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The Board of Directors of the Hawaii Health Systems Corporation governs HHSC, the state entity that operates public hospitals and healthcare facilities across Hawaii's neighbor islands and rural communities, including Hilo Medical Center, Kona Community Hospital, and facilities on Maui and Kauai. It makes decisions on hospital operations, budget, executive leadership, and service line changes. HHSC serves as a safety-net healthcare system for communities underserved by private healthcare.

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For residents on neighbor islands and in rural communities, HHSC facilities may be the only accessible hospital or emergency room nearby. The board's decisions on staffing, services, and financial sustainability directly affect whether quality healthcare remains available in your community.

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