2024-05-09T17:48:40-05:00 2023-06-30 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2022-07-01 880820406 QUEENS UNIVERSITY MEDICAL GROUP % CLINTON YEE QUEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 GEORGE RICK BRUNO PRESIDENT & TRUSTEE 3179771443 2024-05-07 true GEORGE RICK BRUNO 999009999 ANDREW JAMESON P01894820 7209314000 2024-05-02 2022 2023-04-26 12:10:37Z GEORGE RICK BRUNO 1301 PUNCHBOWL STREET HONOLULU HI 96813 104983290 false X WWW.QUEENS.ORG X 2022 HI COMMUNITY BASED HEALTHCARE ORGANIZATION 6 0 1242 0 0 0 0 75000 0 104750580 0 0 0 157710 0 104983290 0 0 0 0 0 220616951 0 0 14867 0 61043734 0 281660685 0 -176677395 0 101509801 0 277795234 0 -176285433 Be the preeminent medical group of the Pacific, leading the delivery of high quality, compassionate patient care that is continually advancing through education and research. false false 236311765 0 104755042 Provide health care services in a charitable manner for patients of the Queen's University Medical Group's affiliated hospitals (The Queen's Medical Center, Molokai General Hospital and Queen's North Hawaii Community Hospital) and other health care providers within the communities they serve. 236311765 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 1242 true false false false false false false false false false false false false X 6 0 false false false false true true true true true false false true false false false false false false X CLINTON YEE 8085389011 1301 PUNCHBOWL STREET HONOLULU HI 96813 REID HOSHIDE MD NEUROLOGICAL SURGERY 50.0 0.0 X 2437100 0 49368 JILL HOGGARD GREEN TRUSTEE/CHAIR 1.0 64.0 X X 0 1709743 284902 DAVID PANCZYKOWSKI MD NEUROLOGICAL SURGERY 50.0 0.0 X 1738290 0 33470 JEFFREY LOH MD ANETHESIOLOGY AND PAIN MGMT 50.0 0.0 X 1551546 0 35493 WHITNEY LIMM MD TRUSTEE 1.0 59.0 X 0 1218267 61755 DEAN NAKAMURA MD CARDIOTHORACIC SURGERY 50.0 0.0 X 1052641 0 41480 JASON CHANG PRESIDENT/TRUSTEE - PART YEAR 1.0 54.0 X X 0 951232 131335 HAO-CHIH HO MD CRITICAL CARE MEDICINE 50.0 0.0 X 1060478 0 19725 PAUL MCDOWELL TRUSTEE 1.0 64.0 X 0 842247 128759 KAZUMA NAKAGAWA MD TRUSTEE 51.0 4.0 X 849557 0 24783 GEORGE R BRUNO MD PRESIDENT/TRUSTEE 15.0 40.0 X X 442127 259766 78888 DARLENA CHADWICK RN TRUSTEE 1.0 54.0 X 0 486471 67786 WARREN YAMAMOTO VICE PRESIDENT 51.0 0.0 X 194144 0 43494 GAISON ONTAI SECRETARY - PART YEAR 1.0 50.0 X 0 174808 39614 LAUREN BENDINER SECRETARY 1.0 50.0 X 0 161578 27839 TRACI JAY KOBAYASHI TREASURER 51.0 0.0 X 166684 0 22263 9492567 5804112 1090954 608 false true false 0 75000 75000 PATIENT SERVICE REVENUE 622110 102485516 102485516 SERVICE CONTRACT REVENUE 622110 1022259 1022259 INTERCOMPANY PURCHASED SERVICES 561000 1242805 1242805 104750580 0 0 0 139072 139072 0 139072 139072 0 0 0 0 0 0 0 0 0 0 RESEARCH REVENUE 621500 4462 4462 FINANCE CHARGES 621500 5470 5470 OTHER REVENUE 621500 8706 8706 18638 104983290 104755042 0 153248 0 0 0 0 2020724 849092 1171632 0 183902997 176902600 7000397 8868266 8228368 639898 12444828 8823864 3620964 13380136 8424908 