Hepa

What Hepa does

Hepa (Hawaii Emergency Physicians Associated, Inc.) is a privately held, physician-owned democratic partnership founded in 1974 that provides board-certified emergency medicine physician staffing to twelve hospitals across four Hawaiian islands (Oahu, Hawaii Island/Big Island, Kauai, and Molokai). The group comprises over 80 board-certified emergency physicians plus Advanced Practice Providers (NPs, PAs), handling approximately one-third of all emergency room visits in the state of Hawaii. HEPA's coverage spans the full acuity spectrum, from large community hospitals with Level III trauma designations (Hilo Benioff Medical Center at 50,000 annual visits, Adventist Health Castle at 36,000 visits) to small rural critical access hospitals with as few as 1,500 annual visits (Kohala Hospital). The organization emphasizes equal partner ownership, democratic governance, and no external investors or long-term debt, with the Board of Directors composed solely of HEPA physicians elected by partners.

HEPA generates revenue through direct hospital staffing contracts in which physicians are scheduled for shifts (typically 8, 12, or 24 hours) with single or double coverage depending on facility volume. Pricing is negotiated privately with each hospital partner and is not publicly disclosed. The underlying technology stack consists of partner hospital EMR systems (Cerner at Adventist Health Castle, Kahuku Medical Center, Samuel Mahelona Memorial Hospital, and Kauai Veterans Memorial Hospital; Epic at Queen's Medical Center-Wahiawa, Queen's North Hawaii Community Hospital, Kona Community Hospital, Molokai General Hospital, and Kohala Hospital; Meditech at Hilo Benioff Medical Center, Hale Ho'ola Hamakua, and Ka'u Hospital), supplemented by HEPA's own physician portal that tracks call-backs, discharged length of stay, pathway compliance, and utilization for quality improvement. The subsidiary MidPacific Hospitalists, a wholly-owned democratic entity, extends the group's reach into hospitalist services at seven of the same sites and shares the physician portal infrastructure.

Beyond core ED staffing, HEPA offers Medical Director Services for Hawaii Life Flight (air medical transport), Honolulu Marathon, and EMS systems on Oahu and Big Island, as well as Event Medical Coverage, Remote Island Medicine (telehealth support for NOAA and marine science organizations across the North Pacific), and Hyperbaric Medicine Services at the only civilian hyperbaric facility in Hawaii. The group's only customer segment is hospitals and health systems, with teaching affiliations at the University of Hawaii John A. Burns School of Medicine (JABSOM) and five affiliated residency programs supporting physician recruitment and pipeline development.

Name

Hepa

Legal name

Hawaii Emergency Physicians Associated, Inc.

Website

https://hepa.net

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

11–50 employees

Short description

HEPA is Hawaii's largest emergency physician group, providing board-certified ED staffing across 12 hospitals on four Hawaiian islands via a democratic, physician-owned partnership founded in 1974, handling roughly one-third of all state ER visits.

Ownership category

akta.pro rank

Product category

Emergency Medicine Physician Staffing

NAICS

General Medical and Surgical Hospitals (6221)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

Keywords

• Emergency medicine staffing
• Physician staffing services
• Emergency department coverage
• Hospitalist services
• Board-certified emergency physicians

Headquarters

HQ city

Kailua

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Emergency Medicine Physician Staffing: HEPA provides board-certified emergency physician coverage at hospitals across Hawaii, billing for professional medical services. They staff both high and low-volume emergency departments with physicians and Advanced Practice Providers.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

HEPA (Hawaii Emergency Physicians Associated) is a physician-owned democratic partnership that provides board-certified emergency physician staffing and 24/7 emergency department coverage to twelve hospitals across four Hawaiian islands. Services range from rural critical access hospitals to larger community hospitals with Level III trauma designations, supplemented by medical director services, event medical coverage, telehealth for remote marine operations, and hyperbaric medicine coverage through its hospitalist subsidiary MidPacific Hospitalists.

