Critical Access HospitalGovernment - State

Hale Hoola Hamakua

Hawaii Health Systems Corporation · Honokaa, HI

45-547 Plumeria Street, Honokaa, HI 96727(808) 932-4100

Not rated by CMS

CMS star rating

Beds

Inpatient discharges a year

$27.5M

Net patient revenue a year

In-network payers

About this hospital

Hale Hoola Hamakua is a 77-bed government - state hospital in Honokaa, HI, affiliated with Hawaii Health Systems Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 226 disclosed rate categories.

CCN: 121307
NPI: 1164506317
Website: honokaahospital.org
Health system: Hawaii Health Systems Corporation
County: Hawaii County
Metro area: Hilo-Kailua, HI MicroSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 2005
Last CMS survey: 2020

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Anesthesia Range: 00100 - 01999	Negotiated	Very High
Aetna	Outpatient	CPT Anesthesia Range: 00100 - 01999	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Percentage of Bill Charged	-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Quality
Not rated by CMS
- 64 min in the ER before going home (US median 148)
See quality ratings
Doctors and services
14 services
- 22 affiliated clinicians
See doctors and services
Finances
$27.5M net patient revenue
- Operating margin on patient care 1.5%
- $81,677 unreimbursed and uncompensated care
- $8.1M net income
See finances
Ownership and leadership
Owned by Hawaii Health Systems Corporation
- State
- Daniel John Brinkman, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hale Hoola Hamakua in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
99-0262226Honokaa Hospital Skilled Nursing	29Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 24 more	1053497040 Honokaa Hospital & Skilled Nursing1164506317 Honokaa Hospital & Skilled Nursing1629154604 Honokaa Hospital & Skilled Nursingand 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

45-547 Plumeria Street, Honokaa, HI 96727

(808) 932-4100

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Quality ratings (CMS Care Compare)

How Hale Hoola Hamakua compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Time in the ER before going home
64 min
Lower than 99% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better

Measure details and reporting periods

Measure	Result	Period
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	64 min	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Every CMS quality measure

Each result CMS publishes for Hale Hoola Hamakua, beside the US median and the average of HI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications20 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	Hale Hoola Hamakua	HI average
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available	4.2
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30	Not Available	3.677
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available	11.4
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available	1.9
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available	8.983
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available	10.66
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available	15.07
Death rate for stroke patients2023-07-01 to 2025-06-30	Not Available	10.71
Pressure ulcer rate2022-07-01 to 2024-06-30	Not Available	0.8555
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available	174
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30	Not Available	0.2464
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30	Not Available	0.2773
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30	Not Available	2.417
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30	Not Available	1.579
Postoperative respiratory failure rate2022-07-01 to 2024-06-30	Not Available	8.895
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30	Not Available	3.842
Postoperative sepsis rate2022-07-01 to 2024-06-30	Not Available	5.092
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30	Not Available	1.765
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30	Not Available	1.22
CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30	Not Available	1.068

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	Hale Hoola Hamakua	HI average
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available	9.6
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available	21.92
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available	5.255
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31	Not Available	12.99
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	10.2
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	6.222
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31	Not Available	1.118
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	14.19
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available	10.83
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30	Not Available	19.52
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	21.05
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available	5.68
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	16.64

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	Hale Hoola Hamakua	HI average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.2329
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.335
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	Not Available	5,053
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available	4.482
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available	2.5
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available	0.7274
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.2057
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.329
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	Not Available	4,489
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available	4.821
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available	3.429
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available	0.7816
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.3714
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.964
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	Not Available	84.83
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	Not Available	2.192
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	Not Available	2.333
SSI - Colon Surgery2024-10-01 to 2025-09-30	Not Available	1.054
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	Not Available	30.17
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	Not Available	0.2526
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	Not Available	0.3333
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.0446
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.003
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	Not Available	43,478
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	Not Available	2.397
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	Not Available	0.6429
MRSA Bacteremia2024-10-01 to 2025-09-30	Not Available	0.2263
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.2111
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	1.026
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	Not Available	44,003
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	Not Available	21.87
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	Not Available	8.429
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	Not Available	0.4274

