Hawaii Health Systems Corporation · Kealakekua, HI
2 of 5
CMS star rating
94
Beds
3,112
Inpatient discharges a year
$118.3M
Net patient revenue a year
33
In-network payers
Kona Community Hospital is a 94-bed government - state hospital in Kealakekua, HI, affiliated with Hawaii Health Systems Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 241 disclosed rate categories.
The 24 services Kona Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$8,403 - $10,453
from 2 insurers · median $9,428
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,660 - $15,024
from 2 insurers · median $14,342
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$331 - $2,769
from 4 insurers · median $1,588
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$58,439 - $76,751
from 2 insurers · median $67,595
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,403 - $10,453
from 2 insurers · median $9,428
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$6,737 - $11,855
from 3 insurers · median $7,223
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$39,311 - $42,413
from 2 insurers · median $40,862
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$3,934 - $10,549
from 3 insurers · median $9,449
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$28,492 - $30,062
from 2 insurers · median $29,277
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$967 - $3,809
from 3 insurers · median $3,654
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$967 - $3,654
from 3 insurers · median $2,751
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$325 - $377
from 4 insurers · median $330
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$795 - $4,000
from 4 insurers · median $2,914
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$18,564 - $18,976
from 2 insurers · median $18,770
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93306
$412 - $2,878
from 4 insurers · median $1,078
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,028 - $14,686
from 3 insurers · median $12,886
Typical for a hospital with this service line
CT imaging
CPT 70450
$138 - $1,282
from 4 insurers · median $330
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$67 - $500
from 4 insurers · median $216
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$201 - $2,206
from 4 insurers · median $672
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$681 - $2,682
from 4 insurers · median $1,610
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$275 - $1,802
from 4 insurers · median $631
Common here, based on CMS Medicare volume
Urology
CPT 50590
$13,875
negotiated rate
13 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 29848
$4,285 - $8,879
from 2 insurers · median $6,582
16 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$16,995 - $18,743
from 2 insurers · median $17,869
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 9 | 753% | 0 | 0 |
| Insurer B* | 16 | 287% | 11 | 3 |
| Insurer C* | 24 | 236% | 13 | 4 |
| Insurer D* | 21 | 89% | 7 | 2 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Kona Community Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$118.3M net patient revenue
Ownership and leadership
Owned by Hawaii Health Systems Corporation
The employer identification numbers (EINs) health plans and networks list for Kona Community Hospital 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 |
|---|---|---|
| 99-0262196Kona Community Hospital | 60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 55 more | 1952332991 Kona Hospital1639252133 Kona Hospital1962588152 Kona Hospitaland 2 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.
79-1019 Haukapila Street, Kealakekua, HI 96750
(808) 322-9311
How Kona Community Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
62%
Lower than 81% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.91
Lower than 71% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
179 min
Higher than 70% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
72%
Higher than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 5 measures | |
| Safety | No different on 5 measures | |
| Readmissions | No different on 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 62% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.91 | 2022-07-01 to 2024-06-30 |
| 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 | 179 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 72% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Kona Community Hospital's inpatient payments for its readmissions, quality and cost results.
