# Hospitals in Hawaii · Financial Profiles

State rollup · HI · Hospitals  
Page: https://astrelis.co/hospitals/state/hi  
This twin: https://astrelis.co/hospitals/state/hi.md  
Release: 2321a4fc37a7 (2026-10-22)

Hawaii has 21 current hospitals on file (plus 1 historical record, listed and labeled below): 11 urban PPS hospitals, 9 critical access hospitals, 1 children's hospital. The urban PPS hospital median operating margin is +0.5% (n=11); The critical access hospital median operating margin is -16.6% (n=9). Each median is computed only within its own hospital type, never across types.

## Counts

- Current hospitals: 21
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 22

## Medians

- **Urban PPS hospital median operating margin:** +0.5%. Basis: n = 11 values, each facility at its own latest settled fiscal year (FY2025); 11 current facilities in the cohort. Astrelis calculation.
- **Critical Access Hospital median operating margin:** -16.6%. Basis: n = 9 values, each facility at its own latest settled fiscal year (FY2025); 9 current facilities in the cohort. Astrelis calculation.
- **Children's hospital median operating margin:** no median (1 current facility in the cohort, 1 with an eligible margin value; a cohort median needs 8). Basis: count only (1 current facility in the cohort; 1 with an eligible margin value). Astrelis calculation.

Medians are computed within one hospital type only; a cohort with fewer than 8 in-state filers shows a count, not a median. Each value is the facility's own latest settled fiscal year, eligibility-gated, from the clean-room panel; historical records are excluded.