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	Hale Hoola Hamakua	HI average
Room was "always" clean2024-10-01 to 2025-09-30	Not Available	76.47
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30	Not Available	6.733
Room was "usually" clean2024-10-01 to 2025-09-30	Not Available	16.8
Cleanliness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.46
Cleanliness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.923
Nurses "always" communicated well2024-10-01 to 2025-09-30	Not Available	79.2
Nurse communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.85
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	4.2
Nurse communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.769
Nurses "usually" communicated well2024-10-01 to 2025-09-30	Not Available	16.6
Doctors "always" communicated well2024-10-01 to 2025-09-30	Not Available	79.73
Doctor communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.62
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	5.267
Doctor communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.462
Doctors "usually" communicated well2024-10-01 to 2025-09-30	Not Available	15
Staff "always" explained2024-10-01 to 2025-09-30	Not Available	61.8
Communication about medicines - linear mean score2024-10-01 to 2025-09-30	Not Applicable	78.62
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30	Not Available	17.13
Communication about medicines - star rating2024-10-01 to 2025-09-30	Not Applicable	3
Staff "usually" explained2024-10-01 to 2025-09-30	Not Available	21.07
Discharge information - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.46
No, staff "did not" give patients this information2024-10-01 to 2025-09-30	Not Available	13.27
Discharge information - star rating2024-10-01 to 2025-09-30	Not Applicable	3.462
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30	Not Available	86.73
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	14.85
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	85.15
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	75.38
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	6.538
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	18.08
Doctors "always" listened carefully2024-10-01 to 2025-09-30	Not Available	78.92
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	5.154
Doctors "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	15.92
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	85.31
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	3.385
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	11.31
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30	Not Available	8
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30	Not Available	21.2
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30	Not Available	70.8
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.38
Overall hospital rating - star rating2024-10-01 to 2025-09-30	Not Applicable	3.308
Staff "always" explained new medications2024-10-01 to 2025-09-30	Not Available	74.46
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30	Not Available	8.615
Staff "usually" explained new medications2024-10-01 to 2025-09-30	Not Available	16.92
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	75.46
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	5.538
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	19
Nurses "always" listened carefully2024-10-01 to 2025-09-30	Not Available	76.62
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	4.077
Nurses "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	19.31
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	86
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	2.385
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	11.62
"Always" quiet at night2024-10-01 to 2025-09-30	Not Available	53.73
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30	Not Available	12.33
"Usually" quiet at night2024-10-01 to 2025-09-30	Not Available	33.93
Quietness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	78.54
Quietness - star rating2024-10-01 to 2025-09-30	Not Applicable	2.769
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30	Not Available	5
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30	Not Available	71.93
Recommend hospital - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.31
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30	Not Available	23.07
Recommend hospital - star rating2024-10-01 to 2025-09-30	Not Applicable	3.923
Staff "always" explained possible side effects2024-10-01 to 2025-09-30	Not Available	49.69
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30	Not Available	27.62
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30	Not Available	22.69
Summary star rating2024-10-01 to 2025-09-30	Not Applicable	3.462
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	11.92
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	88.08

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	Hale Hoola Hamakua	US median	HI average	US rank
Emergency department volume2024-01-01 to 2024-12-31	low
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		4.6
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		0.25
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 139 cases	55	79	65.63	Worse than 82% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 274 cases	65	154	119	Better than 99% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 262 cases	64	148	120	Better than 99% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		196
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		277
Left before being seen2024-01-01 to 2024-12-31 · 1,778 cases	0	1	0.8824	The best result, shared by 23% of US hospitals
Head CT results2024-10-01 to 2025-09-30	Not Available		68.14
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31	Not Available		91.73
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31	Not Available		11.31
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30	Not Available		76.08
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		85
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		87.36
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		90.67
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		92.92
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		95.7
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		71.75
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		92.86
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		70.5
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		88.33

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	Hale Hoola Hamakua	US median	HI average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	Not Available		4.446
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		6.189

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	Hale Hoola Hamakua	US median	HI average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	Not Available		0.8855

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

Not accredited
Accreditation
None
Medical school affiliation
State
Ownership type
11
Medicare-certified beds
8
Registered nurses (full-time equivalent)
2005
In Medicare since

14 services at Hale Hoola Hamakua

Emergency and trauma: Emergency Department
Surgery: OR (Operating Room)
Imaging: Diagnostic Radiology
Women and children: Clinical Laboratory
Rehabilitation and therapy: CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Speech Pathology
Other services: Dental CareDietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Hale Hoola Hamakua reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

1
Inpatient discharges
2,233
Inpatient days
56% of available bed days used
77
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 825368). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Hale Hoola Hamakua reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	944	1	1,288	2,233
Discharges	0	0	1	1
Average length of stay			1288.0 days	2233.0 days
Average daily census	2.6	0.0	3.5	6.1

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	11	1		0%
Skilled nursing facility	66	22,238		92%

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Hale Hoola Hamakua reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.

