Kohala Hospital
Kapaau, Hawaii County, HI
· CCN 121302
Licensed to Kohala Hospital
Composite
35.8
rank score
Distress
35
FY2024
Fit
50
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- liabilities exceed assets
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- strong occupancy — good iteration surface
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $15.5M |
| Operating margin | -25.3% |
| Total margin | 13.4% |
| Days cash on hand | 181 |
| Current ratio | 3.74 |
| Occupancy | 67% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $7.8M | $-3.4M | -81.0% | -31.4% | 86 | 2.11 | 79% | 6 | 66 |
| 2022 | 25 | $15.8M | $6.7M | 11.9% | 32.5% | 138 | 2.82 | 85% | 2 | 16 |
| 2023 | 25 | $19.7M | $6.5M | 10.2% | 26.9% | 170 | 3.31 | 80% | 2 | 11 |
| 2024 | 25 | $15.5M | $3.0M | -25.3% | 13.4% | 181 | 3.74 | 67% | 2 | 35 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Eugene Amar | w-2 managing employee | 100 | 2013-06 | |
| Kohala Hospital | operational/managerial control | 100 | 2013-06 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in HI
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2017-07-01 | Maui Health System A Kaiser... | Lanai Community Hospital | Lanai Community Hospital | 4 |
| 2017-07-01 | Maui Health System A Kaiser... | Kula Hospital | Kula Hospital | 9 |