Critical access hospital · Pahala, Hawaii · 21 beds · CMS certification number 121301
Kau Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 15, 2025. 24 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 $2.3M in its first year on file (2003) to $49.9M in 2025.
- Its result from patient care: −$12.1M (2023), −$16.9M (2024), −$17.9M (2025).
- 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 73.1% of its inpatient days and Medicare for 4.1%.
Every statement is drawn from figures on this page; nothing is estimated.
24 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Hawaii with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Kau Hospital | 21 | $49,861,515 | $67,732,568 | −35.8% |
| Honokaa Hospital & Skilled Nursing, Honokaa | 11 | $27,529,429 | $27,108,820 | 1.5% |
| Kahuku Medical Center, Kahuku | 21 | $24,367,339 | $29,597,052 | −21.5% |
| Kula Hospital, Kula | 9 | $33,225,436 | $41,382,657 | −24.6% |
| Molokai General Hospital, Kaunakakai | 15 | $23,606,325 | $22,246,158 | 5.8% |
| Samuel Mahelona Memorial Hospital, Kapaa Kauai | 5 | $46,351,698 | $55,905,173 | −20.6% |
Patients and payers
- Discharges
- 1S-3 line 14, col 15
- Inpatient days
- 6,027S-3 line 14, col 8
- Beds in use, on an average day
- 16.6days ÷ days in year
- Occupancy
- 78.6%days ÷ bed days
- Medicare share of days
- 4.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 73.1%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: HHSC (100%), administration.
Type of control on its cost report: governmental, state.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 121301. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 15, 2025.