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      <MissionDesc>DEDICATED TO FOSTERING PRIMARY HEALTH CARE FOR ALL HAWAII RESIDENTS, PARTICULARLY THE MEDICALLY UNDERSERVED. THE MISSION OF THE HAWAII PRIMARY CARE ASSOCIATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN NEED BY ADVOCATING FOR, EXPANDING ACCESS TO, AND SUSTAINING HIGH QUALITY CARE THROUGH THE STATEWIDE NETWORK OF COMMUNITY HEALTH CENTERS.</MissionDesc>
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      <Desc>COMMUNICATIONS AND ADVOCACY - THE OBJECTIVE OF THE COMMUNICATIONS AND ADVOCACY COMPONENT OF THE HAWAII PRIMARY CARE ASSOCIATION (HPCA) IS DEMONSTRATING THE VALUE OF HAWAII'S COMMUNITY HEALTH CENTERS (CHC) AND THE HPCA IN IMPROVING HEALTH EQUITY FOR HAWAII'S VULNERABLE POPULATIONS AND BRINGING TO LIGHT THE IMPACT OF SOCIAL FACTORS ON INDIVIDUAL AND COMMUNITY HEALTH. A MAJOR STRATEGY EMPLOYED BY THE HPCA TO THIS END IS FOSTERING STRONG PARTNERSHIPS WITH STAKEHOLDERS OUTSIDE OF MEMBERSHIP. THE HPCA HAS ALREADY REALIZED SIGNIFICANT ACCOMPLISHMENTS IN PARTNERSHIP DEVELOPMENT. FOR EXAMPLE, THE HPCA HAS A STRONG RELATIONSHIP WITH THE HAWAII DEPARTMENT OF HEALTH (DOH) ON A NUMBER OF COLLABORATIONS RELATED TO DIABETES, HYPERTENSION, CARDIOVASCULAR DISEASE, ASTHMA, ORAL HEALTH, CHILD BEHAVIORAL HEALTH AND OBESITY. IN ADDITION, THE HPCA CONTINUES TO EXPAND ITS PARTNERSHIP WITH THE JOHN A. BURNS SCHOOL OF MEDICINE (CHILD BEHAVIORAL HEALTH, GERIATRICS/DEMENTIA), UNIVERSITY OF HAWAII OFFICE OF PUBLIC HEALTH STUDIES, AND THE HAWAII PUBLIC HEALTH INSTITUTE. IN ADDITION, THE HPCA HAS STRONG RELATIONSHIPS WITH THE PRIVATE SECTOR AS WELL. FOR EXAMPLE, THE HPCA IS CURRENTLY WORKING WITH THE KAISER PERMANENTE COMMUNITY BENEFIT ON A NUMBER OF THE INITIATIVES.</Desc>
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        <Desc>TRAINING AND TECHNICAL ASSISTANCE - THE OBJECTIVE OF THE TRAINING AND TECHNICAL ASSISTANCE (TTA) COMPONENT THE HAWAII PRIMARY CARE ASSOCIATION (HPCA) IS TO PROVIDE CONSISTENT, TIMELY, AND RELEVANT SUPPORT TO THE COMMUNITY HEALTH CENTERS (CHC) IN THEIR ONGOING EFFORTS TO ATTAIN EXCELLENCE IN ALL ASPECTS OF THEIR HEALTHCARE DELIVERY SYSTEM. IN ORDER TO PROVIDE RELEVANT TTA SUPPORT, THE HPCA CONDUCTS YEARLY TTA ASSESSMENTS WITH ALL CHCS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN JANUARY 2016. THE ASSESSMENT FINDINGS ARE USED TO REVISE THE HPCA'S TTA WORK-PLAN TO ASSURE THAT TTA SERVICES PROVIDED ARE ALIGNED WITH CHCS NEEDS. TTA ACCOMPLISHMENTS ARE MEASURED AND TRACKED THROUGH THE HPCA RECEIVES HAWAII PERFORMANCE PROFILE REPORT FROM THE BUREAU OF PRIMARY HEALTH CARE ON A SEMI-ANNUAL BASIS. THIS REPORT CONTAINS CHC PERFORMANCE METRICS THAT ALLOW THE HPCA TO MONITOR/TRACK PROGRESS TOWARD ITS GOALS. ACCORDING TO THE 10/2015 REPORT, THE HPCA HAS EXCEEDED ALL OF ITS PERFORMANCE MEASURES. WE SURPASSED OUR GOALS IN ALL FIVE AREAS (% OF CHCS MEETING A HP 2020 CLINICAL GOAL, % OF CHCS WITHOUT ON-GOING CONCERN ON AUDITS, PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION, % OF CHCS WITH NO PROGRAM CONDITIONS, AND % OF CHCS WITH HEALTHCARE COST INCREASES LESS THAN THE NATIONAL AVERAGE. AS OF JANUARY 2016, WE HAVE CONTINUED TO MAKE SIGNIFICANT PROGRESS IN THE AREA OF NCQA PCMH RECOGNITION. HAWAII NOW STANDS AT 71% (10 OF 14 CHCS RECOGNIZED) COMPARED TO 0% THREE YEARS AGO.</Desc>