Product overview

HEPA (Hawaii Emergency Physicians Associated) is a democratic, locally owned emergency physician partnership that provides emergency medicine physician staffing services across twelve hospitals on four Hawaiian islands. The core product is emergency medicine physician staffing, with services ranging from rural critical access facilities (approximately 1,800-6,500 annual visits) to larger community hospitals (up to 52,000 annual visits). Additional services include Medical Director Services (for Hawaii Life Flight, Honolulu Marathon, and EMS systems), Event Medical Coverage, Remote Island Medicine via telehealth, Hyperbaric Medicine Services, and MidPacific Hospitalists (a subsidiary providing hospitalist services at seven sites). Both HEPA and MidPacific Hospitalists share a physician portal for tracking operational metrics. The company has over 80 board-certified emergency physicians and advanced practice providers serving one-third of all ER visits in Hawaii.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medicine Physician Staffing Services Board-certified emergency physician coverage at twelve hospitals across four Hawaiian islands, ranging from rural critical access facilities (e.g., Kohala, Ka'u) to larger community hospitals with Level III trauma designations (e.g., Hilo Benioff, Adventist Health Castle). Staffing includes both physicians and Advanced Practice Providers on 8, 12, or 24-hour shifts.
• Medical Director Services HEPA physicians serve as medical directors for Hawaii Life Flight (air medical transports), Honolulu Marathon, EMS systems on Oahu and Big Island, and various hospital emergency departments, providing expert oversight and 24/7/365 medical direction.
• Event Medical Coverage Services
• Remote Island Medicine (Telehealth)
• Hyperbaric Medicine Services
• MidPacific Hospitalists

Named customers12 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core, secondary and minor.

• MidPacific HospitalistscoreStrategic or Co-development PartnerHEPA's democratic subsidiary providing hospitalist services at seven of their sites. Both MidPacific Hospitalists and HEPA share the physician portal to track physician call-backs, discharged length of stay, pathway compliance, and utilization data for quality improvement.
• University of Hawaii John A. Burns School of Medicine (JABSOM)coreStrategic or Co-development PartnerTeaching affiliation and faculty opportunities for JABSOM students and 5 affiliated residency programs for didactic rotations, as well as sponsored visiting EM resident elective opportunities.
• Hawaii Life FlightcoreStrategic or Co-development PartnerHEPA's Medical Director provides services at Hawaii Life Flight ensuring expert oversight and guidance for air medical transports, guaranteeing top-quality patient care with 24/7/365 support, rapid response, and comprehensive medical direction.
• Honolulu Marathon AssociationsecondaryStrategic or Co-development PartnerHEPA's Medical Director offers comprehensive medical oversight, planning, and direction for Hawaii's largest annual marathon, providing on-site medical care to ensure participant safety.
• NOAA and Marine Science OrganizationsminorStrategic or Co-development PartnerHEPA physicians provide tele-medical support to non-governmental and governmental marine science organizations whose work spans the North Pacific, from Alaskan islands to the Northwest Hawaiian Islands (Papahanaumokuakea) to Palmyra Atoll.

Scale indicators6 records

Recent moves4 records

Expansion highlights5 records

Direct peers

• Vituity: Democratic, physician-owned emergency medicine and hospitalist partnership operating across multiple U.S. states. Most directly comparable to HEPA in ownership model and multi-site ED staffing, though Vituity operates at much greater geographic scale.
• ApolloMD: Physician-owned emergency medicine, hospitalist, and anesthesia staffing group operating across multiple U.S. states. Comparable to HEPA in ownership structure (physician-led) and multi-site ED staffing model.
• Schumacher Clinical Partners: Emergency medicine and hospitalist staffing organization serving hospitals across the U.S. Directly comparable core service offering to HEPA's ED physician staffing model.
• US Acute Care Solutions (USACS): National emergency physician staffing group founded by emergency physicians, serving hundreds of hospital EDs. Closely comparable in core service (ED physician staffing) and physician-led origins, though larger and PE-backed.
• Core Clinical Partners: Physician-led emergency medicine and hospitalist staffing group serving hospitals and health systems. Comparable to HEPA in physician-led origins and ED staffing focus, though operating in different U.S. regions.

Broad incumbents

• Envision Healthcare: National multispecialty physician services company providing emergency, hospitalist, anesthesiology, and radiology staffing. Competes with HEPA for emergency medicine contracts at the multi-hospital system level.
• TeamHealth: One of the largest U.S. physician staffing organizations, providing emergency medicine, hospital medicine, and anesthesia staffing to hospitals nationwide. Overlaps directly with HEPA's core ED staffing business but at vastly greater scale.

Others

• Queens Health Systems: Major Hawaii health system and one of HEPA's largest customers. While not a peer (it is a customer), it is the most consequential counterparty in HEPA's market and could insource ED staffing or switch to a national group.

Regional players

• Hawaii Pacific Health: Major Hawaii-based health system operating multiple hospitals. Relevant as the dominant regional health system that HEPA must compete against for physician talent and as a counterpart in Hawaii's emergency medicine ecosystem.
• Emergency Medicine Associates: Independent emergency physician group providing ED staffing primarily in the mid-Atlantic U.S. Similar democratic, physician-owned model to HEPA but operating in a different geographic region.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hepa