## Facilities (22 records: 21 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | Type | City | Ownership | Latest FY | Operating revenue | Operating margin | Days cash |
|---|---|---|---|---:|---:|---:|---:|
| [ADVENTIST HEALTH CASTLE](https://astrelis.co/hospitals/120006) ([twin](https://astrelis.co/hospitals/120006.md)) | Urban PPS hospital | Kailua | Voluntary non-profit - Church | 2025 | $266.4M | -6.7% | 113d |
| [HALE HO'OLA HAMAKUA](https://astrelis.co/hospitals/121307) ([twin](https://astrelis.co/hospitals/121307.md)) | Critical Access Hospital | Honokaa | Government - State | 2025 | $27.6M | +1.7% | 11d |
| [HILO BENIOFF MEDICAL CENTER](https://astrelis.co/hospitals/120005) ([twin](https://astrelis.co/hospitals/120005.md)) | Urban PPS hospital | Hilo | Government - State | 2025 | $426.6M | +12.3% | 81d |
| [KAHI MOHALA](https://astrelis.co/hospitals/124001) ([twin](https://astrelis.co/hospitals/124001.md)) · historical, now 120001 | Psychiatric hospital | Ewa Beach | Voluntary non-profit - Private | 2024 | $21.9M | -18.0% | 21d |
| [KAHUKU MEDICAL CENTER](https://astrelis.co/hospitals/121304) ([twin](https://astrelis.co/hospitals/121304.md)) | Critical Access Hospital | Kahuku | Voluntary non-profit - Other | 2025 | $25.4M | -16.6% | 16d |
| [KAISER FOUNDATION HOSPITAL](https://astrelis.co/hospitals/120011) ([twin](https://astrelis.co/hospitals/120011.md)) | Urban PPS hospital | Honolulu | Voluntary non-profit - Private | 2025 | $588.6M | +20.9% | 0d |
| [KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN](https://astrelis.co/hospitals/123300) ([twin](https://astrelis.co/hospitals/123300.md)) | Children's hospital | Honolulu | Voluntary non-profit - Private | 2025 | $456.4M | +3.8% | 236d |
| [KAU HOSPITAL](https://astrelis.co/hospitals/121301) ([twin](https://astrelis.co/hospitals/121301.md)) | Critical Access Hospital | Pahala | Government - State | 2025 | $53.9M | -25.7% | 8d |
| [KAUAI VETERANS MEMORIAL HOSPITAL](https://astrelis.co/hospitals/121300) ([twin](https://astrelis.co/hospitals/121300.md)) | Critical Access Hospital | Waimea | Government - State | 2025 | $60.6M | -12.7% | 202d |
| [KOHALA HOSPITAL](https://astrelis.co/hospitals/121302) ([twin](https://astrelis.co/hospitals/121302.md)) | Critical Access Hospital | Kapaau | Government - State | 2025 | $15.8M | -53.1% | 139d |
| [KONA COMMUNITY HOSPITAL](https://astrelis.co/hospitals/120019) ([twin](https://astrelis.co/hospitals/120019.md)) | Urban PPS hospital | Kealakekua | Government - State | 2025 | $118.3M | -38.1% | 37d |
| [KUAKINI MEDICAL CENTER](https://astrelis.co/hospitals/120007) ([twin](https://astrelis.co/hospitals/120007.md)) | Urban PPS hospital | Honolulu | Voluntary non-profit - Private | 2025 | $157.7M | -21.3% | 43d |
| [KULA HOSPITAL](https://astrelis.co/hospitals/121308) ([twin](https://astrelis.co/hospitals/121308.md)) | Critical Access Hospital | Kula | Voluntary non-profit - Private | 2025 | $33.2M | -24.5% | 18d |
| [LANAI COMMUNITY HOSPITAL](https://astrelis.co/hospitals/121305) ([twin](https://astrelis.co/hospitals/121305.md)) | Critical Access Hospital | Lanai City | Voluntary non-profit - Private | 2025 | $8.8M | +1.0% | 88d |
| [MAUI MEMORIAL MEDICAL CENTER](https://astrelis.co/hospitals/120002) ([twin](https://astrelis.co/hospitals/120002.md)) | Urban PPS hospital | Wailuku | Government - State | 2025 | $387.1M | +4.5% | 2d |
| [MOLOKAI GENERAL HOSPITAL](https://astrelis.co/hospitals/121303) ([twin](https://astrelis.co/hospitals/121303.md)) | Critical Access Hospital | Kaunakakai | Voluntary non-profit - Private | 2025 | $23.8M | +6.6% | 354d |
| [NORTH HAWAII COMMUNITY HOSPITAL, INC](https://astrelis.co/hospitals/120028) ([twin](https://astrelis.co/hospitals/120028.md)) | Urban PPS hospital | Kamuela | Voluntary non-profit - Private | 2025 | $110.0M | +0.5% | 1d |
| [PALI MOMI MEDICAL CENTER](https://astrelis.co/hospitals/120026) ([twin](https://astrelis.co/hospitals/120026.md)) | Urban PPS hospital | Aiea | Proprietary | 2025 | $354.0M | -1.0% | 112d |
| [SAMUEL MAHELONA MEMORIAL HOSPITAL](https://astrelis.co/hospitals/121306) ([twin](https://astrelis.co/hospitals/121306.md)) | Critical Access Hospital | Kapaa | Government - State | 2025 | $47.7M | -17.1% | 146d |
| [STRAUB CLINIC AND HOSPITAL](https://astrelis.co/hospitals/120022) ([twin](https://astrelis.co/hospitals/120022.md)) | Urban PPS hospital | Honolulu | Proprietary | 2025 | $766.2M | +17.6% | 16d |
| [THE QUEENS MEDICAL CENTER](https://astrelis.co/hospitals/120001) ([twin](https://astrelis.co/hospitals/120001.md)) | Urban PPS hospital | Honolulu | Voluntary non-profit - Private | 2025 | $1.68B | +2.4% | 282d |
| [WILCOX MEMORIAL HOSPITAL](https://astrelis.co/hospitals/120014) ([twin](https://astrelis.co/hospitals/120014.md)) | Urban PPS hospital | Lihue | Government - Federal | 2025 | $158.2M | -7.8% | 68d |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Hospitals in Hawaii · Financial Profiles", https://astrelis.co/hospitals/state/hi, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.