CallataGuidesBusiness phone system for nursing care facilities in Hawaii
56 nursing care facilities operated in Hawaii in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 56CBP 2023
- Employees
- 4,720mid-March 2023
- Per 100k residents
- 3.9U.S. 5.3
- State rank
- 47th of 51by count
Nursing care facilities in Hawaii by the numbers
Hawaii had 56 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 4,720 people in mid-March and reported $218.5 million in annual payroll. That is the 47th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.17% of the 32,911 business establishments in the state.
Per 100,000 residents (2024 estimate) Hawaii has 3.9 nursing care facilities, 27.3% below the national rate of 5.3. The average establishment has 84.3 employees against 78.7 nationally. Payroll per employee is $46,292, 4.1% above the U.S. figure of $44,479.
| Measure | Hawaii | United States |
|---|---|---|
| Establishments | 56 | 18,126 |
| Mid-March employees | 4,720 | 1,426,754 |
| Annual payroll | $218,499,000 | $63,460,785,000 |
| Employees per establishment | 84.3 | 78.7 |
| Payroll per employee | $46,292 | $44,479 |
| Establishments per 100,000 residents | 3.9 | 5.3 |
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.
Hawaii's largest markets for nursing care facilities
Census published nursing care facility counts for 4 metro or micropolitan areas that include part of Hawaii. The largest is Urban Honolulu, HI, with 42 establishments. Single-state metro and micropolitan areas account for 100% 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 | 42 | 3,303 | 4.2 |
| Hilo, HI | 8 | 746 | 3.8 |
| Kahului, HI | 3 | — | 1.8 |
| Kapaa, HI | 3 | — | 4.1 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in Hawaii
12.5% of Hawaii's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 17.9% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 7 | 12.5% | 12.9% |
| 5–9 employees | 3 | 5.4% | 4.0% |
| 10–19 employees | 3 | 5.4% | 5.2% |
| 20–49 employees | 6 | 10.7% | 14.3% |
| 50 or more employees | 37 | 66.1% | 63.5% |
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.
Why the phone matters for nursing care facilities in Hawaii
Skilled nursing facilities field admission inquiries, family calls and calls from hospitals and physicians, and each needs to reach a different department. Reliable routing keeps admission calls from waiting behind routine questions.
Typical inbound and outbound calls for nursing care facilities in Hawaii:
- A job applicant calls about open nursing shifts.
- A hospital discharge planner calls about an admission.
- A pharmacy calls to confirm medication orders.
Texting residents and families
Facilities text visiting updates and care-conference reminders to families.
Texting from a local number in Hawaii requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for an 84-person nursing care facility
Nursing care facilities in Hawaii average 84.3 employees, so the comparison uses an 84-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 84 users on RingCentral RingEX Core cost $2,520.00 a month and 84 on Ooma Office Pro cost $2,095.80. Callata comes to $1,679.00 a month for 84 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $10,092 less than RingCentral for a nursing care facility in Hawaii of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $1,679.00 | $20,148.00 |
| Quo (Starter) | $19.00 per user | $1,596.00 | $19,152.00 |
| Nextiva (Core) | $23.00 per user | $1,932.00 | $23,184.00 |
| Ooma (Office Pro) | $24.95 per user | $2,095.80 | $25,149.60 |
| Dialpad (Standard) | $27.00 per user | $2,268.00 | $27,216.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,520.00 | $30,240.00 |
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. Callata includes up to 3 local numbers, so a nursing care facility can hold a number in more than one of them.
| 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 nursing care facilities 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.
Porting a number you already use in Hawaii is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–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 nursing care facilities are in Hawaii?
56 in 2023, according to Census County Business Patterns. They employed 4,720 people in mid-March.
Which Hawaii metro area has the most nursing care facilities?
Urban Honolulu, HI, with 42 establishments in 2023.
What does a phone system cost an 84-person nursing care facility?
$2,520.00 a month on RingCentral RingEX Core or $2,095.80 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,679.00 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.