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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.

Assisted living facilities for the elderly: Hawaii compared with the U.S., 2023
MeasureHawaiiUnited States
Establishments4320,884
Mid-March employees605 (moderate noise)508,230
Annual payroll$23,800,000 (moderate noise)$17,723,940,000
Employees per establishment14.124.3
Payroll per employee$39,339$34,874
Establishments per 100,000 residents3.06.1

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.

Assisted living facilities for the elderly by metro or micropolitan area, Hawaii, 2023
AreaEstablishmentsEmployeesPer 100k residents
Urban Honolulu, HI38—3.8
Kapaa, HI3—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.

Assisted living facilities for the elderly in Hawaii by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1945.2%33.3%
5–9 employees921.4%14.8%
10–19 employees819.0%14.0%
20–49 employees37.1%22.4%
50 or more employees37.1%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:

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.

Monthly list price for a 14-person assisted living community
Provider (plan)Pricing basisPer monthPer 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 codes in Hawaii by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
808693—1957none

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.