The proposed West Maui Hospital and Medical Center

For Donors and the Community from the West Maui Improvement Foundation

golden hour news

services unit and space for a high tech laboratory and telemedicine. We expect to refine the design and add concepts for two other structures that could house a 40-bed intermediate care facility and 40 units of assisted living once the hospital gains approval, Hoyle says. Among the most successful projects Hoyle and his group have been involved in is a Slidell, LA hospital near New Orleans that opened the day Hurricane Katrina struck. Built on high ground to avoid flooding and designed to withstand winds up to 200 mph, the new hospital was the only one in the area to continue operating after the hurricane. The hospital and nursing facility project is also contingent upon approval of a zoning change now before the Maui Land Use Committee of the Maui County Council. Joe Pluta, foundation president, noted that although the project still requires state approval, it is quite different from another hospital proposed for Central Maui. It meets all of the state health authorities approval criteria and can be qualified quickly as a critical access hospital because of its distance away from the nearest emergency care.

Time is now for hospital, medical center

LAHAINA - The eight-year grassroots effort to bring an acute emergency care hospital to West Maui is nearing its final stages with the completion of preliminary new plans and the submission of a Certificate of Need (CON) to the state health authority. Brian Hoyle, President of Newport Hospital Corporation, filed a CON on February 28 to build a 25bed critical access hospital and medical center to serve 65,000 daily residents, visitors and commuters who are now up to an hour away from the only medical center on Maui. The center if approved will be the first new hospital built in the State of Hawaii in 20 years. Plans for the center, developed in association with the West Maui Improvement Foundation (WMIF), call for a $51 million, 53,900 sq. ft. medical facility in addition to a 40 bed skilled nursing facility to be operated by the Mission Health Services, Inc., an 18-year-old nonprofit Utah company experienced in operating specialty nursing facilities. The hospital, part of a three-building medical center, will include a 4,000 sq. ft. emergency room, two 3,500 sq. ft. surgical suites, 3,000 sq. ft. for radiology and imaging, 2,100 sq. ft. dietary

number 1/2008

A West Maui hospital and medical center should also improve the quality of health care island-wide by reducing the burden on hospital services in Central Maui. Hoyle is an experienced healthcare developer and banker who is the sole shareholder of Newport Hospital Corporation in Newport Beach, CA, and a principal of the
NOW IS TIME continued on page 2

How You Can Help

Testify before the County Council to indicate your support of a zoning change if it has not yet been approved. Watch newspapers for announcements. Testify on Maui and or in Honolulu on behalf of the hospital in hearings being held by the State Heath Planning Development Agency. Watch Akaku TV for a full report on hospital plans featuring Brian Hoyle and the residents of West Maui presenting personal stories. See Akaku.com for program times. Contribute to the Golden Hour Fund (even though the hospital will be privately funded, there is still a need for contributions from individuals. Most modern hospitals have foundations to support better facilities and care). Go to westmauihospital.org for the latest news.

West Maui Improvement Foundation P.O. Box 10338 Lahaina, HI 96761 (808) 661-5555 www.westmauihospital.org

NOW IS TIME from page 

Southwest Health Group, LLC a Spring, Texas firm specializing in the creation and operation of community hospitals and medical centers. Plans for the critical access hospital are being developed jointly by Steven Kodama, FAIA, award-winning architect of medical facilities with Kodama Diseno, San Francisco, and Lahaina Partners, formed by long-time Maui architect Uwe Schulz and designer Steve Welck.

Preliminary rendering of West Maui Hospital and Medical Center.

Did you know?

Golden Hour fund contributions now exceed $700,000. The WMIF has given a $3000 grant to Maui Community College to help establish a nursing curriculum and expects to open positions for interns when the hospital opens. The Maui Health Care Initiative Task Force set up by the state legislature made 12 recommendations on improving health care in Maui County. The recommendation listed number one: a critical care hospital for West Maui. The hospitals Certificate of Need application runs to 140 pages and includes powerful personal stories from more than 42 residents and visitors on their health care experiences. As a critical care hospital, WMHMC will receive 100 percent Medicare Medicaid reimbursement. The provision helps make the hospital financially feasible. West Maui Hospital has a new name: West Maui Hospital and Medical Center. Medical center was added to the name because of calls for it to include a skilled nursing center right away and other facilities at a later date.

