The figures were attached as an appendix to Southland and Otago district health board chief executive Brian Rousseau's response to the Wakatipu Health Trust's draft Queenstown health needs assessment.
The figures show 1894 Queenstown people received hospital care in the 2007-08 financial year.
Only 692 were discharged from Lakes District Hospital and 1202 were taken to other hospitals for treatment.
More than 730 were taken to Southland Hospital in Invercargill and 236 to Dunedin Hospital.
More than two-thirds of Queenstown mothers gave birth elsewhere.
Of the 310 births that year, 202 went out of the district to give birth.
Only 75 were for Caesarean section, not available at Lakes.
Of the 205 long-term orthopaedic patients, only one stayed at Lakes District.
Mr Rousseau strongly criticised the trust's needs assessment, which said Queenstown residents were not receiving fair access to health care.
He said hospital bed demand was less than 50% occupancy of 10 inpatient beds.
However, his figures show most of the people needing beds are being sent to other hospitals.
He said Queenstown's population did not warrant more specialist services.
"It is neither operationally nor economically possible to provide the comprehensive range of health-care professionals necessary to be able to manage the range and complexity of cases.
"Our attention needs to be focused at stabilising and transferring complex patients to the most appropriate point of care as quickly as possible," he said.
Acting Wakatipu St John team leader Alana Reid said transferring patients from Lakes District Hospital to Invercargill and Dunedin was a "significant" part of the team's work.
"It's a significant part of our workload but we are resourced to do it," she said.
Trust spokeswoman Maria Cole said she had been aware of the extent to which patients are transferred out of the district.
The assessment showed Lakes District had the highest rate of transferring patients to other hospitals in Otago and Southland in 2006-07 and 2007-08.
She said she could not comment on Mr Rousseau's criticisms until the assessment was complete.
"We will take into consideration and address his comments. We don't agree with all of them but some of them have already been addressed through further amendments to the draft."
The trust was still seeking public feedback on the assessment through its website.
The assessment's author, Chris Fraser, who is a former planning and funding manager of the district health boards, said Mr Rousseau had raised "significant issues''.
He would provide the trust with feedback on their ``pros and cons''. The report was due to be completed in two weeks, he said.
