A hospital in Kamuela, HI. It ran an operating surplus of 0.5% in FY25 on $110.0M of operating revenue. It held 1 day of cash on hand (27th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+0.5%
vs Urban PPS hospitals47th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
vs Urban PPS hospitals27th pctl of 1,386 (FY25)
Total operating revenue · FY25
$110.0M
vs Urban PPS hospitals22nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+3.4%
vs Urban PPS hospitals39th pctl of 1,475 (FY25)
One point of operating margin at NORTH HAWAII COMMUNITY HOSPITAL, INC is about $1.1M per year (1% of FY25 total operating revenue).
Where NORTH HAWAII COMMUNITY sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalNORTH HAWAIIUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
93,828
102,431
109,522
Other operating revenue
837
344
496
Total operating revenue
94,665
102,774
110,017
Total operating expenses
94,883
101,432
109,433
Operating income
(217)
1,342
585
Operating margin %
-0.2%
+1.3%
+0.5%
Grants & contributions
2,874
4,290
1,053
Investment income
561
295
42
Other non-operating, net
1,404
1,310
2,138
Net income
4,622
7,237
3,818
Net income %
+4.6%
+6.7%
+3.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 29-bed hospital at 51% occupancy 68% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
51.0%
Verified fact2025
HCRIS WS S-3
Average daily census
14.84
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
29
Verified fact2025
HCRIS WS S-3
Annual discharges
1,899
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
67.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
316
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.3%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
1.502
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.85
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.961241
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HAWAII County, HI
Median household income
$77.2K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.2%
vs 8.6% US · 8.4% rural median
Age 65+
23.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 27.3% arrives as government transfers (BEA, 2022).
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