# Hospices in Hawaii · Financial Profiles

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

Hawaii's 11 current hospices trail the national cohort: median operating margin -37.1% against -0.8% nationally. 82% of the state's cohort filed an operating loss in its latest year. Median liquidity stands at 46 days cash on hand.

## Counts

- Current hospices: 11
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 0
- Records listed: 11

## Medians

- **Median operating margin:** -37.1%. Basis: n = 11 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **Median days cash on hand:** 46 days. Basis: n = 10 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** -0.8%. Basis: n = 3,640 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (11)

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 | City | Latest FY | Patient days | Avg daily census | Routine home care mix | General inpatient mix | Operating margin |
|---|---|---:|---:|---:|---:|---:|---:|
| [BRISTOL HOSPICE - HAWAII, LLC](https://astrelis.co/providers/hospice/121508) ([twin](https://astrelis.co/providers/hospice/121508.md)) | Honolulu | 2025 | 306,300 | 621 | 100% | 0% | +10.2% |
| [DBA HAWAI'I CARE CHOICES](https://astrelis.co/providers/hospice/121503) ([twin](https://astrelis.co/providers/hospice/121503.md)) | Hilo | 2025 | 51,012 | 112 | 100% | 0% | -44.4% |
| [HOSPICE MAUI](https://astrelis.co/providers/hospice/121504) ([twin](https://astrelis.co/providers/hospice/121504.md)) | Wailuku | 2025 | 39,091 | 97 | 99% | 0% | -96.9% |
| [HOSPICE OF KONA](https://astrelis.co/providers/hospice/121505) ([twin](https://astrelis.co/providers/hospice/121505.md)) | Kailua Kona | 2025 | 12,538 | 31 | 100% | 0% | -16.2% |
| [ISLANDS HOSPICE](https://astrelis.co/providers/hospice/121509) ([twin](https://astrelis.co/providers/hospice/121509.md)) | Honolulu | 2025 | 109,878 | 304 | 100% | 0% | -38.3% |
| [KAISER PERMANENTE CARE AT HOME, OAHU HOSPICE](https://astrelis.co/providers/hospice/121512) ([twin](https://astrelis.co/providers/hospice/121512.md)) | Honolulu | 2025 | 13,662 | 2 | 100% | 0% | +51.8% |
| [KAUAI HOSPICE](https://astrelis.co/providers/hospice/121507) ([twin](https://astrelis.co/providers/hospice/121507.md)) | Lihue | 2025 | 22,942 | 51 | 100% | 0% | -72.0% |
| [MALAMA OLA HEALTH SERVICES LLC](https://astrelis.co/providers/hospice/121511) ([twin](https://astrelis.co/providers/hospice/121511.md)) | Honolulu | 2025 | 85,553 | 192 | 100% | 0% | -8.3% |
| [NAVIAN HAWAII](https://astrelis.co/providers/hospice/121501) ([twin](https://astrelis.co/providers/hospice/121501.md)) | Honolulu | 2025 | 73,077 | 101 | 100% | 0% | -37.1% |
| [NORTH HAWAII HOSPICE, INC](https://astrelis.co/providers/hospice/121506) ([twin](https://astrelis.co/providers/hospice/121506.md)) | Kamuela | 2025 | 8,125 | 16 | 100% | 0% | -14.3% |
| [ST FRANCIS HOSPICE](https://astrelis.co/providers/hospice/121500) ([twin](https://astrelis.co/providers/hospice/121500.md)) | Honolulu | 2025 | 66,634 | 168 | 99% | 0% | -112.3% |

## 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, "Hospices in Hawaii · Financial Profiles", https://astrelis.co/providers/hospice/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.