MILESTONES: BRINGING EMERGENCY CARE TO WEST MAUI

The grassroots effort to build a West Maui Hospital has been underway for eight years and has picked up steam in the last three. Highlights:
2011* The West Maui Hospital and Medical Center opens! Spring 2008* Certificate of Need hearings by State Health Planning Development Agency likely March 2008 County Council prepares to conduct final zoning hearing. February 2008 Feb 28. A day to celebrate. Brian Hoyle of Newport Hospital Corporation culminates eight-year effort of West Maui Improvement Foundation by filing Certificate of Need with State Health Planning Development Agency. County Council Land Use Committee approves zoning change, sends to County Council. January 2008 Design work underway for new medical center. December 2007 The Maui Health Care Task Force created by the legislature recommends a critical care hospital in West Maui as its top priority. November 2007 The Maui County Planning Commission gave unanimous approval for three zoning changes for the proposed site of the West Maui Hospital adjacent to the Lahaina Civic Center. The important milestone is a preliminary step to securing County Council approval and one of the final initiatives completed preparatory to developing the state-required Certificate of Need. October 2007 Brian Hoyle of Southwest Health Group presents case for hospital and details on plans before Maui County Health Care Initiative Task Force. September 2007 Maui County Council moves to to publish environmental statement and send notices of a public hearing required for a zoning change. August 2007 Planning Commission on August 28 reviewed final draft Environmental Assessment, found medical facility adjacent to Lahaina Civic Center would have no significant impact on the environment and unanimously passed on the report to the Maui County Council for action.
MILESTONES continued on page 3

Golden Hours News is published by :

West Maui Improvement Foundation 181 Lahainaluna Road, Suite I Lahaina, Maui Hawaii 96761 p: 808.661.7990 f: 808.661.7992 Produced by Maui Communicators Copyright 2008 West Maui Improvement Foundation

www.westmauihospital.org

Hoyle provides expertise, commitment

With over 30 years of healthcare development experience, Brian Hoyle knows how to make friends and influence people, according to WMIF President Joe Pluta. Hoyle has impressed almost everyone he has met with his practical, wide knowledge of how to develop and operate successful hospitals, nursing homes, and other healthcare facilities. He is an effective communicator and has a strong personal commitment to bring us a hospital, Pluta says. Sole owner of Newport Hospital Corporation, Newport Beach, CA,
MILESTONES from page 2

Hoyle recently became the largest contributor to the foundations Golden Hour fund with a gift of $200,000. Newport Hospital Corporation has also obtained a commitment for $70 million in private financing for the development of the West Maui Hospital and Medical Center. He is a principal of the closely held Southwest Health Group. This group invests and operates small state-ofthe-art medical and surgical healthcare facilities in partnership with leading local physicians. Currently, Southwest owns and operates a 34-bed specialty hospital in Lafayette, LA, and
Florida foundation, largest ever, and an additional $15,000 from another major donor. July 2006 Right Hospital, Wrong Place: Foundation takes position on proposed hospital in Kihei. June 2006 Funds for traffic impact study--last of the environmental studies--become available April 2006 WMIF issues progress report. March 2006 On-going discussions continue to gain consensus on a West Maui Hospital solution. January 2006 Environmental Assessment work underway at Lahaina Civic Center site for planned completion in April. December 2005 Planners of West Maui Hospital begin outreach initiative to gain support of Maui medical community. October 2005 A new opinion poll launched in September proves that more than four of five residents of Maui as well as visitors surveyed feel emergency health care in West Maui is inadequate and support the building of a new hospital. First results to be released shortly. September 2005 WMIF unveils first set of plans for acute emergency care hospital. July 2005 The West Maui Improvement Foundation this month published the first Golden Hour Newsletter, mailing copies to 3000

has plans for additional specialty hospitals in Las Vegas and Houston. Southwest will operBrian Hoyle ate and manage the West Maui Hospital and Medical Center.
HOYLE continued on page 4