-0.10% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.57% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Kona Community Hospital, 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.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| 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 · 753 cases | 3.5 | 3.9 | 3.677 | Better than 74% of US hospitals | |
| 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 · 67 cases | 11.3 | 11 | 10.66 | Worse than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 109 cases | 16.7 | 15.2 | 15.07 | Worse than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 120 cases | 10.2 | 11.6 | 10.71 | Better than 76% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 791 cases | 0.42 | 0.51 | 0.8555 | No Different Than the National Rate | Better than 63% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 174 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 960 cases | 0.2 | 0.2 | 0.2464 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 958 cases | 0.31 | 0.27 | 0.2773 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 201 cases | 2.22 | 2.29 | 2.417 | No Different Than the National Rate | Better than 63% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 35 cases | 1.65 | 1.63 | 1.579 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 40 cases | 9.05 | 8.88 | 8.895 | No Different Than the National Rate | Worse than 54% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 197 cases | 3.19 | 3.4 | 3.842 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 32 cases | 5.13 | 5.105 | 5.092 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 59 cases | 1.73 | 1.72 | 1.765 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 148 cases | 0.97 | 1.02 | 1.22 | No Different Than the National Rate | Better than 67% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| 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 · 67 cases | -9 | 1.25 | 21.92 | Better than 64% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 104 cases | -25.5 | 3.85 | 5.255 | Better than 86% of US hospitals | |
| 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 · 97 cases | 12.8 | 12.9 | 12.99 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 64 cases | 9.1 | 10.7 | 10.2 | No Different Than the National Rate | Better than 93% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 64 cases | 6.1 | 5.3 | 6.222 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 75 cases | 1.2 | 1 | 1.118 | No Different than expected | Worse than 89% of US hospitals |
| 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 · 59 cases | 20.6 | 19.8 | 19.52 | Worse than 79% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 134 cases | 20.1 | 21.3 | 21.05 | Better than 85% of US hospitals | |
| 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 · 203 cases | 18 | 17.2 | 16.64 | Worse than 76% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.027 | 0.172 | 0.2329 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.695 | 1.504 | 2.335 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,306 | 1,370 | 5,053 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.83 | 0.9835 | 4.482 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.5 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.546 | 0.484 | 0.7274 | No Different than National Benchmark | Worse than 55% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.027 | 0.138 | 0.2057 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.65 | 1.392 | 2.329 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,387 | 1,799 | 4,489 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.861 | 1.377 | 4.821 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.429 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.537 | 0.399 | 0.7816 | No Different than National Benchmark | Worse than 63% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.399 | 0.2345 | 0.3714 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.266 | 2.135 | 2.964 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 71 | 61 | 84.83 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.914 | 1.591 | 2.192 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 3 | 1 | 2.333 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.567 | 0.7155 | 1.054 | No Different than National Benchmark | Worse than 87% of US hospitals |
| 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 | 2 | 38 | 30.17 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.013 | 0.328 | 0.2526 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 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 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.764 | 1.855 | 2.003 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 22,818 | 14,451 | 43,478 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.084 | 0.567 | 2.397 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.6429 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.2263 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.188 | 0.127 | 0.2111 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.138 | 0.747 | 1.026 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 22,818 | 13,646 | 44,003 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 9.735 | 5.683 | 21.87 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 5 | 2 | 8.429 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.514 | 0.279 | 0.4274 | No Different than National Benchmark | Worse than 77% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 494 cases | 75 | 73 | 76.47 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 494 cases | 6 | 8 | 6.733 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 494 cases | 19 | 18 | 16.8 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 89 | 87 | 88.46 