8
Registered nurses
2
Physical therapists
1
Occupational therapists

Source: CMS Provider of Services file.

Doctors and clinicians

22 clinicians who bill Medicare list Hale Hoola Hamakua as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Emergency Medicine Physician 12
Family Nurse Practitioner 4
Family Medicine Physician 3
Diagnostic Radiology Physician 1
Internal Medicine Physician 1
Orthopaedic Surgery Physician 1

Ming Peng, MD
Diagnostic Radiology Physician
NPI 1316904634
See commercial rates for Ming Peng, MD
Darrin Kuczynski, MD
Orthopaedic Surgery Physician
NPI 1396855664
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Joshua Lessard-Chaudoin, APRN
Family Nurse Practitioner
NPI 1437588969
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Ian Keck, DO
Emergency Medicine Physician
NPI 1134653520
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Zachary Baker, D.O.
Emergency Medicine Physician
NPI 1669891594
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Michael Wilkerson, MD
Emergency Medicine Physician
NPI 1326362997
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Erik Soto, M.D.
Emergency Medicine Physician
NPI 1942731591
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Joseph Borer, MD
Emergency Medicine Physician
NPI 1386605095
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Daniel Silverman, MD
Emergency Medicine Physician
NPI 1265879274
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Heather Bradford, M.D.
Emergency Medicine Physician
NPI 1548608805
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Leila Ben-Youssef, MA, MD
Emergency Medicine Physician
NPI 1295172666
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Lina Pezzella, M.D.
Emergency Medicine Physician
NPI 1538453899
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Bradley Ching, M.D.
Emergency Medicine Physician
NPI 1588933261
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Catherine Marquette, FNP
Family Medicine Physician
NPI 1588643258
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Andy Lee, MD
Emergency Medicine Physician
NPI 1619908266
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Timothy Holschuh, FNP
Family Nurse Practitioner
NPI 1881354876
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Bridget Bala-Valdez, APRN-RX
Family Nurse Practitioner
NPI 1851810519
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Anthony Giasolli, MD
Family Medicine Physician
NPI 1649256769
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Douglas Waffen, M.D.
Emergency Medicine Physician
NPI 1609858794
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Eric Murray, M.D.
Internal Medicine Physician
NPI 1316910391
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Aaron Gach-Kvenild, MD
Family Medicine Physician
NPI 1033845706
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Amy Peele, FNP-BC
Family Nurse Practitioner
NPI 1871965541
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Hale Hoola Hamakua reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$29.4M	106.8%
Inpatient	$22.6M	82.1%
Outpatient	$6.8M	24.7%
Contractual allowances and discounts	-$1.9M	-6.8%
Net patient revenue	$27.5M	100.0%
Operating expenses	-$27.1M	-98.5%
Operating income from patient care	$420,609	1.5%
Other income	$7.7M	27.8%
Net income	$8.1M	29.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$713,926	2.4%
Medicaid (including managed care)	$19.9M	67.7%
Other payers and self-pay	$8.8M	29.9%
Total charges	$29.4M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Hale Hoola Hamakua's latest cost report.

1.5%
Operating margin
Operating income from patient care / net patient revenue
23.0%
Total margin
Net income / net patient revenue plus other income
26.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
34.5%
Return on assets
Net income for a year / total assets
26.6%
Return on equity
Net income for a year / fund balance
0.98
Current ratio
Current assets / current liabilities
0.33
Quick ratio
Cash, temporary investments and net receivables / current liabilities
11 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
11 days
Days in patient receivables
Net patient receivables / daily net patient revenue
67 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.50
Asset turnover
Total revenue for a year / total assets
18.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Hale Hoola Hamakua owned and owed at the end of its reporting period (Jun 2025), across all fund types: $23.4M in total assets and a $30.4M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$770,149	3.3%
Patient receivables, net	$813,869	3.5%
Inventory	$245,089	1.0%
Total current assets	$4.7M	19.9%
Property and equipment, net of depreciation	$14.1M	60.1%
Investments and other assets	$4.7M	19.9%
Total assets	$23.4M	100.0%
Current liabilities	$4.8M	20.3%
Total liabilities	-$7M	-29.8%
Fund balance (net assets)	$30.4M	129.8%

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Hale Hoola Hamakua provided without full payment, as reported on Worksheet S-10 of its cost report.

