CallataGuides

Business phone system for home health care agencies in Hawaii

103 home health care agencies operated in Hawaii in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
103CBP 2023
Employees
4,064mid-March 2023
Per 100k residents
7.1U.S. 12.0
State rank
43rd of 51by count

Home health care agencies in Hawaii by the numbers

Hawaii had 103 home health care agencies in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 4,064 people in mid-March and reported $178.2 million in annual payroll. That is the 43rd highest count among the 51 states and DC with published figures. Home health care agencies make up 0.31% of the 32,911 business establishments in the state.

Per 100,000 residents (2024 estimate) Hawaii has 7.1 home health care agencies, 40.6% below the national rate of 12.0. The average establishment has 39.5 employees against 39.7 nationally. Payroll per employee is $43,853, 15.1% above the U.S. figure of $38,091.

Home health care agencies: Hawaii compared with the U.S., 2023
MeasureHawaiiUnited States
Establishments10340,762
Mid-March employees4,064 (moderate noise)1,618,759
Annual payroll$178,220,000 (moderate noise)$61,660,393,000
Employees per establishment39.539.7
Payroll per employee$43,853$38,091
Establishments per 100,000 residents7.112.0

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.

Home health care agencies by metro area in Hawaii

Census published home health agency counts for 4 metro or micropolitan areas that include part of Hawaii. The largest is Urban Honolulu, HI, with 63 establishments. Single-state metro and micropolitan areas account for 99% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Home health care agencies by metro or micropolitan area, Hawaii, 2023
AreaEstablishmentsEmployeesPer 100k residents
Urban Honolulu, HI632,7416.3
Hilo, HI176708.1
Kahului, HI154549.2
Kapaa, HI71989.5

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at home health care agencies in Hawaii

30.1% of Hawaii's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 36.9% 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.

Home health care agencies in Hawaii by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees3130.1%35.7%
5–9 employees76.8%11.8%
10–19 employees1312.6%14.8%
20–49 employees2322.3%20.2%
50 or more employees2928.2%17.6%

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.

What home health care agencies in Hawaii use the phone for

Home health agencies coordinate clinicians in the field with patients, families, physicians and payers, so the office phone is a dispatch line as much as a reception desk. Clinicians need to make calls from their own cell phones without exposing personal numbers.

Typical inbound and outbound calls for home health care agencies in Hawaii:

Calls after closing time

Agencies typically need an after-hours path to an on-call staff member, with routine messages captured for the morning.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

What a phone system costs a home health agency in Hawaii

Home health care agencies in Hawaii average 39.5 employees, so the comparison uses a 39-person team. Priced per seat, 39 users would run $1,170.00 a month on RingCentral RingEX Core and $973.05 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 39 people cost $779.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $4,692. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 39-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$779.00$9,348.00
Quo (Starter)$19.00 per user$741.00$8,892.00
Nextiva (Core)$23.00 per user$897.00$10,764.00
Ooma (Office Pro)$24.95 per user$973.05$11,676.60
Dialpad (Standard)$27.00 per user$1,053.00$12,636.00
RingCentral (RingEX Core)$30.00 per user$1,170.00$14,040.00

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 patients 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 home health care agencies in Hawaii

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every 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 home health care agencies are in Hawaii?

103 in 2023, according to Census County Business Patterns. They employed 4,064 people in mid-March.

Which Hawaii metro area has the most home health care agencies?

Urban Honolulu, HI, with 63 establishments in 2023.

What does a phone system cost a 39-person home health agency?

$1,170.00 a month on RingCentral RingEX Core or $973.05 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $779.00 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.