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        <Desc>HEALTH IT - THE OBJECTIVES OF THE HAWAII PRIMARY CARE ASSOCIATION'S (HPCA) WORK IN HEALTH INFORMATION TECHNOLOGY (VIA THE HAWAII HEALTH CENTER CONTROLLED NETWORK - HIHCCN) WITH COMMUNITY HEALTH CENTERS (CHC) INCLUDE THREE AREAS: (1) ADOPT/IMPLEMENT MEANINGFUL USE (MU) CERTIFIED ELECTRONIC HEALTH RECORD (EHR), (2) ATTAINING MU, AND (3) CLINICAL QUALITY IMPROVEMENT. THE HPCA HAS ACCOMPLISHED THE FOLLOWING IN THE THREE AREAS. 100% (10 OUT OF 10 CHCS) HAVE SUCCESSFULLY ADOPTED AND IMPLEMENTED MU CERTIFIED EHR WITHIN THEIR CLINIC SITES. REGARDING MU, 57% (96 OUT OF 167) OF ELIGIBLE PROVIDERS RECEIVED FEDERAL PAYMENT FOR ADOPTION/IMPLEMENTATION/UPGRADE (AIU). IN ADDITION, 36% (60 OUT OF 167) OF ELIGIBLE PROVIDERS REACHED THE STAGE 1, YEAR 1 MU MILESTONE. REGARDING QUALITY IMPROVEMENT, 100% OF HIHCCN CHCS MET OR EXCEEDED AT LEAST ONE HEALTHY PEOPLE 2020 GOAL, 70% OF HIHCCN CHCS ATTAINED NCQA PCMH RECOGNITION, AND 70% OF HIHCCN CHCS ARE CURRENTLY CONTRIBUTING CLINICAL QUALITY DATA TO THE HPCA DATA WAREHOUSE.</Desc>
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        <Desc>OUTREACH - THE OBJECTIVE OF THE OUTREACH COMPONENT THE HAWAII PRIMARY CARE ASSOCIATION (HPCA) IS TO PROMOTE CAPACITY BUILDING AND COLLABORATION TO IMPROVE COMPREHENSIVE SERVICES TO UNDERSERVED POPULATIONS PROVIDED BY THE NETWORK OF AGENCIES THROUGH A SERIES OF COMMUNITY-BASED TRAINING/NETWORK MEETINGS HELD IN ALL COUNTIES ACROSS THE STATE. THESE MEETINGS WERE COMPRISED OF TRAINING (TOPICS DRIVEN BY CHC OUTREACH STAFF FEEDBACK) AND BREAKOUT DISCUSSION GROUPS FOR PEER PROBLEM-SOLVING AROUND COMMON CHALLENGES, AS WELL AS THE SHARING OF STRATEGIES THAT WORK. DIDACTIC TRAINING TOPICS INCLUDED: CULTURALLY AND LINGUISTICALLY-APPROPRIATE SERVICES (CLAS), PUBLIC BENEFITS UPDATES (MEDICAID, MEDICARE, SNAP, FINANCIAL ASSISTANCE, HUD), WORKING WITH SPECIAL POPULATIONS, PARTICULARLY COFA MIGRANTS AND OTHER IMMIGRANTS, HOMELESS COMMUNITY MEMBERS, AND OTHER TOPICS SUCH AS WORKING WITH CLIENTS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE ISSUES. THE HPCA HAS ACCOMPLISHED THE FOLLOWING: A TOTAL OF 200 PARTICIPANTS (MAY BE DUPLICATED) ATTENDED ONE OR MORE OF 17 COUNTY-WIDE COMMUNITY-BASED TRAINING/NETWORKING MEETINGS THROUGHOUT THE APRIL 2015 TO MARCH 2016 TIMEFRAME.</Desc>
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        <Desc>SPECIAL PROJECTS - HAWAII SMILES BASIC SCREENING SURVEY PROJECT (BSS) - THE OBJECTIVE OF THE HAWAII SMILES BASIC SCREENING SURVEY (BSS) WAS TO GAIN A BETTER UNDERSTANDING OF THE ORAL HEALTH STATUS OF HAWAII'S CHILDREN. THE BSS PROJECT ACCOMPLISHED ITS GOAL OF SCREENING (BY TRAINED DENTAL PROFESSIONALS) A TOTAL OF 3,184 THIRD GRADE CHILDREN IN 67 PUBLIC SCHOOLS ON SIX ISLANDS IN THE STATE OF HAWAII DURING THE 2014-2015 SCHOOL YEAR. THE BSS PROJECT CULMINATED IN A HAWAII DEPARTMENT OF HEALTH PUBLICATION (HAWAII SMILES 2015, THE ORAL HEALTH OF HAWAII'S CHILDREN) THAT WAS DISTRIBUTED