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 494 cases | 4 | 4 | 3.923 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 494 cases | 78 | 80 | 79.2 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 91 | 91 | 91.85 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 494 cases | 4 | 4 | 4.2 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 494 cases | 3 | 3 | 3.769 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 494 cases | 18 | 16 | 16.6 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 494 cases | 79 | 79 | 79.73 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 91 | 91 | 91.62 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 494 cases | 7 | 5 | 5.267 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 494 cases | 3 | 3 | 3.462 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 494 cases | 14 | 16 | 15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 494 cases | 62 | 61 | 61.8 | Better than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 78 | 77 | 78.62 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 494 cases | 19 | 19 | 17.13 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 494 cases | 3 | 3 | 3 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 494 cases | 19 | 19 | 21.07 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 88 | 86 | 86.46 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 494 cases | 12 | 13 | 13.27 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 494 cases | 4 | 3 | 3.462 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 494 cases | 88 | 87 | 86.73 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 494 cases | 14 | 14 | 14.85 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 494 cases | 86 | 86 | 85.15 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 75 | 74 | 75.38 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 8 | 7 | 6.538 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 17 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 78 | 77 | 78.92 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 7 | 6 | 5.154 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 15 | 17 | 15.92 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 85 | 85 | 85.31 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 5 | 3 | 3.385 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 10 | 11 | 11.31 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 494 cases | 12 | 8 | 8 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 494 cases | 26 | 20 | 21.2 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 494 cases | 62 | 72 | 70.8 | Worse than 84% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 85 | 88 | 88.38 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 494 cases | 2 | 3 | 3.308 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 494 cases | 75 | 74 | 74.46 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 494 cases | 8 | 9 | 8.615 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 494 cases | 17 | 16 | 16.92 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 74 | 75 | 75.46 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 5 | 5 | 5.538 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 494 cases | 21 | 20 | 19 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 74 | 77 | 76.62 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 4 | 4 | 4.077 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 494 cases | 22 | 19 | 19.31 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 87 | 86 | 86 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 2 | 3 | 2.385 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 494 cases | 11 | 11 | 11.62 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 494 cases | 41 | 59 | 53.73 | Worse than 96% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 494 cases | 18 | 9 | 12.33 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 494 cases | 41 | 31 | 33.93 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 72 | 82 | 78.54 | Worse than 93% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 494 cases | 2 | 3 | 2.769 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 494 cases | 6 | 5 | 5 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 494 cases | 62 | 71 | 71.93 | Worse than 81% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 494 cases | 85 | 87 | 88.31 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 494 cases | 32 | 23 | 23.07 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 494 cases | 3 | 4 | 3.923 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 494 cases | 48 | 47 | 49.69 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 494 cases | 31 | 30 | 27.62 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 494 cases | 21 | 22 | 22.69 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 494 cases | 3 | 3 | 3.462 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 494 cases | 9 | 12 | 11.92 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 494 cases | 91 | 88 | 88.08 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 3,677 cases | 3 | 8 | 4.6 | Better than 80% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 510 cases | 0 | 1 | 0.25 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,843 cases | 0 | 0 | 0 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,137 cases | 44 | 79 | 65.63 | Worse than 90% 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 · 403 cases | 181 | 154 | 119 | Worse than 68% 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 · 381 cases | 179 | 148 | 120 | Worse than 70% 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 · 17 cases | 298 | 247 | 196 | Worse than 67% of US hospitals | |
| 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 · 25,975 cases | 1 | 1 | 0.8824 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 20 cases | 70 | 74 | 68.14 | Worse than 59% of US hospitals | |