4955228 0 355430 355430 14441 14441 0 0 0 23220937 19978673 3242264 84790 40006 44784 1018919 873011 145908 398944 375868 23076 0 4486382 4056941 429441 1179718 1092167 87551 0 239425 180527 58898 126560 126560 0 2842459 1897308 945151 1799552 1799552 RECRUITMENT AND RELOCATION 887674 481 887193 INTERCOMPANY EXPENSES 18351709 18336842 14867 UHP MISSION SUPPORT 1283333 1283333 MEDICAL SUPPLIES 3809964 3809964 943497 651427 292070 281660685 236311765 45334053 14867 0 12975 0 -340858 0 0 0 14693823 0 0 0 0 0 0 0 0 0 1106629 24886489 6926408 0 17960081 0 0 0 0 0 0 0 6062501 0 62014650 0 101509801 0 33491876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244303358 0 277795234 X 0 -176285433 0 0 0 -176285433 0 101509801 X -176677395 391962 X false true X true true true X 0 75000 75000 104755042 104755042 0 0 0 0 104830042 104830042 75000 75000 0 75000 75000 104755042 139072 139072 0 139072 139072 0 14176 14176 0 104983290 104983290 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18907617 4593178 14314439 87429 20351 67078 4831713 2312879 2518834 1059730 0 1059730 17960081 ROU ASSETS 19180432 SECURITY DEPOSITS 157412 RENT RECEIVABLE 406985 DUE FROM AFFILIATES 42247111 OTHER ASSETS 22710 62014650 0 DUE TO AFFILIATES 222355893 GEN AND PROFESSIONAL TAIL LIABILITY 49521 DEFERRED LEASE PREMIUM 21897944 244303358 X SCHEDULE D, PART X, LINE 2 FIN 48(ASC 740) FOOTNOTE QHS EVALUATES ITS UNCERTAIN TAX POSITIONS AND HAS NO MATERIAL UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2023. false false false false false false false true false REID HOSHIDE MD NEUROLOGICAL SURGERY 775290 0 1660896 0 914 0 24400 0 24968 0 2486468 0 JILL HOGGARD GREEN TRUSTEE/CHAIR 0 1166644 0 535575 0 7524 0 267373 0 17529 0 1994645 DAVID PANCZYKOWSKI MD NEUROLOGICAL SURGERY 1006513 0 652005 0 79772 0 24400 0 9070 0 1771760 0 JEFFREY LOH MD ANETHESIOLOGY AND PAIN MGMT 416344 0 1134246 0 956 0 10578 0 24915 0 1587039 0 WHITNEY LIMM MD TRUSTEE 0 953835 0 249954 0 14478 0 43226 0 18529 0 1280022 JASON CHANG PRESIDENT/TRUSTEE - PART YEAR 0 692791 0 257631 0 810 0 106493 0 24842 0 1082567 DEAN NAKAMURA MD CARDIOTHORACIC SURGERY 715767 0 315192 0 21682 0 24400 0 17080 0 1094121 0 HAO-CHIH HO MD CRITICAL CARE MEDICINE 452004 0 607232 0 1242 0 10694 0 9031 0 1080203 0 PAUL MCDOWELL TRUSTEE 0 612070 0 227855 0 2322 0 104236 0 24523 0 971006 KAZUMA NAKAGAWA MD TRUSTEE 364143 0 484655 0 759 0 13 0 24770 0 874340 0 GEORGE R BRUNO MD PRESIDENT/TRUSTEE 273529 259093 168029 0 569 673 55121 14099 4797 4871 502045 278736 DARLENA CHADWICK RN TRUSTEE 0 378243 0 105906 0 2322 0 50871 0 16915 0 554257 WARREN YAMAMOTO VICE PRESIDENT 176000 0 17580 0 564 0 19044 0 24450 0 237638 0 GAISON ONTAI SECRETARY - PART YEAR 0 158771 0 15730 0 307 0 14678 0 24936 0 214422 LAUREN BENDINER SECRETARY 0 152030 0 8800 0 748 0 1066 0 26773 0 189417 TRACI JAY KOBAYASHI TREASURER 149071 0 14080 0 3533 0 13517 0 8746 0 188947 0 SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIED ON THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. QHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND STUDY, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 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 QUMG. A MAXIMUM OF SUCH INCENTIVE COMPENSATION IS CAPPED ACCORDING TO QUMG POLICY. SCHEDULE J, PART II & FORM 990, PART VII COMPENSATION PAID FOR SERVICES JILL HOGGARD GREEN MS. HOGGARD GREEN SERVES AS A TRUSTEE FOR THE QUEEN'S HEALTH SYSTEMS AND SEVERAL OTHER QUEEN'S RELATED AFFILIATES. MS. HOGGARD GREEN ALSO SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE QUEEN'S HEALTH SYSTEMS ("QHS", PARENT COMPANY) AND CHAIR OF QUMG, MGH, NHCH AND QEL. SHE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR HER VARIOUS SERVICES. WHITNEY LIMM, MD DR. LIMM SERVES AS SENIOR VP OF CLINICAL INTEGRATION, CHIEF PHYSICIAN EXECUTIVE OF QHS AND QMC AND TRUSTEE FOR QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. JASON CHANG MR. CHANG SERVES AS EVP, INNOVATION & STRATEGY FOR THE QUEEN'S HEALTH SYSTEMS AND PRESIDENT OF QUEEN'S INNOVATION INSTITUTE, TRUSTEE OF QEL, MGH AND NHCH. HE ALSO SERVED AS COO OF QHS, PRESIDENT/TRUSTEE OF QMC AND QUMG THROUGH JANUARY 2023. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. PAUL MCDOWELL MR. MCDOWELL SERVES AS THE TREASURER/CHIEF FINANCIAL OFFICER OF QHS, TREASURER OF QMC AND TRUSTEE OF QEL AND QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. KAZUMA NAKAGAWA, MD DR. NAKAGAWA SERVES AS A TRUSTEE FOR QHS, QMC AND QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR SERVICES AS MEDICAL DIRECTOR, COMPREHENSIVE STROKE CENTER FOR QMC. GEORGE R BRUNO, MD DR. BRUNO SERVES AS PRESIDENT/TRUSTEE OF QMC AND SVP, PATIENT CARE AND PRESIDENT/TRUSTEE OF QUMG. HE IS A VOLUNTEER TRUSTEE AND IS NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. DARLENA CHADWICK MS. CHADWICK SERVES AS EVP AND COO OF QHS, VICE PRESIDENT OF QMC AND TRUSTEE OF QUMG. SHE IS A VOLUNTEER TRUSTEE AND NOT SEPARATELY COMPENSATED FOR THESE SERVICES. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. WARREN YAMAMOTO MR. YAMAMOTO SERVES AS DIRECTOR OF ADMIN SERVICES AND VICE PRESIDENT OF THE QUEEN'S UNIVERSITY MEDICAL GROUP. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. GAISON ONTAI MR. ONTAI SERVES AS CORPORATE COUNSEL FOR QHS AND SERVED AS CORPORATE SECRETARY OF THE QUEEN'S UNIVERSITY MEDICAL GROUP THROUGH MAY 2023. THE COMPENSATION LISTED IS HIS TOTAL COMPENSATION FOR ALL SERVICES. LAUREN BENDINER MS. BENDINER SERVES AS DIRECTOR OF PHYSICIAN CONTRACTS, CORPORATE COUNSEL FOR QHS AND CORPORATE SECRETARY OF THE QUEEN'S UNIVERSITY MEDICAL GROUP. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. TRACI JAY KOBAYASHI MS. KOBAYASHI SERVES AS DIRECTOR OF FISCAL SERVICES AND TREASURER OF THE QUEEN'S UNIVERSITY MEDICAL GROUP. THE COMPENSATION LISTED IS HER TOTAL COMPENSATION FOR ALL SERVICES. