as VP for Queen's Health Systems (parent company) and President for MGH. She is not separately compensated for these VARIOUS services. The compensation listed on Form 990 Part VII is her total compensation for her various services and the hours listed on Form 990 Part VII are her hours for her QHS roles (parent company only) and also all affiliates combined.</Explanation>
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        <Identifier>Richard C. Keene</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>Richard C. Keene AVERAGE HOURS PER WEEK: 28 hrs per week - QHS PARENT COMPANY 55 hrs per week - QHS &amp; affiliates Mr. Keene serves as EVP/CFO and Treasurer for Queen's Health Systems (parent company), QEL Treasurer, QMC Treasurer and MGH Treasurer. He is not separately compensated for these services. The compensation listed on Form 990 Part VII is his total compensation for his various services and the hours listed on Form 990 Part VII are his hours for his QHS roles (parent company only) and also all affiliates combined.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sharlene Tsuda</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>Sharlene Tsuda AVERAGE HOURS PER WEEK: 53 hrs per week - QHS PARENT COMPANY 55 hrs per week - QHS &amp; affiliates Ms. Tsuda serves as QHS VP/Secretary (parent company) and QMC Secretary. She is not separately compensated for these various services. The compensation listed on Form 990 Part VII is her total compensation for her various services and the hours listed on Form 990 Part VII are her hours for her QHS roles (parent company only) and also all affiliates combined.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>John S. Nitao</Identifier>
        <ReturnReference>Form 990 Part VII</ReturnReference>
        <Explanation>John S. Nitao AVERAGE HOURS PER WEEK: 54 hour per week - QHS parent company 55 hrs per week - QHS &amp; affiliates Mr. Nitao serves as QHS VP/General Counsel and QEL secretary. The compensation listed on Form 990 Part VII is his total compensation for his various services.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Discretionary spending account</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1a</ReturnReference>
        <Explanation>Discretionary spending account payments are made to certain executives of QHS in lieu of reimbursement for expenses and are included in taxable income of the recipient. The following individuals received discretionary spending account payments in 2009: Mark Yamakawa - $15,000 Richard C. Keene - $15,000 Kanoe Margol - $8,000 Sharlene Tsuda - $8,000 Arthur A. Ushijima - $20,000 Bert Kido - $8,000 David Starr - $4,293 John Nitao - $8,000 Leslie Chinen - $8,000</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Severance payments</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4a</ReturnReference>
        <Explanation>The following individual of QHS received severance payments in 2009: David Starr - $ 125,649</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental non-qualified deferred compensation plan</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4b</ReturnReference>
        <Explanation>The following individuals of QHS and related organizations received supplemental non-qualified deferred compensation plan benefits in 2009: Arthur A. Ushijima - $452,752 Mark Yamakawa - $19,459 John Nitao - $2,727 The following individual of QHS and related organizations received supplemental non-qualified deferred compensation plan payments in 2009: Richard Griffith - $131,584</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Donna Tanoue</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee of QHS</Relationship>
        <AmountOfTransaction>102073</AmountOfTransaction>
        <DescriptionOfTransaction>see schedule o for description</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PT VI, SECTION A, LINE 7A</Identifier>
        <Explanation>The Board of Trustees of QHS elects all of the board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PT VI, SECTION A, LINE 11A</Identifier>
        <Explanation>The Form 990 for The Queen's Health System (QHS) and the separate forms for each of the not-for-profit subsidiaries of QHS were reviewed by the governing body of QHS prior to the filing of the returns. The QHS Finance 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 QHS Compensation Committee prior to filing the returns. Also, a copy of the QHS returns was made available to each of the members of the Board of Trustees prior to the returns being filed with the Internal Revenue Service.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PT VI, SECTION B, LINE 12C</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PT VI, SECTION B, LINE 15B</Identifier>
        <Explanation>A committee of the Board of Trustees called the Compensation Committee meets regularly to review compensation of all executives of all companies within QHS. Executive compensation is reviewed annually. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PT VI, SECTION C, LINE 19</Identifier>
        <Explanation>QHS does not make its governing documents, conflict of interest policy or financial statements available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Business Transactions Involving Interested Person</Identifier>
        <ReturnReference>Schedule L, Part IV, (d) Description of Transaction:</ReturnReference>
        <Explanation>Donna Tanoue is an officer of a financial institution with which the organization has a banking relationship. During the year, the organization paid bank fees to this financial institution totaling $102,073.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 PART V Line 4b</Identifier>
        <ReturnReference>FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES</ReturnReference>
        <Explanation>AUSTRALIA, AUSTRIA, BELGIUM, BRAZIL, CANADA, FRANCE, GERMANY, HONG KONG, ITALY, JAPAN, NETHERLANDS, NORWAY, SINGAPORE, SPAIN, SWEDEN, SWITZERLAND, AND UNITED KINGDOM.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE QUEEN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 PUNCHBOWL STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990073524</EIN>
        <PrimaryActivities>MEDICAL SVCS</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>QHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>QUEEN EMMA LAND COMPANY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1099 ALAKEA STREET SUITE 1100</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990183769</EIN>
        <PrimaryActivities>SUPPORT SVCS</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>QHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOLOKAI GENERAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 408</AddressLine1>
          <City>KAUNAKAKAI</City>
          <State>HI</State>
          <ZIPCode>96748</ZIPCode>
        </AddressUS>
        <EIN>990251372</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>QHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAMQUEEN'S PET</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1301 PUNCHBOWL</AddressLine1>
          <City>HON</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>943266916</EIN>
        <PrimaryActivity>PET IMAGING</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE QUEEN'S DEVELOPMENT CORP &amp; SUBS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1099 ALAKEA STREET SUITE 1100</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990240109</EIN>
        <PrimaryActivity>DEVELOPMENT</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>QHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>100125074</ShareOfTotalIncome>
        <ShareOfEOYAssets>108997335</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>QUEEN'S INSURANCE EXCHANGE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1099 ALAKEA STREET SUITE 1100</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>911913839</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>QHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>INSURANCE CORP</TypeOfEntity>
        <ShareOfTotalIncome>5380155</ShareOfTotalIncome>
        <ShareOfEOYAssets>19061418</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DIAGNOSTIC LABORATORY SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>650 Iwilei Road suite 300</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96817</ZIPCode>
        </AddressUS>
        <EIN>990240499</EIN>
        <PrimaryActivity>MEDICAL LAB SVCS</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUB OF QDC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN EMMA LAND COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>10938</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1830556</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>468078</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE QUEEN'S DEVELOPMENT CORP &amp; SUBS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>471</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE QUEEN'S DEVELOPMENT CORP &amp; SUBS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1374685</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN'S INSURANCE EXCHANGE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>272417</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>13835728</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOLOKAI GENERAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>315506</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>QUEEN EMMA LAND COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>3412370</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>