| 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 · 884 cases | 10 | 15 | 11.31 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 90 cases | 72 | 65 | 76.08 | Better than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 34 cases | 74 | 73 | 85 | Better than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 80 | 88 | 87.36 | Worse than 73% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 93 cases | 94 | 82 | 90.67 | Better than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 60 cases | 90 | 94 | 92.92 | Worse than 72% of US hospitals | |
| 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 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.5 | 5 | 4.446 | Better than 89% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.189 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.85 | 0.99 | 0.8855 | Better than 95% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | ||||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | ||||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 1,479 cases | 0 | 0.05 | 0 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 1,479 cases | 0 | 0.03 | 0.01 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 75 cases | 39 | 87 | 58 | Worse than 87% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | ||||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 30 cases | 17.5 | 19.1 | 17.5 | No Different Than the National Rate | Better than 76% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 77 cases | 35 | 92 | 22.5 | Worse than 93% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 88 cases | 10 | 74 | 32 | Worse than 89% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 12 cases | 67 | 81 | 69 | Worse than 66% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 83 cases | 94 | 77 | 67 | Better than 75% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 83 cases | 94 | 56 | 62 | Better than 83% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 35 cases | 31 | 64 | 16.5 | Worse than 73% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 35 cases | 29 | 4 | 14.5 | Better than 73% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 200 cases | 0 | 77 | 26 | The worst result, shared by 12% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 20.86 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 5.216 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 80 | 10 | 61.82 | Better than 94% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 20 | 2.5 | 15.45 | Better than 93% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 35 | 34 | 38.64 | Better than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.75 | 8.75 | 9.659 | Better than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 24 | 40 | 42.33 | Worse than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 6 | 10 | 10.58 | Worse than 81% of US hospitals | |
| VBP total performance scoreFY 2026 | 37.25 | 29.5 | 40.91 | Better than 74% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 50 | 42.5 | 23.33 | 0 | 6.667 | 10 |
| VBP clinical outcomes weighted domain score | 12.5 | 10.63 | 5.833 | 0 | 1.667 | 2.5 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 90 | 100 | 100 | 80 |
| VBP efficiency and cost reduction weighted domain score | 12.5 | Not Available | 22.5 | 25 | 25 | 20 |
| VBP person and community engagement domain score | 17 | Not Available | Not Available | 7 | 11 | 35 |
| VBP person and community engagement weighted domain score | 4.25 | Not Available | Not Available | 1.75 | 2.75 | 8.75 |
| VBP safety domain score | 37.5 | Not Available | Not Available | 12 | 17.5 | 24 |
| VBP safety weighted domain score | 9.375 | Not Available | Not Available | 3 | 4.375 | 6 |
| VBP total performance score | 38.63 | Not Available | Not Available | 29.75 | 33.79 | 37.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9704 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9925 | 0.9969 | 0.9963 | Better than 54% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 65 cases | 1.011 | 0.9983 | 1.003 | Worse than 58% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9556 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 100 cases | 1.003 | 0.9955 | 0.9561 | Worse than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9887 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.059 | 1.069 | 1.023 | 1.014 | 0.9933 | 0.9925 |
| READM-30-HF-HRRP | 0.958 | 0.9682 | 1.004 | 1.051 | 1.055 | 1.011 |
| READM-30-HIP-KNEE-HRRP | 1.008 | 0.9921 | 1.01 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9814 | 1.004 | 1.065 | 1.076 | 1.059 | 1.003 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Kona Community Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.606 | 0.489 | 0.9801 | Worse than 96% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.628 | 0.346 | 0.5455 | Worse than 84% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.96 | 0.559 | 0.8835 | Worse than 80% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.375 | 0.6405 | 0.4982 | Better than 74% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9073 | 0.9628 | 1.068 | Better than 71% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.754 | 0.7945 | 1.393 | Better than 53% of US hospitals | |
| Total HAC scoreFY 2026 | 0.4619 | -0.0453 | 0.4309 | Worse than 79% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | Yes |
| Total HAC score | -0.2427 | 0.0685 | 0 | 0.5908 | 0.4672 | 0.4619 |
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.
The Joint Commission (since 2008)
Accreditation
None
Medical school affiliation
State
Ownership type
60
Medicare-certified beds
151
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Kona Community Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
3,112
Inpatient discharges