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS QUMG HAS A SOLE MEMBER, WHICH IS THE QUEEN'S HEALTH SYSTEMS, A HAWAII NONPROFIT CORPORATION ("QHS"). FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS QHS ELECTS ALL OF THE BOARD MEMBERS OF THE QUMG 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 QUMG BOARD OF TRUSTEES MUST ALSO BE APPROVED BY QHS. SUCH DECISIONS INCLUDE: 1. A CHANGE TO THE PURPOSE OF THE COMPANY; 2. A FINANCING TRANSACTION IN EXCESS OF $500,000; 3. A LEASE TRANSACTION THAT HAS A TERM THAT IS LONGER THAN 3 YEARS OR HAS A RENT OBLIGATION IN EXCESS OF $1,000,000 OVER THE LEASE TERM; 4. A TRANSACTION INVOLVING THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY; 5. ANNUAL OPERATIONAL AND CAPITAL BUDGETS; 6. STRATEGIC PLANS; 7. MERGER OR MAJOR ACQUISITIONS; 8. CREATION OF A NEW ENTITY OR JOINT VENTURE; 9. SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; 10. DISSOLUTION; 11. AMENDMENT OF BYLAWS; 12. ADOPTION, AMENDMENT OR RESCISSION OF A BOARD POLICY; 13. CAPITAL EXPENDITURES IN EXCESS OF $2,000,000 FOR QUMG. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 FOR THE QUEEN'S HEALTH SYSTEMS (QHS) AND THE SEPARATE FORMS FOR EACH OF THE NOT-FOR-PROFIT SUBSIDIARIES OF QHS WERE REVIEWED BY THE GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN. THE QHS ENTERPRISE RISK MANAGEMENT AND CYBERSECURITY 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 REVIEWED 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 QUMG RETURN WAS MADE AVAILABLE TO EACH OF THE MEMBERS OF THE QUMG BOARD OF TRUSTEES PRIOR TO THE RETURNS BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12, 13 AND 14 APPROVED POLICIES QUMG ABIDES BY THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES THAT HAVE BEEN APPROVED BY QHS ON BEHALF OF THE QUMG BOARD OF TRUSTEES, BUT HAVE NOT BEEN SEPARATELY APPROVED BY THE QUMG BOARD. AS SUCH, LINES 12, 13 AND 14 HAVE BEEN CHECKED 'NO'. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY. ALL QHS COMPANIES ARE SUBJECT TO A WRITTEN CONFLICT OF INTEREST POLICY. ALL TRUSTEES, OFFICERS, DESIGNATED EMPLOYEES AND CONTRACTORS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM. THE DESIGNATED EMPLOYEES ARE THOSE SELECTED BY EXECUTIVES IN THE ORGANIZATION WHO IDENTIFY THOSE EMPLOYEES (TYPICALLY MANAGER LEVEL AND ABOVE) WHO MAY BE IN A POSITION TO SELECT OR INFLUENCE THE SELECTION OF A VENDOR. DISCLOSURES ARE SUMMARIZED AND MAINTAINED BY EACH COMPANY'S CORPORATE SECRETARY. THE CONTRACTS MANAGEMENT DEPARTMENT AND LEGAL DEPARTMENT HAVE THE CONFLICT OF INTEREST SUMMARIES AND CHECK FOR CONFLICTS OF INTEREST AT THE BEGINNING OF THE CONTRACT PROCESS. ANY CONFLICT OF INTEREST INVOLVING A TRUSTEE IS PRESENTED TO THE BOARD OF TRUSTEES. ANY CONFLICT OF INTEREST INVOLVING A DISQUALIFIED PERSON IS SUBJECT TO THE PROCESS OF ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY TRUSTEE WITH A CONFLICT OF INTEREST IS EXCUSED FOR THE PORTION OF THE MEETING WHERE THE SUBJECT MATTER IS DISCUSSED AND VOTED ON. FORM 990, PART VI, LINES 15A AND 15B PROCESS USED FOR DETERMINING COMPENSATION A RELATED ORGANIZATION, THE QUEEN'S HEALTH SYSTEMS, GOES THROUGH THE FOLLOWING PROCEDURES FOR DETERMINING EXECUTIVE COMPENSATION. A