As of the July, 2022, release via CMS


HALE HOOLA HAMAKUA


  • CMS id: 121307
  • 45 - 547 PLUMERIA STREET, HONOKAA HI 96727. County: HAWAII
  • System: HAWAII HEALTH SYSTEMS CORP
  • CBSA: Hilo, HI

The 77-bed, CAH hospital had $-2,567,554 in net service to patients*, with a total profit margin of 14.17589% in fiscal year 2021, the latest year available.
It spent 0.51% of its operating expenses on uncompensated care and reported $2,658,814 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.


Details

2017 2018 2019 2020 2021
# of days in fyear 365 365 365 366 365
Ownership
gov gov gov gov gov
Acute beds
Median
11
23
11
23
11
23
11
23
11
23
Total beds
Median
77
25
77
25
77
25
77
25
77
25
FTEs
Median
162.69
149.18
107.95
151.6
127.54
151.58
123.93
152.78
0.00
151.99

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

2017 2018 2019 2020 2021
Net patient revenue ?
Median
17,620,535
19,395,819
17,377,790
19,790,685
19,757,910
20,891,573
17,391,298
20,752,910
18,477,838
22,925,976
Operating expenses
Median
16,811,501
21,082,256
18,661,782
21,740,728
19,023,043
22,449,917
19,959,337
23,028,561
21,045,392
24,906,213
Net income from service 2 patients (NS2P) ?
Median
809,034
-1,166,928
-1,283,992
-1,178,891
734,867
-1,189,234
-2,568,039
-1,989,193
-2,567,554
-1,175,562
NS2P margin ?
Median
4.59%
-6.37
-7.39%
-6.47
3.72%
-6.58
-14.77%
-10.52
-13.90%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HALE HOOLA HAMAKUA compared to all** CAH hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.


* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
1,560,798
1,517,926
2,511,471
1,554,100
2,440,970
1,708,825
4,861,818
3,606,354
6,043,701
4,946,640
Total income ?
Median
2,369,832
445,049
1,227,479
379,292
3,175,837
655,032
2,293,779
1,453,054
3,476,147
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
2,369,832
309,249
1,227,479
305,537
3,175,837
515,321.5
2,293,779
1,282,423
3,476,147
3,678,491
Net margin
Median
12.35489%
1.7%
6.17157%
1.61%
14.30629%
2.36%
10.30768%
5.41%
14.17589%
13.38%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.


Range* of total profit (loss) margins

= Total margin for HALE HOOLA HAMAKUA compared to all** CAH hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.


* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
55,813
1,512,374
45,608
1,478,094
16,551
1,365,460
27,069
1,289,169
0
1,354,214
All outpatient revenue
Median
Click here to show/hide details
473,150
4,108,627
566,841
4,367,646
496,901
4,566,928
513,777
4,517,324
560,897
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
0
553,475.5
74,193
567,149
121,538
599,174.5
337,040
641,417
2,658,814
631,057
Charity care
Median
150
190,496
24,177
225,101
8,198
238,624
0
260,478.5
0
225,887
Uncompensated care (UCC)
Median
103,672
860,218.5
466,868
933,428
283,563
986,290
70,073
998,939
106,541
871,713
UCC as a %
of operating expenses
Median
0.62%
3.77
2.50%
3.82
1.49%
3.7
0.35%
3.74
0.51%
3.04
Total shortfall/UCC
Median
103,672
1,405,482
541,061
1,525,979
405,101
1,576,055
407,113
1,691,815
2,765,355
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
6,938,480
8,521,101
7,347,604
8,786,419
8,002,629
9,086,354
7,998,851
9,512,636
8,424,313
9,933,360
Salaries as a % of operating expenses
Median
41.27
42.53
39.37
42.58
42.07
42.62
40.08
42.72
40.03
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* in an approved program


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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

  • Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.
  • In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.