(Eds. Note: Hawaii247.com’s semi-regular feature ‘Straight from the Source’ gives a list of questions to leaders and notable figures in the community, then lets them talk directly to readers. Who do you want to hear from? What questions are you burning to ask? Let us know and we’ll hunt down the people who have the answers.)

Earl Greenia is Kona Community Hospital chief executive officer, a job he took over just about one year ago. Previously, he served as the hospital’s chief operating officer after moving to Kona from California.

Hawaii247.com: Kona Community Hospital went through a rough patch last year. Where are we now?

The economy has impacted us. As the state and local businesses trim budgets, programs, and payrolls, the number of people losing health care coverage has risen. Kona Community Hospital faces a $5 million shortfall for next fiscal year which begins on July 1, 2009.

Hawaii247.com: Some jobs were lost. Has that impacted service at all and is there any chance those people might be hired back anytime soon?

We were able to minimize the impact of the workforce reduction on patient care outcomes. In fact, our patient quality measures steadily improved despite the layoffs. Unfortunately, it’s not likely that we will be able to hire back those employees anytime soon. In fact, things may be worse than last year, reflecting the national economy.

Hawaii247.com: What can we expect to see in the near future? What is likely to come out of the current legislative session?

Like every household affected by the economic situation, we are looking closely at income and expenses for next fiscal year. Without meaningful change, difficult decisions will be required to achieve a balanced budget. There are bills that will allow Hawaii Health Systems facilities to avoid or minimize layoffs.

Hawaii247.com: What is the biggest misunderstanding or misinterpretation of the hospital and the state’s hospital system?

I think a lot of people believe that we are fully funded by the State. We are not. As a state-sponsored hospital, we depend on and benefit from financial support from the state. We are grateful for these funds. However, the subsidies are not enough to cover the projected deficit. For next fiscal year, our operating expenses are projected to be $61 million; revenue from insurance payments is $47 million — a $14 million operating loss before state support. Add in our state appropriation of $6 million and collective bargaining funds of $3 million. The bottom line result: a loss of $5 million.

Hawaii247.com: How can Kona residents best support and improve the hospital?

First, stay healthy! Second, take some time to understand your health benefits – before you need them. Healthcare, like politics, is local. We all have a voice in government – reach out to your state representatives and senators and let them know your thoughts and concerns.

Hawaii247.com: What’s the best part of your job? What’s the part you enjoy the least?

Knowing that your part of something bigger than yourself is rewarding. Despite the current financial challenges, I take great pride knowing that our community has access to high-quality care.

Hawaii247.com: If you were not a health care executive, what kind of job would you be doing?

Something related to public service! Perhaps a high school teacher.

Hawaii247.com: Who were (or are) your biggest influences? Can you share a favorite story or memorable moment?

I am fortunate to have had several mentors in my career – several were nurses. My patient-first philosophy is a direct result of their influence. Others taught me that administration is about focusing on the “small stuff” as well as the “big stuff.”

Hawaii247.com: What was the last CD you bought?

I can’t recall the last CD I bought! I listen to local radio stations everyday. I tend to stop surfing when I hear classic rock – the Doors, the Beatles, Rolling Stones… I think I just gave may age away!

Hawaii247.com: Which annual Big Isle event do you look forward to the most?

I think I’ll get into trouble if I mention any favorites… I’ve had the opportunity to represent the hospital participate in many different events – the best ones are those where other hospital staff participate… even when it rains!

Hawaii247.com: Where’s your favorite Big Island spot to relax and enjoy the scenery?

I have a nice ocean view from my home! I love to cook and enjoy reading biographies. I tend to start my work day early and work late, so home is where I relax the most.