Rural hospitals in Hawaii
13 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.
CMS snapshot: Q2 2026. Not a live status check.
Hawaii
Three types. One directory.
Critical access (CAH)
Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.
Rural emergency (REH)
Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.
Rural PPS
Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.
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13 hospitals in Hawaii
| Hospital | Type | Beds* |
|---|---|---|
Hilo Benioff Medical Center Hilo, HI 96720 | Rural PPS | 142 |
Honoka'A Hospital And Skilled Nursing Honokaa, HI 96727 | CAH | 11 |
Kahuku Medical Center Kahuku, HI 96731 | CAH | 11 |
Kau Hospital Pahala, HI 96777 | CAH | 21 |
Kauai Veterans Memorial Hospital Waimea, HI 96796 | CAH | 25 |
Kohala Hospital Kapaau, HI 96755 | CAH | 25 |
Kona Community Hospital Kealakekua, HI 96750 | Rural PPS | 60 |
Kula Hospital Kula, HI 96790 | CAH | 9 |
Lanai Community Hospital Lanai City, HI 96763 | CAH | 4 |
Molokai General Hospital Kaunakakai, HI 96748 | CAH | 13 |
North Hawaii Community Hospital, Inc Kamuela, HI 96743 | Rural PPS | 33 |
Samuel Mahelona Memorial Hospital Kapaa, HI 96746 | CAH | 14 |
Wilcox Memorial Hospital Lihue, HI 96766 | Rural PPS | 71 |
*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.
About this list
CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.
Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.
- CMS Provider of Services — Q2 2026 hospital file
- CMS FY 2026 IPPS final-rule impact file
- CMS provider-type and field definitions
Downloaded November 6, 2026. Different CMS files can have different counts and dates.