$84,314
Bad debt
Patient bills written off as uncollectible, at charges
-$1.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$81,677
Total unreimbursed and uncompensated care
0.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$6.5M
Government grants and appropriations
Government grants or transfers supporting hospital operations

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Hale Hoola Hamakua's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$17.4M	$18.5M	$19.9M	$20.2M	$29.1M	$27.5M
Operating expenses	$20M	$21M	$22.2M	$24.3M	$26M	$27.1M
Operating margin	-14.8%	-13.9%	-11.2%	-20.3%	10.6%	1.5%
Net income	$2.3M	$3.5M	$2.3M	$3M	$10.5M	$8.1M
Total assets	$25.5M	$26.1M	$24.3M	$23.8M	$25.8M	$23.4M
Discharges	8	2		1	1	1
Inpatient days	2,743	2,150	1,958	2,419	2,505	2,233
Beds	77	77	77	77	77	77
Employees (FTE)	60		65	69	68	77

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Hale Hoola Hamakua reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 26 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency	$654,996	$3.5M	$5.3M	0.66	1,168
Physical therapy	$205,135	$1.2M	$1.1M	1.17	3,926
Radiology-diagnostic	$237,296	$556,963	$489,138	1.14	482
Occupational therapy	$107,194	$409,597	$447,246	0.92
Laboratory		$352,338	$1.8M	0.20	290
Drugs charged to patients		$213,300	$403,867	0.53
Respiratory therapy		$67,141	$67,116	1.00
Medical supplies charged to patient		$13	$70,573	0.00

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Skilled nursing facility	$5.2M	$18M	$17.6M	1.02	16,188
Adults & pediatrics	$1.6M	$4.2M	$2.2M	1.88	2,550

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	-$158,529	$3.8M	1,795
Dietary	$1.3M	$2.6M	2,313
Cap rel costs-bldg & fixt		$1.2M	39,439
Nursing administration	$572,702	$922,048	793
Housekeeping	$508,205	$875,626	974
Plant electric		$806,378
Maintenance & repairs	$41,294	$544,117
Employee benefits department	$89,991	$494,045	120
Operation of plant	$181,079	$466,231	5,517
Cap rel costs-mvble equip		$225,249
Laundry & linen service		$212,578	987
Social service	$111,986	$142,787	100
Medical records & library	$54,870	$100,010	306
Plant water		$22,340
Central services & supply	$133,841	$21,796	1,690
Pharmacy	$2,708	$17,469

Source: CMS cost report (HCRIS, Form 2552-10), report 825368, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Hale Hoola Hamakua's rates and hospital price transparency.

How many patients does Hale Hoola Hamakua admit?

Hale Hoola Hamakua reported 1 inpatient discharges and 2,233 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Hale Hoola Hamakua have?

Hale Hoola Hamakua reported 77 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Hale Hoola Hamakua make?

Hale Hoola Hamakua reported $27.5M in net patient revenue on $29.4M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 1.5%, and net income of $8.1M.

How much charity and uncompensated care does Hale Hoola Hamakua provide?

Hale Hoola Hamakua reported $81,677 of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025.

Who is the CEO of Hale Hoola Hamakua?

Hale Hoola Hamakua's Medicare enrollment lists Daniel John Brinkman as Regional CEO since 2014.

What is Hale Hoola Hamakua's tax ID (EIN)?

Insurers' price transparency files list Hale Hoola Hamakua under employer identification number 99-0262226 (Honokaa Hospital Skilled Nursing). 29 health plans and networks list 99-0262226 for it.

How many doctors are affiliated with Hale Hoola Hamakua?

22 clinicians who bill Medicare list Hale Hoola Hamakua as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (12), family nurse practitioner (4), family medicine physician (3).

Is Hale Hoola Hamakua accredited?

CMS's Provider of Services file lists no accrediting organization for Hale Hoola Hamakua; it is certified for Medicare through state survey.

Who owns Hale Hoola Hamakua?

In its Medicare enrollment, Hale Hoola Hamakua reports Hawaii Health Systems Corporation as Operational/managerial control.

What services does Hale Hoola Hamakua offer?

CMS lists 14 services at Hale Hoola Hamakua, including CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care, Emergency Department.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
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        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "standard_charge_dollar": 250
      }
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Hale Hoola Hamakua

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Every CMS quality measure

Accreditation and services

14 services at Hale Hoola Hamakua

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Every CMS quality measure

Accreditation and services

14 services at Hale Hoola Hamakua

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts