A hospice in Kamuela, HI. It ran an operating loss of 14.3% in FY25 on $2.2M of operating revenue. It held 72 days of cash on hand (74th percentile among hospices on liquidity). Operating margin declined from -5.3% in FY21 to -14.3% in FY25, though it rose 71.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 11.8%. It carries an average daily census of 16.
Average daily census
16
Verified fact2025
Source: CMS Hospice
Hospice Care Index
10
Verified fact2025
Source: CMS Hospice Quality
Operating margin · FY25
-14.3%
▲ 71.6 pts vs FY24
vs hospices29th pctl of 3,488 (FY24)
Total days of care
8125.0d
Verified fact2025
Source: HCRIS CMS-1984
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).
Where NORTH HAWAII HOSPICE, sits among hospices
Operating margin · FY24 pool · n = 3,488 of 5,626 filed
Each point is one hospice 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 hospice median is +0.1%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=3,488).
One hospiceNORTH HAWAIIhospice median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospice 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
-14.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+11.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
72d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
3.19× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
4% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
45d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
1,495
1,660
2,161
Total operating revenue
1,495
1,660
2,161
Total operating expenses
2,881
3,087
2,471
Operating income
(1,386)
(1,427)
(310)
Operating margin %
-92.7%
-86.0%
-14.3%
Other non-operating, net
891
1,408
641
Net income
(495)
(19)
331
Net income %
-20.7%
-0.6%
+11.8%
HCRIS CMS-1984 cost report · $ thousands · FY21–FY25 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding
How it operates
quality & operational context · CMS public reporting
The metrics this hospice 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.
Hospice Care Index
10
Verified fact2025
CMS Hospice Quality
Average daily census
16
Verified fact2025
CMS Hospice
Routine home care mix
100.0%
Verified fact2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Verified fact2025
HCRIS CMS-1984
Respite mix
0.0%
Verified fact2025
HCRIS CMS-1984
Total days of care
8125.0d
Verified fact2025
HCRIS CMS-1984
General inpatient mix
0.0%
Verified fact2025
HCRIS CMS-1984
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospice serves
Hawaii County, HI · nonmetro, urban 20K+
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).
Opportunity screen · FY25
≈ $626K
of annual opportunity identified against peer medians across 1 measure
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
FY25 has not yet reached pool validity: benchmarked against the FY24 pool (n=4,349).
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