It's promising to bring money, jobs and more services to a key hospital on the fastest growing island in the state.
On Tuesday the Queen's Health Systems announced a long-term partnership with the North Hawaii Community Hospital, located half way between Hilo and Kona.
NHCH says, in its 16-year existance, it has fallen $4 million short every year.
That financial instability has led to trouble recruiting, unfinished maintenance and tight budgets.
Queen's is already promising more than a $1 million for 2014. That money is expected to go towards day-to-day operations.
"We need both of these facilities so badly," said State Senator Josh Green, who represents the Big Island and is also a physician. "This is an alliance that's going to make it much easier to invite people into the community."
The hospital services more than 30,000 residents with a staff of about 350.
It's in the process of recruiting five more doctors.
Also on the wish list: fixing a leaky roof, solar panel and renovating its emergency room.
The partnership is not anticipated to delay hospital services.