WIDELY TO HEALTHCARE AND POLICY STAKEHOLDERS. NTI UPSTREAM - THE OBJECTIVE OF THE PROJECT WAS TO DEVELOP SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAMS FOR PREGNANT WOMEN IN MAUI COUNTY. THE SPECIFIC AIM OF THE PROJECT WAS TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CARE PROVIDERS IN PRIVATE/PUBLIC PRACTICES, PUBLIC HEALTH NURSES AND FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS (CHCS) ACROSS MAUI COUNTY THAT WOULD IMPACT PRACTICE IN THREE ARENAS: PREVENTION, IDENTIFICATION, AND INTERVENTION RELATED TO USE OF ALCOHOL, TOBACCO, OR DRUGS DURING PREGNANCY. THE PROJECT ACCOMPLISHED TRAININGS AT FOUR MAUI ORGANIZATIONS: MAUI DEPARTMENT OF HEALTH, MAUI MEDICAL GROUP, MAUI MEDICAL CENTER, AND MOLOKAI GENERAL HOSPITAL. A TOTAL OF 221 WOMEN WERE SCREENED THROUGHOUT THE PROJECT SITES. OVERALL, 54.8% (N=121) OF PREGNANT WOMEN HAD A POSITIVE SCREEN FOR ALCOHOL, TOBACCO, OR ILLICIT DRUG USE.KAISER ORAL HEALTH INITIATIVE - THE OBJECTIVES (THROUGH SIX PLANNED ACTIVITIES) OF THE HAWAII PRIMARY CARE ASSOCIATION'S (HPCA) ORAL HEALTH INITIATIVE (OHI) WAS TO ADDRESS ORAL HEALTH DISPARITIES IN HAWAII'S VULNERABLE POPULATIONS, FOCUSING ON CHILDREN AND UNINSURED / UNDERINSURED ADULTS IN AREAS OF HIGH NEED (POVERTY, BARRIERS TO ACCESS, NATIVE HAWAIIAN, OTHER PACIFIC ISLANDERS). THE HPCA OHI ACCOMPLISHED ALL SIX OF ITS PLANNED ACTIVITIES. FIRST, THE HPCA SUCCESSFULLY APPLIED FOR AND RECEIVED AN ORAL HEALTH GRANT FROM THE HAWAII DENTAL SERVICE. SECONDLY, THE HAWAII SMILES BASIC SCREENING SURVEY PROJECT (BSS) WAS COMPLETED. A TOTAL OF 3,184 THIRD GRADE CHILDREN IN 67 PUBLIC SCHOOLS ON SIX ISLANDS IN THE STATE OF HAWAII WERE SCREENED DURING THE 2014-2015 SCHOOL YEAR. THIRD, A MODEL FOR A SCHOOL-BASED DENTAL SEALANT PROGRAM WAS DEVELOPED IN PARTNERSHIP WITH THE HAWAII DEPARTMENT OF HEALTH. FOURTH, THE COMMUNITY HEALTH CENTER (CHC) DENTAL DIRECTOR'S GROUP RE-CONVENED. FIFTH, THE HPCA PARTICIPATED IN ORAL HEALTH POLICY DEVELOPMENT ACTIVITIES BY PARTICIPATING IN THE STATE INNOVATION MODEL (SIM) ORAL HEALTH COMMITTEE. SIXTH, HPCA STAFF ALONG WITH A CHC DENTAL DIRECTOR, ATTENDED THE NATIONAL NETWORK FOR ORAL HEALTH ACCESS (NNHOA) ANNUAL CONFERENCE IN NOVEMBER 2015.</Desc>
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        <PersonNm>ROBERT HIROKAWA</PersonNm>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <CurrentYearMinus2Amt>253259</CurrentYearMinus2Amt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>133560</DepreciationAmt>
        <BookValueAmt>41035</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2351325</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-147140</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-147140</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>2206</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2462284</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF THE ASSOCIATION AS OF MARCH 31, 2016 AND 2015, AND FOR THE YEARS THEN ENDED, BY REVIEWING ITS INCOME TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT IT HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ASSOCIATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -144,934. LOSS ON DISPOSAL -2,206.