COMMITTEE OF THE BOARD OF TRUSTEES CALLED THE COMPENSATION COMMITTEE MEETS REGULARLY TO REVIEW THE COMPENSATION OF ALL EXECUTIVES (VICE PREDIENT AND ABOVE) AND PHYSICIANS EMPLOYED BY ALL COMPANIES WITHIN QHS. ALL DECISIONS REGARDING EXECUTIVE COMPENSATION ARE MADE IN CONFORMITY WITH THE PROCEDURES REQUIRED TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS. ANY ADJUSTMENT TO COMPENSATION IS SUBJECT TO THE PROCESS OF ANNUAL PERFORMANCE REVIEWS AND COMPARISON TO COMPARABLE COMPENSATION DATA PREPARED BY A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. THE MOST RECENT REVIEW TOOK PLACE IN OCTOBER 2023. OUTSIDE COUNSEL ASSISTS WITH THE REVIEW PROCESS AND DOCUMENTS THE DECISIONS OF THE COMMITTEE. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC QUMG'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. QUMG DOES NOT MAKE THE CONFLICT OF INTEREST POLICY THAT IT FOLLOWS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS MINIMUM PENSION LIABILITY $391,965 ROUNDING ($ 3) ------------ TOTAL $391,962 FORM 990, PART V, LINE 1 VENDOR PAYMENTS ARE PROCESSED AND PAID BY THE QUEEN'S HEALTH SYSTEMS (QHS) FOR ALL AFFILIATES. AS SUCH, FORM 1099S WERE NOT ISSUED BY QUEEN'S UNIVERSITY MEDICAL GROUP IN 2022. THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 MEDICAL SVCS HI 501(C)(3) 3 QHS true MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI HI 96748 990251372 MEDICAL SVCS HI 501(C)(3) 3 QHS true THE QUEEN'S HEALTH SYSTEMS 1301 PUNCHBOWL STREET HONOLULU HI 96813 990238120 ADMIN SVCS HI 501(C)(3) 12C NA false QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL 67-1125 MAMALAHOA HIGHWAY KAMUELA HI 96743 990260423 MEDICAL SVCS HI 501(C)(3) 3 QHS true QUEEN EMMA LAND COMPANY 1301 PUNCHBOWL STREET HONOLULU HI 96813 990183769 SUPPORT SVCS HI 501(C)(3) 12A QHS true HAMAMATSUQUEEN'S PET IMAGING CENTER LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 943266916 PET IMAGING HI NA N/A PRIMARY CARE PHYSICIAN ENTERPRISE LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 834591861 MEDICAL SVCS HI NA N/A QUEEN'S DEVELOPMENT CORPORATION 1301 PUNCHBOWL STREET HONOLULU HI 96813 990240109 DEVELOPMENT HI NA C CORP true QUEEN'S INSURANCE EXCHANGE 1301 PUNCHBOWL STREET HONOLULU HI 96813 911913839 INSURANCE HI NA C CORP true DIAGNOSTIC LABORATORY SERVICES INC 99-859 IWAIWA STREET AIEA HI 96701 990240499 MEDICAL LAB SVCS HI NA C CORP true true false false false false false false false false false true true true false false false false false false THE QUEEN'S MEDICAL CENTER M 287980 FMV THE QUEEN'S MEDICAL CENTER A(IV) 520748 FMV THE QUEEN'S MEDICAL CENTER K 156236 FMV THE QUEEN'S HEALTH SYSTEMS M 18351709 FMV QUEEN'S DEVELOPMENT CORPORATION K 156235 FMV QUEEN'S DEVELOPMENT CORPORATION L 638316 FMV SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HAMAMATSU/QUEEN'S PET IMAGING CENTER, LLC EIN: 94-3266916 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813 PRIMARY CARE PHYSICIAN ENTERPRISE LLC EIN: 83-4591861 ADDRESS: 1301 PUNCHBOWL STREET HONOLULU, HI 96813