HHSC is the largest provider of health care in the islands, other than on Oahu and Molokai, and is the only acute care provider on the islands of Maui and Lanai. HHSC is the “Safety Net” for Neighbor Island acute care and the “Safety Net” for long-term care in the state of Hawaii. The system operates 1,303 licensed beds in facilities located on five different islands. In Fiscal Year 2013, HHSC facilities provided a total of: 22,439 acute care admissions and 112,852 acute patient days; 1,193 long-term care admissions and 243,676 long-term care patient days; 3,620 births; and 113,841 emergency room visits.
HHSC has more than 4,000 employees. Over 89 percent of the employees are represented by 1 of 2 unions and are divided into 7 collective bargaining units. The two collective bargaining representatives are United Public Workers and the Hawaii Government Employees Association. Since HHSC is a public agency, its employees are provided the same benefit rights and privileges of other state agencies. The membership of the collective bargaining units also includes employees from other state agencies. There are close to 1000-plus physicians affiliated with HHSC facilities.
HHSC continues to depend on appropriations for the provision of mandated services and some capital improvement projects from the state general fund through the Legislature. Most recent general fund support amounted to approximately 20 percent of the $550M HHSC fiscal year 2013 operating budget.
Board of Directors
As prescribed by Act 278 (2013), the HHSC Corporate Board of Directors consists of 18 members, including the state Director of Health (officio, voting status), the at-large member appointed by the Governor, the five regional chief executive officers (ex-officio), two members from each of 5 geographic regions (one of whom is appointed by the respective Regional System Board and the other by the Governor), and one additional member appointed by the Maui Regional board.