Regions and Facilities


HHSC is comprised of five regions that make up the HHSC system. These regions are East Hawaii, West Hawaii, KauaiOahu, and Maui*. The HHSC enterprise has over 70 affiliation agreements with educational institutions that provide training and residency programs for physicians, nurses, and other healthcare professionals.

*Pursuant to Act 103 (2015 SLH), on July 1, 2007, HHSC transferred the management and operation of its three (3) Maui hospitals to Maui Hospital Systems, A Kaiser Foundation Hospitals LLC (“MHS”).  HHSC leases the land and the buildings to MHS under a thirty (30) year lease.


HHSC operates 847 licensed beds in facilities located on four different islands.  In Fiscal Year 2018, HHSC hospitals provided a total of 13,726 acute care admissions, 408 long-term care admissions, 77,137 long-term care patient days; 1,872 babies born and 91,214 emergency room visits.


  • Kahuku Medical Center: A critical access hospital and long-term care facility in rural Oahu
  • Ali’i Community Care Inc. dba Roselani Place: assisted living on Maui, and Ali’i Health Center: a physician practice in Kona
  • Hawaii Health Systems Foundation