Short-term acute care hospital · Kealakekua, Hawaii · 83 beds · CMS certification number 120019
Kona Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 17, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $21.6M in its first year on file (1997) to $118.3M in 2025.
- Its result from patient care: −$38.9M (2023), −$51.7M (2024), −$45.1M (2025).
- 4 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 33.2% of its inpatient days and Medicare for 14.6%.
- HAWAII HEALTH SYSTEMS CORPORATION holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
29 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Hospitals of the same type (short-term acute care hospital), nearest in size, from Hawaii first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Kona Hospital | 83 | $118,324,206 | $163,449,230 | −38.1% |
| Adventist Health Castle, Kailua | 142 | $241,780,702 | $284,123,757 | −17.5% |
| Pali Momi Medical Center, Aiea | 118 | $349,444,796 | $357,512,624 | −2.3% |
| Queens North Hawaii Community Hospital, Kamuela | 33 | $109,521,896 | $109,432,694 | 0.1% |
| Straub Benioff Medical Center, Honolulu | 159 | $590,299,965 | $631,548,700 | −7.0% |
| Wilcox Medical Center, Lihue | 72 | $156,324,882 | $170,619,215 | −9.1% |
Patients and payers
- Discharges
- 3,112S-3 line 14, col 15
- Inpatient days
- 23,464S-3 line 14, col 8
- Beds in use, on an average day
- 64.5days ÷ days in year
- Occupancy
- 77.5%days ÷ bed days
- Medicare share of days
- 14.6%S-3 cols 6 ÷ 8
- Medicaid share of days
- 33.2%S-3 cols 7 ÷ 8
Who owns it
- HAWAII HEALTH SYSTEMS CORPORATION100%
Related organizations on its own cost report: HHSC (100%), administrative; KOHALA HOSPITAL (100%), hospital.
Other hospitals with the same owner: Hilo Benioff Medical Center (HI), Kau Hospital (HI), Kahuku Medical Center (HI), Samuel Mahelona Memorial Hospital (HI), Honokaa Hospital & Skilled Nursing (HI), Leahi Hospital (HI).
Type of control on its cost report: governmental, state.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 120019. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 17, 2025.