Medicare 18%, Medicaid 35%
23,464
Inpatient days
77% of available bed days used
494
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 826160). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Kona Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,433 | 7,789 | 12,242 | 23,464 |
| Discharges | 546 | 1,100 | 1,466 | 3,112 |
| Average length of stay | 6.3 days | 7.1 days | 8.4 days | 7.5 days |
| Average daily census | 9.4 | 21.3 | 33.5 | 64.3 |
3,770
Medicare Advantage days
686 discharges
440
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 74 | 18,260 | 3,105 | 68% |
| Intensive care unit | 9 | 1,846 | 328 | 56% |
| Nursery | 710 | |||
| Subprovider - ipf | 11 | 1,145 | 118 | 29% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Kona Community Hospital treats Medicare patients for most often, in 2024. 161 Medicare discharges in 8 published DRGs; 0% surgical; 71% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 45 | $78,383 | $31,963 | $38,565 | 1.98 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $66,058 | $25,173 | $32,501 | 1.70 |
| Heart failure and shock with MCCMS-DRG 291, medical | 24 | $45,526 | $19,099 | $22,399 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $62,026 | $20,203 | $30,517 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $22,107 | $11,114 | $10,877 | 0.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $39,106 | $8,646 | $19,240 | 0.69 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $25,400 | $11,171 | $12,497 | 0.78 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $45,970 | $13,634 | $22,617 | 1.03 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Kona Community Hospital billed Medicare for most in 2024: 205 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 46 | 46 | $16,018 | $2,580 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 39 | 37 | $60,684 | $13,800 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $17,456 | $2,944 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $28,550 | $5,663 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $9,863 | $1,577 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 16 | 14 | $8,603 | $1,867 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 14 | $90,600 | $21,263 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 14 | 13 | $18,301 | $5,078 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 12 | $46,764 | $7,177 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 13 | 12 | $14,252 | $3,158 | $2,629 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Kona Community Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 882 in 2020 to 1,118 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 96740 | 560 | 50% | 3,247 | $35.6M | 63% | 62% |
| 96750 | 121 | 11% | 860 | $8.8M | 75% | 70% |
| 96704 | 120 | 11% | 825 | $7.1M | 73% | 62% |
| 96745 | 98 | 9% | 558 | $5.5M | 67% | 57% |
| 96737 | 74 | 7% | 498 | $4.9M | 59% | 68% |
| 96725 | 68 | 6% | 562 | $4.4M | 82% | 100% |
| 96726 | 50 | 4% | 294 | $3.7M | 100% | 100% |
| 96772 | 16 | 1% | 94 | $898,313 | 16% | |
| 96743 | 11 | 1% | 84 | $765,680 | 5% |
Source: CMS Hospital Service Area file. Shares are of the 1,118 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Kona Community Hospital reported at its latest Medicare certification survey (2011). Counts are people, not full-time equivalents.
11
Psychiatric unit beds
151
Registered nurses
6
Licensed practical nurses
1
Physicians
7
Pharmacists
9
Respiratory therapists
3
Physical therapists
3
Occupational therapists
1
Speech pathologists and audiologists
5
Radiology technicians
2
Nuclear medicine technicians
2
Dietitians
4
Social workers
Source: CMS Provider of Services file.
158 clinicians who bill Medicare list Kona Community Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Ming Peng, MD
Diagnostic Radiology Physician
NPI 1316904634
See commercial rates for Ming Peng, MDWilliam Schmidt, MD
Hematology & Oncology Physician
NPI 1467455386
See commercial rates for William Schmidt, MDRobert Saito, MD
Diagnostic Radiology Physician
NPI 1770540312
See commercial rates for Robert Saito, MDLori Wilhelm, MD
Diagnostic Radiology Physician
NPI 1609825728
See commercial rates for Lori Wilhelm, MDCasey Phan, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1720421118
See commercial rates for Casey Phan, MDDavid Camacho, MD
Diagnostic Radiology Physician
NPI 1265499826
See commercial rates for David Camacho, MDJames Sheperd, MD
Diagnostic Radiology Physician
NPI 1407818263
See commercial rates for James Sheperd, MDMichael Seu, MD
Diagnostic Radiology Physician
NPI 1164489555
See commercial rates for Michael Seu, MDPamela Tauchi-Nishi
Anatomic Pathology & Clinical Pathology Physician
NPI 1225082449
See commercial rates for Pamela Tauchi-NishiHiroko Shinoda, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1326243239
See commercial rates for Hiroko Shinoda, M.D.Paul Morton, MD
Orthopaedic Surgery Physician
NPI 1669736989
See commercial rates for Paul Morton, MDAlbert Ing, M.D.
Cardiovascular Disease Physician
NPI 1730144494
See commercial rates for Albert Ing, M.D.Michael Mullowney, MD
Hospitalist Physician
NPI 1578662391
See commercial rates for Michael Mullowney, MDWichit Sae-Ow, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1346551983
See commercial rates for Wichit Sae-Ow, M.D.Tomomi Yafuso, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1508094277
See commercial rates for Tomomi Yafuso, M.D.Bradon Kimura, M. D.
Family Medicine Physician
NPI 1356333512
See commercial rates for Bradon Kimura, M. D.Joshua Johnson, PA
Medical Physician Assistant
NPI 1376840421
See commercial rates for Joshua Johnson, PADarrin Kuczynski, MD
Orthopaedic Surgery Physician
NPI 1396855664
See commercial rates for Darrin Kuczynski, MDMichael Aldridge, M.D.
