As of the July, 2022, release via CMS

WILCOX MEMORIAL HOSPTIAL

CMS id: 120014
3-3420 KUHIO HIGHWAY, LIHUE HI 96766. County: KAUAI
System: NAME: HAWAII PACIFIC HEALTH
CBSA: Kapaa, HI

The 72-bed, acute-care hospital had $-13,140,506 in net service to patients*, with a total profit margin of 0.28463% in fiscal year 2021, the latest year available.
It spent 1.76% of its operating expenses on uncompensated care and reported $536,089 in Medicaid shortfall.

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

Note: Medians are from acute-care 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	65 118	65 118	65 119.5	65 118	65 119
Total beds Median	72 162	72 162	72 162	72 162	72 163.5
FTEs Median	920.98 788.06	492.47 793.42	482.52 806.03	484.61 787.61	468.70 804.34

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

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, 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).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	116,813,081 150,932,746	126,753,300 158,950,878	128,386,982 168,696,998	124,589,043 163,454,693	125,414,132 186,589,412
Operating expenses Median	112,438,956 149,311,209	120,153,318 156,110,414	124,615,031 164,890,568	132,297,300 166,516,854	138,554,638 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,374,125 -964,173	6,599,982 -643,601.5	3,771,951 -116,254	-7,708,257 -5,025,862	-13,140,506 -1,284,564
NS2P margin ? Median	3.74% -0.62	5.21% -0.29	2.94% 0.18	-6.19% -5.07	-10.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WILCOX MEMORIAL HOSPTIAL compared to all** acute-care 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 acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	6,091,665 5,089,215	5,967,907 4,572,541	6,551,101 5,268,134	15,224,944 13,092,619	13,607,272 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	605,367 224,999	429,413 199,009	374,201 206,870.5	301,171 194,343	451,001 249,496
⊳ Line 7: Investments ? ⊳ Median	231,243 299,524	168,642 188,688.5	218,639 370,813	181,676 309,361.5	641,912 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	100	678	517	464	676
⊳ Line 11: Rebates and refunds of expenses	0	0	0	4,112	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	7,104	21,030	-5,034	9,854	7,865
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,065,230	1,069,107	1,149,827	1,059,441	708,834
⊳ Line 15: Revenue from rental of living quarters	6,431	6,315	7,108	6,978	6,235
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	114,886	133,301	129,484	415,753	85,348
⊳ Line 18: Revenue from sale of medical records and abstracts	23,714	24,260	19,336	29,961	22,764
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	49,125	47,231	47,870	33,404	3,092
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	240,703	255,160	271,725	220,608	122,950
⊳ Line 21: Rental of vending machines	659	1,443	3,688	4,186	1,749
⊳ Line 22: Rental of hospital space	1,413,365	1,363,174	991,649	1,118,747	1,214,688
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	160,558 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	2,333,738	2,287,595	3,342,091	11,838,589	10,340,158
Total income ? Median	10,465,790 6,586,430	12,567,889 6,767,106	10,323,052 8,419,950	7,516,687 8,094,175	466,766 15,162,888
Non-operating expenses Median	904 146,289.5	10,396 164,857	187,366 89,880.5	193,455 106,761	71,076 31,473.5
Net income Median	10,464,886 6,043,842	12,557,493 5,845,112	10,135,686 7,606,259	7,323,232 7,283,041	395,690 14,957,241
Net margin Median	8.51463% 4.62%	9.46156% 4.42%	7.51136% 5.16%	5.23784% 5.2%	0.28463% 9.25%

* 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 WILCOX MEMORIAL HOSPTIAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	13,798,502 23,241,334	14,148,234 23,709,545	12,493,846 24,248,380	12,663,687 22,858,541	9,648,007 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	13,798,502 21,577,146	14,148,234 22,041,594	12,493,846 22,722,063	12,663,687 21,570,441	9,648,007 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	8,929,403 11,160,864	10,799,172 11,987,345	11,420,831 12,926,866	11,216,421 11,884,480	13,316,799 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	8,929,403 10,918,923	10,799,172 11,706,976	11,420,831 12,615,917	11,216,421 11,458,116	13,316,799 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	263,869 594,888	275,990 595,761	245,117 577,894	248,650 542,168	183,522 549,667
Outlier Median	442,087 582,572	363,765 538,116	239,853 212,434	34,367 126,559	27,593 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,370,135 3,662,910	4,465,820 3,730,911	4,347,590 4,081,319	4,983,616 4,643,908	536,089 4,389,147
Charity care Median	1,462,117 2,654,636	1,213,916 2,940,659	1,289,844 3,380,215	1,631,548 3,488,738	1,759,643 3,233,405
Uncompensated care (UCC) Median	2,382,467 5,147,790	1,873,074 5,337,617	2,165,131 5,711,082	2,288,024 5,923,418	2,434,805 5,508,107
UCC as a % of operating expenses Median	2.12% 3.24	1.56% 3.12	1.74% 3.21	1.73% 3.3	1.76% 2.86
Total shortfall/UCC Median	6,752,602 9,489,989	6,338,894 9,424,297	6,512,721 10,120,158	7,271,640 11,171,337	2,970,894 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,085,610 52,142,039	39,111,647 54,485,252	40,053,390 57,395,589	42,837,621 58,830,919	41,604,166 61,722,907
Salaries as a % of operating expenses Median	32.98 36.68	32.55 36.56	32.14 36.37	32.38 35.93	30.03 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	23,136 1,449,244	15,344 1,475,986	9,448 1,563,078	20,807 1,721,954	2,385 2,991,828
Contract hours, direct-care Median	293.25 22,725	200.75 23,018.5	119.75 24,503.48	232.50 25,026.5	29.50 33,786
Contract wages, direct-care Median	78.90 64.67	76.43 64.53	78.90 65.06	89.49 68.97	80.85 88.94

* 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.