
Hawaii is home to a number of hospitals, with 28 hospitals in the state as of 2020. Hospitals are present on six of Hawaii's 137 islands. The top four hospitals in Hawaii, ranked by net patient revenue, are all located in Honolulu, including the Queen's Medical Center, which is the largest private, nonprofit hospital in Honolulu. Other hospitals in Hawaii include the Ka'u Hospital, the Kapiolani Medical Center for Women and Children, and the Lanai Community Hospital.
| Characteristics | Values |
|---|---|
| Number of hospitals in Hawaii | 28 |
| Number of hospitals on Maui | 2, plus 1 cancer institute |
| Number of hospitals with the highest net patient revenue | 4, all in Honolulu |
| Hospital with the highest net patient revenue | Queen's Medical Center |
| Hospital with the second-highest net patient revenue | Straub Medical Center |
| Hospital with the third-highest net patient revenue | Kapiolani Medical Center for Women & Children |
| Number of hospitals on the island of Molokai | 1 |
| Number of hospitals recognised as Best Regional Hospitals | 2 |
| Number 1 hospital in Hawaii | Queen's Medical Center |
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What You'll Learn

There were 28 hospitals in Hawaii in 2020
Hawaii's top-performing hospitals are concentrated in Honolulu, which accounts for 33% of the state's net patient revenue (NPR). The hospital with the highest NPR in Hawaii is Queen's Medical Center, with an NPR of $1.4 billion. This is due in part to its over 600 staffed beds and 30,000 patient discharges. The Queen's Medical Center is also ranked as the top hospital in Hawaii by U.S. News and World Reports and is nationally ranked in five adult specialties, including top 15 for orthopedic care.
Other top-ranked hospitals in Hawaii include the Straub Medical Center, with an NPR of $537 million, and the Kapiolani Medical Center for Women & Children, with an NPR of $437 million. The Kapiolani Medical Center is Hawaii's leader in care for women, children, and infants and offers specialty services such as 24-hour emergency pediatric care, intensive care for infants and children, and maternal-fetal medicine.
Other notable hospitals in Hawaii include the Ka'u Hospital, the Hilo Benioff Medical Center, the Kahuku Medical Center, and the Kauai Veterans Memorial Hospital.
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The top-ranked hospital is Queen's Medical Center
There are 28 hospitals in Hawaii, spread across six of its 137 islands. The top-ranked hospital in Hawaii is the Queens Medical Center, which is also the largest private, nonprofit hospital in Honolulu. It was founded in 1859 by Queen Emma and King Kamehameha IV of Hawaii and is named after them. The centre has over 600 staffed beds and 30,000 patient discharges. It is ranked by U.S. News & World Reports as the top hospital in Hawaii and is nationally ranked in five adult specialties, making the top 15 for orthopedic care.
The Queen's Medical Center is one of four hospitals that are a part of The Queen's Health System. It has the highest net patient revenue (NPR) in Hawaii, with an NPR of $1.4 billion. This is over three times higher than the next hospital on the list, Straub Medical Center, with an NPR of $537 million. The high revenue can be attributed to the high number of staffed beds and patient discharges.
The second-highest NPR in Hawaii is that of the Straub Medical Center, a not-for-profit medical centre that is a part of the Hawaii Pacific Health IDN. It includes a network of neighbourhood clinics and a visiting specialist programme that extends through Hawaii. The Straub Medical Center houses the only multi-disciplinary burn treatment unit in the Pacific Region and is fully accredited by The Joint Commission.
The Kapiolani Medical Center for Women and Children has Hawaii's third-highest net patient revenue, with an NPR of $437 million. The Kapiolani Maternity Home was built in 1890 by Queen Kapiolani. In 1978, the hospital merged with the Kaukikeolani Children's Hospital, creating the Kapiolani Medical Center for Women and Children. They are now Hawaii's leader in care for women, children, and infants and are a part of the Hawaii Pacific Health IDN. Specialty services at Kapiolani include 24-hour emergency paediatric care, intensive care for infants and children, high-risk perinatal care, maternal-fetal medicine, air transport, and women's health services.
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33% of Hawaii's net patient revenue comes from Honolulu hospitals
Hawaii is ranked as the best state for healthcare in the US, topping lists for healthcare access, quality, and public health. The state has approximately 32 hospitals and 11 integrated delivery networks (IDNs), serving its population of nearly 1.5 million people.