Cardiovascular Disease Physician
NPI 1033427067
See commercial rates for Michael Aldridge, M.D.Michael Tanoue, M.D.
Internal Medicine Physician
NPI 1124360615
See commercial rates for Michael Tanoue, M.D.Nathan King, M.D.
Internal Medicine Physician
NPI 1861835035
See commercial rates for Nathan King, M.D.Omar Abdul Ghani, M.B.B.S
Cardiovascular Disease Physician
NPI 1982916839
See commercial rates for Omar Abdul Ghani, M.B.B.SLoi Chang-Stroman, MD
Internal Medicine Physician
NPI 1780770529
See commercial rates for Loi Chang-Stroman, MDSekon Won, M.D.
Cardiovascular Disease Physician
NPI 1881633865
See commercial rates for Sekon Won, M.D.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.
Revenue, expenses and income Kona Community Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $371.8M | 314.3% |
| Inpatient | $188.1M | 159.0% |
| Outpatient | $183.7M | 155.3% |
| Contractual allowances and discounts | -$253.5M | -214.3% |
| Net patient revenue | $118.3M | 100.0% |
| Operating expenses | -$163.4M | -138.1% |
| Operating income from patient care | -$45.1M | -38.1% |
| Other income | $76.3M | 64.5% |
| Contributions and donations | $32.3M | 27.3% |
| Investment income | $271,990 | 0.2% |
| Government appropriations | $40.2M | 34.0% |
| Other | $3.6M | 3.0% |
| Net income | $31.2M | 26.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $50.5M | 13.6% |
| Medicaid (including managed care) | $93.7M | 25.2% |
| Other payers and self-pay | $227.6M | 61.2% |
| Total charges | $371.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, 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.
Computed from Kona Community Hospital's latest cost report.
-38.1%
Operating margin
Operating income from patient care / net patient revenue
16.0%
Total margin
Net income / net patient revenue plus other income
20.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
59% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$53.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
20.5%
Return on assets
Net income for a year / total assets
2.97
Current ratio
Current assets / current liabilities
1.48
Quick ratio
Cash, temporary investments and net receivables / current liabilities
37 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
62 days
Days in patient receivables
Net patient receivables / daily net patient revenue
57 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.28
Asset turnover
Total revenue for a year / total assets
13.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Kona Community Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $151.9M in total assets and a -$86.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $15.7M | 10.4% |
| Patient receivables, net | $20.2M | 13.3% |
| Inventory | $4.4M | 2.9% |
| Total current assets | $72M | 47.4% |
| Property and equipment, net of depreciation | $55.7M | 36.7% |
| Investments and other assets | $24.2M | 15.9% |
| Total assets | $151.9M | 100.0% |
| Current liabilities | $24.3M | 16.0% |
| Long-term debt | $10,746 | 0.0% |
| Total liabilities | $238.7M | 157.1% |
| Fund balance (net assets) | -$86.8M | -57.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Kona Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.4M
Bad debt
Patient bills written off as uncollectible, at charges
$22.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$13M
Total unreimbursed and uncompensated care
7.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$40.2M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Kona Community Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $90M | $83.4M | $96.1M | $105.2M | $108.1M | $118.3M |
| Operating expenses | $114.9M | $117.4M | $132.5M | $144.2M | $159.7M | $163.4M |
