Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Honokaa, HI. It ran an operating surplus of 1.7% in FY25 on $27.6M of operating revenue. It held 11 days of cash on hand (21st percentile among Critical Access Hospitals on liquidity). Operating margin improved from -13.4% in FY21 to 1.7% in FY25, though it fell 9.0 points in the most recent year.
Operating margin · FY25
+1.7%
▼ 9.0 pts vs FY24
vs Critical Access Hospitals57th pctl of 824 (FY25)
Days cash on hand · FY25
11d
all sources
▼ 1.2 days vs FY24
vs Critical Access Hospitals21st pctl of 827 (FY25)
Total operating revenue · FY25
$27.6M
▼ 1.6 $M vs FY24
vs Critical Access Hospitals43rd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+23.0%
▼ 5.8 pts vs FY24
vs Critical Access Hospitals92nd pctl of 824 (FY25)
One point of operating margin at HALE HO'OLA HAMAKUA is about $276K per year (1% of FY25 total operating revenue).
Where HALE HO'OLA HAMAKUA 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 hospitalHALE HO'OLACritical 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
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
20,242
29,111
27,529
Other operating revenue
56
44
42
Total operating revenue
20,299
29,155
27,571
Total operating expenses
24,350
26,031
27,109
Operating income
(4,051)
3,124
463
Operating margin %
-20.0%
+10.7%
+1.7%
Other non-operating, net
7,091
7,392
7,618
Net income
3,040
10,516
8,081
Net income %
+11.1%
+28.8%
+23.0%
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 11-bed hospital at 0% occupancy where swing beds are 100% of the inpatient business and 23% 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
0.0%
Verified fact2025
HCRIS WS S-3
Average daily census
0.00
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
11
Verified fact2025
HCRIS WS S-3
Annual discharges
1
Verified fact2025
HCRIS WS S-3
Average length of stay
1.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
6.13
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
100.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
23.1%
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
Results are not available for this reporting period.
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
$27.1M
total operating expense · reported
Total economic output
$62.4M
× 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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