A hospital in Kapaau, HI. It ran an operating loss of 53.1% in FY25 on $15.8M of operating revenue. It held 139 days of cash on hand (58th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 9.8%.
Operating margin · FY25
-53.1%
vs Critical Access Hospitals2nd pctl of 824 (FY25)
Days cash on hand · FY25
139d
all sources
vs Critical Access Hospitals58th pctl of 827 (FY25)
Total operating revenue · FY25
$15.8M
vs Critical Access Hospitals19th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+9.8%
vs Critical Access Hospitals63rd pctl of 824 (FY25)
One point of operating margin at KOHALA HOSPITAL is about $158K per year (1% of FY25 total operating revenue).
Where KOHALA HOSPITAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalKOHALA HOSPITALCritical Access 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
Medicare inpatient contribution margin
+50.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
-18.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
19,671
15,548
15,702
Other operating revenue
1
35
73
Total operating revenue
19,673
15,583
15,775
Total operating expenses
17,674
19,477
24,158
Operating income
1,999
(3,895)
(8,383)
Operating margin %
+10.2%
-25.0%
-53.1%
Grants & contributions
1,402
1,462
5,225
Investment income
21
—
—
Other non-operating, net
3,077
5,441
5,779
Net income
6,499
3,008
2,621
Net income %
+26.9%
+13.4%
+9.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 0% occupancy where swing beds are 100% of the inpatient business and 29% 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
0.3%
Verified fact2025
HCRIS WS S-3
Average daily census
0.07
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
6
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
15.82
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
99.6%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
29.0%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 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).
What this hospital means to Hawaii County
economic contribution · FY25 cost report
Direct annual spending
$24.2M
total operating expense · reported
Total economic output
$55.6M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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