| Operating margin | -27.7% | -40.7% | -38.0% | -37.0% | -47.8% | -38.1% |
| Net income | $7.1M | $5.6M | -$3.4M | -$5.8M | -$302,901 | $31.2M |
| Total assets | $136.7M | $129.9M | $130.3M | $132.1M | $121.5M | $151.9M |
| Discharges | 2,933 | 2,550 | 2,680 | 2,726 | 3,309 | 3,112 |
| Inpatient days | 16,493 | 15,953 | 21,239 | 24,896 | 22,078 | 23,464 |
| Medicare Advantage days | 2,250 | 2,146 | 3,519 | 3,365 | 3,791 | 3,770 |
| Beds | 94 | 94 | 94 | 94 | 94 | 94 |
| Employees (FTE) | 413 | 424 | 436 | 451 | 454 | 494 |
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Kona Community Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $17.7M | $35.4M | 0.50 | ||
| Emergency | $4.6M | $17M | $78.2M | 0.22 | 5,447 |
| Operating room | $3.7M | $14.2M | $31.5M | 0.45 | 6,402 |
| Radiology-diagnostic | $996,392 | $10.3M | $48.9M | 0.21 | 6,335 |
| Medical supplies charged to patient | $8.6M | $13.3M | 0.65 | ||
| Radiology-therapeutic | $1.9M | $7.7M | $16.5M | 0.46 | 5,900 |
| Laboratory | $6.8M | $26M | 0.26 | 2,229 | |
| Impl. dev. charged to patients | $4M | $12.6M | 0.31 | ||
| Respiratory therapy | $380,032 | $2.8M | $6.6M | 0.42 | 663 |
| Delivery room & labor room | $2M | $3.4M | 0.60 | 1,668 | |
| Physical therapy | $389,024 | $1.3M | $2M | 0.66 | 1,365 |
| Observation beds (non-distinct part | $1.1M | $1.4M | 0.77 | ||
| Blood storing processing & trans. | $615,792 | $1.8M | 0.34 | ||
| Anesthesiology | $58,711 | $496,976 | $5.4M | 0.09 | 917 |
| Occupational therapy | $202,128 | $488,793 | $988,920 | 0.49 | 233 |
| Speech pathology | $130,641 | $353,696 | $259,859 | 1.36 | 73 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $12.5M | $46.3M | $70.5M | 0.66 | 16,271 |
| Intensive care unit | $2.3M | $8.9M | $12.1M | 0.73 | 3,433 |
| Subprovider - ipf | $2.1M | $6.8M | $3.2M | 2.10 | 4,771 |
| Nursery | $761,365 | $1.7M | 0.45 | 885 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $9.3M | $33.4M | 186,854 | $58.44 | 17,198 |
| Cap rel costs-bldg & fixt | $6.2M | 102,210 | |||
| Operation of plant | $1.7M | $5.7M | 43,112 | $41.70 | 9,814 |
| Pharmacy | $2.8M | $4.3M | 56,024 | $52.42 | 1,938 |
| Nursing administration | $2.7M | $4.2M | 28,744 | $102.99 | 2,322 |
| Cap rel costs-mvble equip | $3.5M | ||||
| Housekeeping | $1.7M | $3.2M | 65,006 | $25.92 | 576 |
| Dietary | $1.5M | $2M | 28,696 | $30.42 | 3,263 |
| Employee benefits department | $811,161 | $1.7M | 15,455 | $61.28 | 1,188 |
| Medical records & library | $664,240 | $1.3M | 20,236 | $38.02 | 1,816 |
| Cafeteria | $1.2M | 25,157 | $28.46 | 1,320 | |
| Social service | $281,160 | $576,080 | 8,176 | $43.80 | 558 |
| Central services & supply | $223,876 | $527,859 | 11,989 | $24.93 | 4,450 |
| Laundry & linen service | $173,536 | $440,952 | 6,747 | $26.22 | 810 |
Source: CMS cost report (HCRIS, Form 2552-10), report 826160, 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.
The factors Medicare uses to set what it pays Kona Community Hospital for an inpatient stay.
1.54
Case mix index
Higher than 33% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
33.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
589
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.49 | 1.50 | 1.56 | 1.62 | 1.71 | 1.62 | 1.54 |
| Wage index | 1.256 | 1.201 | 1.200 | 1.378 | 1.309 | 1.260 | 1.198 |
| Readmissions adjustment | -0.19% | -0.19% | -0.28% | -0.13% | -0.71% | -0.56% | -0.10% |
| Value-based purchasing adjustment | +0.74% | +0.48% | +0.48% | -0.03% | +0.82% | +1.02% | +0.57% |
| Medicare inpatient stays | 727 | 727 | 597 | 565 | 438 | 547 | 589 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Kona Community Hospital reports to Medicare as owners or with operational control.