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL 2,206.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>ROBERT HIROKAWA</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158039</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT CHANGES TO HPCA'S BYLAWS INCLUDE THE REMOVAL OF NATIVE HAWAIIAN HEALTH CENTERS AND PAPA OLA LOKAHI FROM MEMBERSHIP TO HPCA BOARD OF DIRECTORS, INCLUDING THEIR THREE SEATS ON THE HPCA BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND BOARD OF DIRECTORS WERE PROVIDED A DRAFT OF THE TAX RETURN PRIOR TO FINALIZING IT. THEY WERE ASKED TO REVIEW THE RETURN AND ENCOURAGED TO ASK FOR CLARIFICATION OR SUGGEST ANY CHANGES AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HPCA HAS TWO CONFLICT OF INTEREST POLICIES: ONE POLICY FOR BOARD MEMBERS, EXECUTIVE STAFF (CEO, COO, CFO), AND OTHER MANAGEMENT PERSONNEL DESIGNATED BY THE BOARD, AND ANOTHER POLICY FOR ALL OTHER STAFF MEMBERS. BOARD MEMBERS AND STAFF PROVIDE FULL WRITTEN LIST OF ORGANIZATIONS, INTERESTS, AND RELATIONSHIPS WITH WHICH THEY ARE INVOLVED OR WHICH COULD CREATE REAL OR APPARENT CONFLICT WITH HPCA. THESE GET UPDATED ANNUALLY OR AS CHANGES OCCUR. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS AND STAFF IN A SITUATION INVOLVING A POTENTIAL OR APPARENT CONFLICT OF INTEREST TO: 1) IDENTIFY THE POTENTIAL CONFLICT TO THE BOARD OR THE EMPLOYEE'S SUPERVISOR, 2) REFRAIN FROM DISCUSSING THE PROGRAM, MOTION, CONTRACT, OR OTHER ACT UNDER CONSIDERATION, AND 3) REFRAIN FROM VOTING ON THE PROGRAM OR MOTION, AND REFRAIN FROM PARTICIPATION IN ANY DECISION-MAKING IN CONNECTION WITH THE PROGRAM, CONTRACT OR ACT UNDER CONSIDERATION. THE BOARD OF DIRECTORS SHALL REFRAIN FROM DISCUSSIONS ABOUT THE POTENTIALLY CONFLICTING MATTER WITH THE IDENTIFIED BOARD MEMBER, NOTE FOR THE RECORD CONTRACTS WHERE CONFLICTS OR THE APPEARANCE OF CONFLICT EXITS, EXERCISE DUE DILIGENCE IN REVIEWING THE POTENTIALLY CONFLICTING MATTER, AND RECORD IN THE MINUTES THE PROCEEDINGS WHERE CONFLICTS OR APPEARANCE OF CONFLICTS WERE DISCUSSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION EVALUATION PROCESS FOR THE CEO LAST OCCURRED DECEMBER 2012 - FEBRUARY 2013. THE EXECUTIVE COMMITTEE INITIATES AND COORDINATES THE REVIEW, WITH THE FULL BOARD DELIBERATING AND APPROVING COMPENSATION AND FUTURE DELIVERABLES. TYPES OF COMPARABILITY DATA THEY USED INCLUDED NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) SALARY DATA, COMMUNITY HEALTH CENTER DATA, AND HAWAII EMPLOYER'S COUNCIL DATA. THEIR DECISIONS WERE SUBSTANTIATED THROUGH SOLICITATION OF CONCRETE EXAMPLES OF SUCCESSES AND IMPROVEMENTS NEEDED. DISCUSSIONS AND DECISIONS ARE DOCUMENTED IN COMMITTEE NOTES. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CFO INCLUDES A REVIEW AND APPROVAL BY THE CEO. COMPARATIVE DATA SUCH AS COMPARISONS WITH OTHER EMPLOYEES ARE USED. THIS PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND IN A WORKSHEET DOCUMENTING THE PROCESS AND CALCULATION, AND WAS LAST UNDERTAKEN IN JANUARY 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES ON REQUEST OR INSPECTION AT THE ORGANIZATION'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>