| FORM 990, PART III, LINE 1 |
ORGANIZATION'S MISSION TO SUPPORT WAHIAWA GENERAL HOSPITAL AND OTHER HIGH QUALITY HEALTHCARE WITHIN THE CENTRAL AND NORTH SHORE REGIONS OF THE ISLAND OF OAHU, THE WAHIAWA HEALTH CARE SERVICES FOUNDATION WILL RAISE AWARENESS OF THE REGION'S HEALTHCARE NEEDS, CULTIVATE RESPONSIBLE, ETHICALLY SOUND RELATIONSHIPS WITH INDIVIDUALS, CORPORATIONS AND FOUNDATIONS AND WILL FORWARD CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS AND PURPOSES IN THE CENTRAL AND NORTH SHORE REGIONS OF OAHU. |
| FORM 990, PART VI, LINE 6 |
MEMBERS AND RIGHTS WAHIAWA GENERAL HOSPITAL IS THE SOLE MEMBER OF WAHIAWA HEALTH CARE SERVICES FOUNDATION. |
| FORM 990, PART VI, LINE 7A |
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS AS A SOLE MEMBER, WAHIAWA GENERAL HOSPITAL, ELECTS ALL MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, LINE 7B |
DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPR & VOTING RIGHTS WHILE THE BOARD OF DIRECTORS OF THE FOUNDATION IS GIVEN THE GENERAL AUTHORITY IN THE DIRECTION AND MANAGEMENT OF THE AFFAIRS OF THE FOUNDATION, THE MEMBER RETAINS THE EXCLUSIVE RIGHT TO MAKE OR APPROVE CERTAIN FINANCIAL DECISIONS OF THE FOUNDATION, WHICH ACTIONS, UNLESS OTHERWISE REQUIRED BY LAW (INCLUDING REQUIREMENTS TO OBTAIN OR MAINTAIN TAX EXEMPTION), SHALL BE TAKEN ONLY FOLLOWING CONSULTATION WITH THE BOARD OF DIRECTORS OF THE FOUNDATION. SUCH FINANCIAL DECISIONS OF THE FOUNDATION INCLUDE: a. THE ADOPTION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS AND OTHER EXPENDITURE PLANS OF THE FOUNDATION, RECOGNIZING THAT ANNUAL BUDGETS AND OTHER EXPENDITURE PLANS SHALL BE DEVELOPED AND ADOPTED BY THE BOARD OF DIRECTORS OF THE FOUNDATION AND SUBMITTED TO THE MEMBER FOR APPROVAL; b. THE SALE, LEASE, ASSIGNMENT OR EXCHANGE OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE FOUNDATION; c. THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; d. THE DISSOLUTION OF THE FOUNDATION; e. THE INCURRING OF ANY FINANCIAL OBLIGATION OR MAKING OF EXPENDITURE WHICH IS NOT BUDGETED OR WHICH DEVIATES FROM THE FOUNDATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IF THE AMOUNT OF SUCH FINANCIAL OBLIGATION EXPENDITURE EXCEEDS $2,000; f. THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, GRANT OF SECURITY INTEREST, OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF: (I) ANY OF THE REAL PROPERTY OR FIXTURES OF THE FOUNDATION; (II) ANY OF THE PERSONAL PROPERTY AND ASSETS OF THE FOUNDATION, IF THE AMOUNT OF VALUE OF ANY SUCH TRANSFER EXCEEDS $5,000; g. THE BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; AND h. THE GIVING OR APPROVAL OF GRANTS OR CONTRIBUTIONS TO ANY PARTY OTHER THAN THE HOSPITAL IN EXCESS OF $10,000; i. THE ENGAGEMENT OF ANY MANAGEMENT COMPANY OR OTHER ENTITY OR INDIVIDUAL FOR THE PURPOSE OF DIRECTING OR MANAGING ALL OR SUBSTANTIALLY ALL OF THE PROPERTIES OR BUSINESS AFFAIRS OF THE FOUNDATION. |
| FORM 990, PART VI, LINE 11B |
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PRESENTED TO THE BOARD AFTER SUBMISSION TO THE IRS. |
| FORM 990, PART VI, LINE 12C |
DESCRIPTION OF PROCESS TO MONITOR TRANSACTION OF CONFLICT OF INTEREST BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST FORM ANNUALLY AND SUBMIT IT TO ADMINISTRATION. ANY CONFLICTS ARE DISCLOSED TO THE BOARD. FOUNDATION CURRENTLY DOES NOT HAVE ANY EMPLOYEES. |
| FORM 990, PART VI, LINE 19 |
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ITS GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
Attach to Form 990 or 990-EZ.