Kipuka o ke Ola

What Kipuka o ke Ola does

Kipuka o ke Ola (KOKO), legally Five Mountains Hawaii, is a 501c3 non-profit Independent Rural Health Clinic founded in 2013 and headquartered in Kamuela, Hawai'i. It delivers an integrated care model that combines Western primary care, pediatric care, psychiatric services, behavioral health, women's health, and Transcranial Magnetic Stimulation (TMS) with traditional Hawaiian healing practices — Lomilomi massage and la'au lapa'au — to address chronic disease and behavioral health needs among Native Hawaiians and broader North Hawai'i Island residents. The organization is DHHL beneficiary-led, with all Board members being Department of Hawaiian Home Lands Homestead beneficiaries, and operates from a culturally informed, community-anchored governance model.

KOKO monetizes through three revenue streams: clinical services billed to Medicaid, Medicare, and other insurance plans (with a Sliding Fee Discount Program ensuring access regardless of income); multi-year Administration for Native Americans (ANA) federal grants supporting dedicated programs (Kula Wai for healthcare navigation and Ulu Laukahi Holomua for chronic disease management); and tax-deductible donations from individuals and agencies. Patient access is facilitated through in-person care at the Kamuela clinic, online appointment scheduling and telehealth via the HEALOW platform, and community outreach events. KOKO is materially expanding capacity with Hale o ka Piko, a 14,700-square-foot facility on seven acres of Hawaiian Homes leased land in Waimea Nui (groundbreaking April 3, 2026), designed to house nine providers and expanded community programming space. Technically, the clinic operates on a lean stack (Squarespace website, HEALOW integration, standard EHR workflows) and has no disclosed AI/ML capabilities; its principal technology differentiator is the cultural-clinical integration model rather than software.

Name

Kipuka o ke Ola

Legal name

Five Mountains Hawaii, dba Kipuka o ke Ola

Website

https://kipukaokeola.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

Kipuka o ke Ola (KOKO) is a Native Hawaiian beneficiary-led Rural Health Clinic in Kamuela, Hawaii, providing integrated primary care, behavioral health, psychiatric services, TMS, and traditional Hawaiian healing to North Hawaii Island residents, with emphasis on Native Hawaiian communities.

Ownership category

akta.pro rank

Headquarters

HQ city

Kamuela

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Clinical Services Revenue: Direct healthcare services billing to patients and insurance providers including Medicaid, Medicare, and other health insurance plans
2. Government Grants: Funding from Administration for Native Americans (ANA) grants including Grant Number 90WA8506 supporting Kula Wai program and Grant Number 90NA8506 supporting Ulu Laukahi program
3. Donations: 501c3 non-profit accepting tax-deductible donations from individuals and agencies to support clinic operations and new facility construction

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Kipuka o ke Ola (KOKO) is an independent Native Hawaiian Rural Health Clinic that delivers primary care, pediatric care, psychiatric and behavioral health services, women's health, transcranial magnetic stimulation, and traditional Hawaiian Lomilomi massage to residents of North Hawai'i Island. The clinic supplements clinical care with the Kula Wai patient navigation program (funded by ANA Grant 90WA8506) and the Ulu Laukahi Holomua chronic disease management program (funded by ANA Grant 90NA8506).

Product overview

Kipuka o ke Ola (KOKO) is a Native Hawaiian Rural Health Clinic offering a comprehensive suite of healthcare services delivered through a patient-centered medical home model. The clinic provides core clinical services including Primary Care, Pediatric Care, Women's Health, Psychiatric Services, Behavioral Health, Transcranial Magnetic Stimulation (TMS), and Lomilomi Massage. These services are complemented by community support programs: Kula Wai (a navigation program for breaking down healthcare barriers, funded by Administration for Native Americans) and Ulu Laukahi Holomua (a chronic disease management program for Native Hawaiians with conditions like diabetes, hypertension, and depression). The clinic is expanding with the development of Hale o ka Piko, a new 14,700-square-foot facility in Waimea Nui, which will house multiple providers offering the same comprehensive service array in an expanded setting.

