Astrelis
Children's hospital · Honolulu, HI

KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

CCN 123300HONOLULU CountyVoluntary non-profit - PrivateUrban (USDA RUCC)156 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Honolulu, HI. It ran an operating surplus of 3.8% in FY25 on $456.4M of operating revenue. It held 236 days of cash on hand (59th percentile among Children's hospitals on liquidity). Operating margin declined from 7.3% in FY21 to 3.8% in FY25.

Operating margin · FY25
+3.8%
1.8 pts vs FY24
vs Children's hospitals50th pctl of 38 (FY25)
Days cash on hand · FY25
236d
all sources
23.8 days vs FY24
vs Children's hospitals59th pctl of 37 (FY25)
Total operating revenue · FY25
$456.4M
28.4 $M vs FY24
vs Children's hospitals34th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+13.9%
0.6 pts vs FY24
vs Children's hospitals58th pctl of 38 (FY25)
One point of operating margin at KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN is about $4.6M per year (1% of FY25 total operating revenue).

Where KAPIOLANI MEDICAL CENTER sits among Children's hospitals

Operating margin · FY25 pool · n = 38 of 73 filed

Each point is one Children's 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 Children's hospital median is +3.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Children's hospital median +3.6380552682669416%KAPIOLANI MEDICAL +3.780272082314387%-20%0%+20%Children's hospital median +3.6380552682669416%KAPIOLANI MEDICAL +3.780272082314387%
One children's hospitalKAPIOLANI MEDICALChildren's 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.

Operating margin
+3.8% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+13.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
236d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
10.37× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
93% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
62d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue437,420423,172451,051
Other operating revenue5,0964,8745,385
Total operating revenue442,516428,046456,435
Total operating expenses385,503404,162439,181
Operating income57,01323,88517,255
Operating margin %+12.9%+5.6%+3.8%
Grants & contributions4,3225,8284,846
Investment income17,28326,33526,060
Other non-operating, net9,25512,71422,747
Net income87,87368,76270,908
Net income %+18.6%+14.5%+13.9%
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 156-bed hospital at 41% occupancy 40% 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
40.9%
Verified fact2025
HCRIS WS S-3
Average daily census
63.99
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
156
Verified fact2025
HCRIS WS S-3
Annual discharges
8,763
Verified fact2025
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
39.8%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+7.3%+9.6%+12.9%+5.6%+3.8%FY21FY22FY23FY24FY25
Days cash on hand
215 days188 days205 days212 days236 daysFY21FY22FY23FY24FY25

The county this hospital serves

HONOLULU County, HI
Median household income
$104.3K
vs $82.1K US
Poverty rate
9.1%
vs 12.5% US
Uninsured
3.4%
vs 8.6% US
Age 65+
19.1%
vs 16.8% US
Fair or poor health
17.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 17.0% arrives as government transfers (BEA, 2022).
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