July 2007 County Departments provide feedback to planning department on re- zoning request. Mayor, State Legislators appoint Maui Health Care Initiative Task Force members. June 2007 Planning department at work on re-zoning request. March 2007 Maui County Council Land Use Commission refers request for rezoning land set aside for hospital to County Department of Planning for review. Planning department has 120 days to make a recommendation to County Council for action. February 2007 Investor group holds intense series of Maui meetings with key public officials and health care providers to acquaint them with need for West Maui Hospital and explore alternatives. January 2007 Council Member Jo Anne Johnson introduces zoning change request for land. November 2006 Drainage study for land preparation underway; mylar maps under development preparatory to planned December submission for zoning change. October 2006 Traffic impact study completed. September 2006 Traffic impact study required to gain county approvals underway. August 2006 West Maui Improvement Foundation receives the $30,000 contribution from

residents. June 2005 WMIF signs contracts with Munekiyo & Hiraga, Inc., Maui environmental engineers, to complete an environmental assessment for required submission to the Maui County Planning Department. The assessment will be done by experts on landscape architecture, traffic engineering, flora and fauna and archeology. May 2005 WMIF launches westmauihospital .org to keep donors and the community informed on new developments. April 2005 WMIF completes a 16-page summary document detailing the need for a hospital to be provided to potential major donors. Discussions begin with major donors. March 2005 The Golden Hour Hospital Fund Raising Ball at the Sheraton Maui draws more than 250 guests, raises $80,000. March 2005 WMIF holds a community forum to explore the need for a hospital. February 2005 Officials of WMIF testify on hospital needs before Sen. Roz Bakers health committee hearing in Wailuku. January 2005 WMIF launches a new and continuing communications initiative to keep the public and government officials informed on the issues and progress toward building a West Maui Hospital. President Joe Pluta proposes a health care summit among Maui health care providers to come to a meeting of the minds on West Mauis hospital needs.

www.westmauihospital.org

WMIFS Joe Pluta reviews site plan with (l to r) Uwe Schulz, architect, designer Steve Welk and Norm Bezane, comunications consultant.

HOYLE from page 3

Hoyles other healthcare credentials include: Principal, Health Group Partners, owner/developer of a $51 million Specialty Hospital in Slidell, LA. Founder of Care First Hospice, a very successful two- year old Hospice in Boise, ID. Sole member of American Health Care Investment, owner of 11 healthcare facilities--10 in Iowa and one in Colorado--that are leased to American Healthcare Associates and a $12.5 Mission Health Services Municipal Bond securing four nursing facilities in Utah. Founder of American Healthcare Associates, a national healthcare company managing four facilities in Utah and operating 19 leased facilities in Oklahoma, Colorado, Arizona and Iowa. Sole shareholder of Newport Hospital Corporation owner of a 34-bed geriatric acute psychiatric hospital building in Newport Beach, CA, and leased to Newport Bay Hospital. Consulting clients including the Veterans Hospital Administration, Behavioral Medical Care, and Bank of California for evaluation and possible development of freestanding or in-hospital psychiatric, rehabilitation, and skilled nursing facilities in twelve states As a banker, Hoyle is chairman, organizer and the largest shareholder of MetroPacific Bank, a publicly traded bank in Irvine, CA, started in 2005 with $14.87 million in capital and now has $67 million in assets. From 2002-04, Hoyle was Chairman and 42 percent owner of Harbor National Bank, a publicly traded bank in Newport Beach, CA, with $190 million in assets that sold in 2004. The hospital entrepreneur has ties to Maui that go back to the early 1960s when his uncle, Ralph Hoyle -- also a major hospital and nursing home builder developed and built Maui Eldorado, one of West Mauis earliest resorts.

Timeshare owners near unanimous in wanting hospital

Ninety-nine percent of respondents to a survey conducted jointly by the Westin Kaanapali Ocean Resort Villas and the West Maui Improvement Foundation feel it is important to have a 24/7 emergency hospital nearby when visiting West Maui. Spending an average of one month on Maui each year, more than three-fourths of all respondents reported that their primary residence elsewhere is within ten miles of nearest hospital with an emergency room. Other key findings: 60 percent said they or members of their immediate family have used an emergency room in the last five years. 65 percent did not know there is only one emergency hospital on Maui. 73 percent did not know where the hospital is. Nearly a fourth said when they travel to Maui they have health issues they have to monitor. About half of the respondents to the survey were more than 60 years old.

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