Differentiator

Problem solved

Functional benefit

Brands

• Kula Wai: A program funded through a grant from the Administration for Native Americans (ANA) that provides vital assistance to help residents navigate and overcome healthcare obstacles.
• Ulu Laukahi Holomua

Products and services

• Primary Care General primary healthcare services for patients of all ages, covering routine medical care, health maintenance, and disease prevention. Targeted at individuals and families in North Hawai'i Island, including Native Hawaiian DHHL beneficiaries and broader community members.
• Pediatric Care Specialized healthcare services for children from infancy through adolescence, including well-child visits and developmental assessments for North Hawai'i Island families.
• Psychiatric Services Mental health services including psychiatric medication management provided by psychiatric nurse practitioners for conditions such as depression, anxiety, and treatment-resistant mental health needs.
• Women's Health Comprehensive reproductive and gynecological healthcare services for women, including annual exams, preventive care, and reproductive health management for North Hawai'i Island patients.
• Transcranial Magnetic Stimulation (TMS) Non-invasive brain stimulation therapy administered for treatment-resistant depression and other mental health conditions, delivered by trained TMS technicians using dedicated TMS equipment.
• Behavioral Health Mental health and psychotherapy services including individual therapy, assessment, and behavioral health counseling across populations served in North Hawai'i.
• Lomilomi Massage Traditional Hawaiian massage therapy provided by a Traditional Healing Practitioner, incorporating cultural healing practices for physical and mental wellness; la'au lapa'au integration under development.
• Kula Wai Community navigation program funded by the Administration for Native Americans (ANA) that helps North Hawai'i Island residents overcome healthcare barriers, including assistance with applications for financial, housing, and health insurance support programs such as TANF, SNAP, utility assistance, specialty care referrals, healthcare travel assistance, and chronic disease program enrollment.
• Ulu Laukahi Holomua Chronic disease management program for Native Hawaiians living with two or more chronic conditions (obesity, hypertension, hyperlipidemia, diabetes, depression, and anxiety), providing health literacy coaching and ongoing disease management support.
• Sliding Fee Discount Program Sliding-fee financial assistance program applied to clinical services based on income and family size, ensuring access regardless of financial circumstances and without denial based on race, color, sex, national origin, age, disability, religion, sexual orientation, or gender identity.

Quantifiable outcome

• Serving a population with 41% Native Hawaiian (second-highest per capita in Hawai'i)
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature1 record

Partnerships

Two partnerships are on record, tiered minor and core.

• Malama Makali'iminorStrategic or Co-development PartnerKOKO partnered with Malama Makali'i to provide a first aid station at the Malama Makali'i Ocean Festival 2026 event, supporting community wellness and engagement.
• Department of Hawaiian Home Lands (DHHL)coreStrategic or Co-development PartnerKOKO is a DHHL Beneficiary-led organization situated within Waimea Nui Homestead Region. All Board of Directors are DHHL Homestead beneficiaries, ensuring authentic community representation. The new Waimea Nui facility is located on Hawaiian Homes leased land.

Scale indicators6 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Southcentral Foundation: Alaska Native-serving tribal health organization operating a comprehensive primary care, behavioral health, and traditional healing system. Comparable in integrating indigenous traditional practices with Western medicine at larger scale.

Direct peers

• Native American Health Center: Oakland-based community health center serving Native American/Alaska Native, urban Indian, and other underserved populations with primary care, behavioral health, and traditional healing. Comparable indigenous-community health model.
• Ke Ola Mamo: Oʻahu-based Native Hawaiian Health Care System delivering primary care and cultural health services to Native Hawaiians. Comparable population and culturally informed care delivery.
• Indian Health Center of Santa Clara Valley: California-based FQHC serving American Indian/Alaska Native populations with primary care, behavioral health, and traditional healing. Comparable indigenous-serving primary care model with cultural integration.
• Waiʻanae Coast Comprehensive Health Center: Large Native Hawaiian-serving FQHC on Oʻahu offering primary care, behavioral health, and traditional healing practices. Comparable mission and cultural integration, with significantly larger scale and broader service lines.
• Hui No Ke Ola Pono: Maui-based Native Hawaiian Health Care System providing primary care, health education, and cultural health programs. Directly comparable in mission and indigenous-community governance model.
• Waimānalo Health Center: Hawaiʻi-based FQHC serving Native Hawaiian communities on Oʻahu with primary care, behavioral health, dental, and culturally informed services. Closest comparable in mission, population served, and integrated care model.

Regional players

• Bay Clinic: Big Island Hawaiʻi FQHC serving East Hawaiʻi with primary care, behavioral health, and chronic disease management. Comparable community health center model in adjacent geography.
• Molokaʻi Community Health Center: Hawaiʻi-based FQHC on Molokaʻi offering primary care, behavioral health, and chronic disease management. Comparable rural/community setting and service mix; operates in a different island geography.
• Hāna Health: Rural Maui FQHC providing primary care, dental, and behavioral health in an underserved community. Comparable rural Hawaiʻi community health context with similar grant-dependent funding model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/kipuka-o-ke-ola

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Kipuka o ke Ola