Hawaii Primary Care Association

“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.”

“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 exists, exercise due diligence in reviewing the potentially conflicting matter, and record in the minutes the proceedings where conflicts or appearance of conflicts were discussed.”

“The board chair initiates and coordinates the review, with the full board deliberating and approving compensation and future deliverables. Types of comparability data used could include nachc (national association of community health centers) salary data, community health center data, and hawaii employer's council data. Their decisions are substantiated through solicitation of concrete examples of successes and improvements needed. Discussions regarding ceo compensation are held confidentially among the board members, and occurs during board meetings in executive session, at which time the ceo and all staff are asked to leave the meeting. Any decision-making occurs outside of executive session and is recorded in the board meeting minutes. Compensation for other officers and key employees was determined as part of a study conducted in 2022 by a consulting firm with compensation expertise. A formal compensation program, which included market comparisons and internal job evaluations, was developed and implemented in february 2023. The hpca also participates in a nationwide pca salary/compensation survey approximately once every two years.”

“The organization makes its governing documents, conflicts of interest policy, and financial statements available to the public by providing copies on request.”