Hawaii Health Systems Corporation
5% or greater direct ownership interest, 100%, since 1997
Sources: CMS Hospital All Owners.
The officers and board members on Kona Community Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 11 of 12 are shown.
340B drug pricing program
Participating since 2005
340B ID DSH120019, registered as a disproportionate share hospital. Authorizing official: Clayton Reed McGhan, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Kona Community Hospital
FAA location ID 05HI, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Kona community hospital
CCN 12S019, certified 2001, Medicare prospective payment
Kona community hospital
CCN 12U019, certified 2011, Medicare cost reimbursed
Kona community hospital
CCN 12U019, certified 2011
Source: Worksheet S-2 Part I of Kona Community Hospital's latest Medicare cost report (HCRIS).
About Kona Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Kona Community Hospital range from $681 to $2,682 across 4 insurers. Cigna's rate is $2,682. The median at nearby comparable hospitals is $880. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kona Community Hospital range from $331 to $2,769 across 4 insurers. Aetna's rate is $2,437. The median at nearby comparable hospitals is $404. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Kona Community Hospital range from $967 to $3,809 across 3 insurers. UnitedHealthcare's rate is $967. The median at nearby comparable hospitals is $1,779. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Kona Community Hospital range from $8,403 to $10,453 across 2 insurers. HMSA Blue Cross Blue Shield's rate is $8,403. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kona Community Hospital range from $325 to $377 across 4 insurers. Aetna's rate is $377. The median at nearby comparable hospitals is $107. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Kona Community Hospital range from $28,492 to $30,062 across 2 insurers. HMSA Blue Cross Blue Shield's rate is $28,492. The median at nearby comparable hospitals is $31,440. What a patient pays depends on their plan's deductible, coinsurance and network status.
Kona Community Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Kona Community Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Kona Community Hospital's base inpatient payments by an estimated 0.10% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (45 discharges), respiratory infections and inflammations with mcc (27 discharges), heart failure and shock with mcc (24 discharges).
Kona Community Hospital's Medicare case mix index is 1.54 for fiscal year 2027, higher than 33% of hospitals paid under the inpatient prospective payment system.
Kona Community Hospital reported 3,112 inpatient discharges and 23,464 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Kona Community Hospital reported 494 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Kona Community Hospital reported $118.3M in net patient revenue on $371.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -38.1%, and net income of $31.2M.
Kona Community Hospital reported $13M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $2.8M of charity care at cost.
Kona Community Hospital's Medicare enrollment lists James Y Lee as Chief Executive Officer since 2020.
Insurers' price transparency files list Kona Community Hospital under employer identification number 99-0262196 (Kona Community Hospital). 60 health plans and networks list 99-0262196 for it.
Yes. HRSA's 340B database lists Kona Community Hospital (340B ID DSH120019) as a participating disproportionate share hospital since 2005.
158 clinicians who bill Medicare list Kona Community Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (16), cardiovascular disease physician (15), physician assistant (15).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Kona Community Hospital, effective 2008.
In its Medicare enrollment, Kona Community Hospital reports Hawaii Health Systems Corporation as 5% or greater direct ownership interest (100%).
CMS lists 36 services at Kona Community Hospital, including Adult Inpatient Psychiatric Care, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Kona Community Hospital came from ZIP codes 96740 (560), 96750 (121), 96704 (120).
Kona Community Hospital has 94 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 60 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Kona Community Hospital is located at 79-1019 Haukapila Street, Kealakekua, HI 96750. Its main phone number is (808) 322-9311.
Kona Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 120019.
The National Provider Identifier (NPI) on file for Kona Community Hospital is 1952332991.
Kona Community Hospital is affiliated with Hawaii Health Systems Corporation.
Kona Community Hospital lists 33 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
241 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers