State of the System
Every figure below carries its source, its retrieval date, and its mode. Nothing modeled is presented as measured. When a figure changes, the change is logged in the Corrections Log.
$188.9M
$188,892,439.75 for the first budget period; five annual awards depend on federal reporting and award decisions
Source: CMS award announcement, 29 December 2025; Governor's release, 6 January 2026 · retrieved September 10, 2026
$58M
$45M to JABSOM HOME RUN workforce awards and $13M to the Department of Health for ambulances and emergency communications
Source: Office of the Governor release, 1 September 2026 · retrieved September 10, 2026
644 FTE
832.6 FTE island-adjusted
Source: JABSOM Area Health Education Center, Hawaiʻi Physician Workforce Assessment 2025 · retrieved September 6, 2026
Preliminary 2026 figures were expected 12 September 2026; this row is flagged for update when they are published.
43%
223.6 FTE, up from 201 FTE in 2024
Source: JABSOM Area Health Education Center, Hawaiʻi Physician Workforce Assessment 2025 · retrieved September 6, 2026
41%
179.2 FTE
Source: JABSOM Area Health Education Center, Hawaiʻi Physician Workforce Assessment 2025 · retrieved September 6, 2026
35%
45.0 FTE, the highest primary care shortfall by percentage in the state
Source: JABSOM Area Health Education Center, Hawaiʻi Physician Workforce Assessment 2025 · retrieved September 6, 2026
604,628
34 HPSA designations; 67.05% of need met
Source: HRSA, Designated HPSA Quarterly Summary · retrieved June 30, 2026
+107%
Listed clinicians against a verified truth set of 1,994 practicing primary care clinicians (Cut B, the milder accurate figure; the physician-only cut is +180%)
Source: HHIP over HMSA Report 403 (DHS UIPA), DCCA PVL, NPPES · retrieved May 5, 2026
4,867 → 946
4,867 raw rows, 2,738 unique NPIs, 1,260 validated primary care clinicians, 946 accepting new patients
Source: HHIP over NPPES, DCCA PVL, PECOS, and the Hawaiʻi APCD · retrieved May 5, 2026
$1,000,000
Aggregate annual assessment on health carriers for network regulation
Source: HRS 431:2-216(a) and (b) · retrieved August 13, 2026
147
10.2 per 100,000 residents, net of forensic and youth-only beds; consensus minimum benchmark 30 per 100,000
Source: SHPDA 2023 Healthcare Utilization Report, Table 8; Census Vintage 2024 denominator · retrieved August 2, 2026
45.7 per 100,000
Age-adjusted, 2022 to 2024; the 2021 to 2023 rate was 51.1; Healthy People 2030 target 33.4
Source: Hawaiʻi Health Data Warehouse, indicator 1307 · retrieved August 13, 2026
42.8 per 100,000
Age-adjusted, 2022 to 2024; Honolulu 36.4; Kauaʻi 31.6
Source: Hawaiʻi Health Data Warehouse, indicator 1307 · retrieved August 13, 2026
r = −0.50
0.068 percentage points of screening lost per mile (p = 0.010), 26 ZIP tabulation areas; ecological, community-level
Source: HHTF and HHIP analysis over CDC PLACES 2022 and FDA MQSA facility locations · retrieved August 11, 2026
69.8% vs 79.5%
Hawaiʻi County against Honolulu, age-adjusted; a modeled small-area estimate, not a direct count
Source: CDC PLACES 2022 · retrieved August 11, 2026
3,138
HMSA 49.2% of member months; HMSA and Kaiser together 74.1%; a national state average is near 2,300
Source: HHIP computed from NAIC Market Share Reports, plan year 2024 · retrieved May 1, 2026
Figures are drawn from the Task Force claims registry maintained by David Isei. Registry counts are ceilings; claims-based counts are floors. Ecological analyses describe communities, not individuals.
Corrections Log