Business phone system for assisted living facilities for the elderly in Hawaii
43 assisted living facilities for the elderly operated in Hawaii in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 43CBP 2023
- Employees
- 605mid-March 2023
- Per 100k residents
- 3.0U.S. 6.1
- State rank
- 46th of 51by count
The assisted living community industry in Hawaii
The Census Bureau counted 43 assisted living facilities for the elderly in Hawaii in its 2023 County Business Patterns (NAICS 623312). They employed 605 people in mid-March and reported $23.8 million in annual payroll. That is the 46th highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.13% of the 32,911 business establishments in the state.
Per 100,000 residents (2024 estimate) Hawaii has 3.0 assisted living facilities for the elderly, 51.6% below the national rate of 6.1. The average establishment has 14.1 employees against 24.3 nationally. Payroll per employee is $39,339, 12.8% above the U.S. figure of $34,874.
| Measure | Hawaii | United States |
|---|---|---|
| Establishments | 43 | 20,884 |
| Mid-March employees | 605 (moderate noise) | 508,230 |
| Annual payroll | $23,800,000 (moderate noise) | $17,723,940,000 |
| Employees per establishment | 14.1 | 24.3 |
| Payroll per employee | $39,339 | $34,874 |
| Establishments per 100,000 residents | 3.0 | 6.1 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
Where assisted living facilities for the elderly in Hawaii are concentrated
Census published assisted living community counts for 2 metro or micropolitan areas that include part of Hawaii. The largest is Urban Honolulu, HI, with 38 establishments. Single-state metro and micropolitan areas account for 95% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Urban Honolulu, HI | 38 | — | 3.8 |
| Kapaa, HI | 3 | — | 4.1 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at assisted living facilities for the elderly in Hawaii
45.2% of Hawaii's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 66.7% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 19 | 45.2% | 33.3% |
| 5–9 employees | 9 | 21.4% | 14.8% |
| 10–19 employees | 8 | 19.0% | 14.0% |
| 20–49 employees | 3 | 7.1% | 22.4% |
| 50 or more employees | 3 | 7.1% | 15.5% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
Calls an assisted living community in Hawaii has to catch
Families researching assisted living usually start with a phone call, and those calls come at all hours from adult children juggling work. Existing residents' families also call regularly for updates. That holds for assisted living facilities for the elderly in Hawaii as much as anywhere.
Calls an assisted living community in Hawaii might handle in a typical week include:
- A resident's family calls to check on a care update.
- A vendor calls to confirm a delivery.
- A hospital case manager calls about a possible placement.
When nobody can pick up
Evening inquiry calls from families are common, so capturing them and calling back promptly matters.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
What a phone system costs an assisted living community in Hawaii
Assisted living facilities for the elderly in Hawaii average 14.1 employees, so the comparison uses a 14-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 14 users on RingCentral RingEX Core cost $420.00 a month and 14 on Ooma Office Pro cost $349.30. On Callata the same 14 people cost $279.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $1,692. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $279.00 | $3,348.00 |
| Quo (Starter) | $19.00 per user | $266.00 | $3,192.00 |
| Nextiva (Core) | $23.00 per user | $322.00 | $3,864.00 |
| Ooma (Office Pro) | $24.95 per user | $349.30 | $4,191.60 |
| Dialpad (Standard) | $27.00 per user | $378.00 | $4,536.00 |
| RingCentral (RingEX Core) | $30.00 per user | $420.00 | $5,040.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Area codes in Hawaii
Hawaii has 1 geographic area code in service according to NANPA. You can choose local numbers in the area codes your residents and families know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 808 | 693 | — | 1957 | none |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
How Callata works for assisted living facilities for the elderly in Hawaii
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
If you already have a number in Hawaii, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many assisted living facilities for the elderly are in Hawaii?
43 in 2023, according to Census County Business Patterns. They employed 605 people in mid-March.
Which Hawaii metro area has the most assisted living facilities for the elderly?
Urban Honolulu, HI, with 38 establishments in 2023.
What does a phone system cost a 14-person assisted living community?
$420.00 a month on RingCentral RingEX Core or $349.30 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $279.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Hawaii number?
Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.