Extended-MHD modeling of DIII-D tokamak [J. L. Luxon, Nucl. Fusion 42, 614 2002] QH-mode discharges with nonlinear NIMROD [C. R. Sovinec et al., JCP 195, 355 2004] simulations saturates into a turbulent state, but does not saturate when the steady-state flow inferred from measurements is not included. This is consistent with the experimental observations of the quiescent regime on DIII-D. The simulation with flow develops into a saturated turbulent state where the n φ =1 and 2 toroidal modes become dominant through an inverse cascade. Each mode in the range of n φ =1-5 is dominant at a different time. Consistent with experimental observations during QH-mode, the simulated state leads to large particle transport relative to the thermal transport. Analysis shows that the amplitude and phase of the density and temperature perturbations differ resulting in greater fluctuation-induced convective particle transport relative to the convective thermal transport. Comparison to magnetic-coil measurements shows rotation frequencies differ between the simulation and experiment which indicates that more sophisticated extended-MHD two-fluid modeling is required.