When it comes to financial performance, a key metric is net patient revenue (NPR), which is the money generated from patient services and insurance. Interestingly, 33% of Hawaii's NPR comes from hospitals in Honolulu. This is not surprising given that the top-ranked hospital in Hawaii, Queen's Medical Center, is located in Honolulu. With an NPR of $1.4 billion, Queen's Medical Center is the largest private, nonprofit hospital in the state. It is ranked highly in several adult specialties, including orthopedic care.
The second-highest NPR in Hawaii is recorded by Straub Medical Center, a not-for-profit institution that is part of the Hawaii Pacific Health IDN. With an NPR of $537 million, Straub Medical Center houses the Pacific Region's only multidisciplinary burn treatment unit and is fully accredited.
The concentration of top-performing hospitals in Honolulu, as indicated by their significant contribution to the state's NPR, is an important consideration for healthcare commercialization strategies. It highlights the value of location-based insights in shaping healthcare development and investment decisions.
In summary, while Hawaii boasts an impressive healthcare system with widespread access and quality, the revenue distribution underscores the role of Honolulu's leading hospitals in driving the state's healthcare performance and shaping strategic considerations for the industry.
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Lanai Community Hospital has 14 beds
In 2020, there were 28 hospitals in Hawaii, spread across six of its 137 islands. One of these hospitals is Lanai Community Hospital, which is located at 628 7th Street, Lanai City, and has 14 beds. Lanai Community Hospital is the only hospital on the island of Lanai and is managed by Maui Health, which also manages two hospitals on Maui. Maui Health is affiliated with Kaiser Permanente. Lanai Community Hospital is a community health centre providing primary care, dental, behavioural health, and selected specialty services. It is open 24 hours a day, seven days a week, and offers 24-hour urgent and limited emergency care, as well as skilled and long-term care services.
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Kapiolani Medical Center for Women & Children is Hawaii's third-highest net patient revenue hospital
There are 28 hospitals in Hawaii, with hospitals on six of the state's 137 islands. The Kapiolani Medical Center for Women and Children, established in 1978, is one of the most prominent hospitals in the state. It was formed by the merger of the Kauikeōlani Children's Hospital and the Kapiʻolani Hospital. The Kapiolani Medical Center has a rich history, with its origins dating back to 1884 when Princess Victoria Kekaulike willed her home to be used as a maternity home for Hawaiian mothers. The centre has expanded over the years, merging with other medical facilities and acquiring new buildings.
The Kapiolani Medical Center for Women and Children is highly regarded for its maternity, women's health, and pediatric services. It has been recognised for its contributions, with events such as the Ninth Annual Ko Olina Children's Festival raising funds for the centre. In addition to its medical services, the centre has also been a site for labour disputes, with unionised nurses engaging in a one-day strike in 2024 over staffing levels and wages.
The Kapiolani Medical Center for Women and Children is Hawaii's third-highest net patient revenue hospital, demonstrating its significance within the state's healthcare system. While the specific figures are not publicly available, its ranking among hospitals in Hawaii underscores its financial performance and the value it brings to the state's healthcare infrastructure.
The centre's high ranking in net patient revenue is a testament to the quality of care it provides and the trust placed in its services by the community. As one of the leading medical facilities in Hawaii, the Kapiolani Medical Center for Women and Children continues to play a vital role in meeting the healthcare needs of women and children across the state.
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Frequently asked questions
According to the American Hospital Directory, there were 28 hospitals in Hawaii in 2020. Hospitals are present on six of Hawaii's 137 islands.
The hospital with the highest net patient revenue in Hawaii is Queen's Medical Center, with an NPR of $1.4 billion. This is followed by Straub Medical Center, with an NPR of $537 million, and Kapiolani Medical Center for Women & Children, with an NPR of $437 million.
The top-ranked hospital in Hawaii is the Queen's Medical Center in Honolulu. It is the largest private, nonprofit hospital in the city and is ranked by U.S. News & World Reports as the top hospital in the state. It is also nationally ranked in adult specialties.
Some other notable hospitals in Hawaii include the Ka'u Hospital, the Hawaii State Hospital, the Hilo Benioff Medical Center, the Kahuku Medical Center, the Kauai Veterans Memorial Hospital, and the Kaiser Permanente Moanalua Medical Center.
























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