As of the July, 2022, release via CMS

PALI MOMI MEDICAL CENTER

CMS id: 120026
98-1079 MOANALUA ROAD, AIEA HI 96701. County: HONOLULU
System: HAWAII PACIFIC HEALTH
CBSA: Urban Honolulu, HI

The 118-bed, acute-care hospital had $15,871,003 in net service to patients*, with a total profit margin of 17.17543% in fiscal year 2021, the latest year available.
It spent 0.92% of its operating expenses on uncompensated care and reported $2,302,237 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	110 118	110 118	110 119.5	110 118	110 119
Total beds Median	118 162	118 162	118 162	118 162	118 163.5
FTEs Median	892.61 788.06	936.60 793.42	917.68 806.03	928.10 787.61	896.38 804.34

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	231,988,100 150,932,746	236,103,702 158,950,878	258,376,799 168,696,998	242,380,890 163,454,693	266,841,705 186,589,412
Operating expenses Median	211,171,223 149,311,209	227,276,049 156,110,414	249,319,394 164,890,568	257,151,982 166,516,854	250,970,702 180,120,888
Net income from service 2 patients (NS2P) ? Median	20,816,877 -964,173	8,827,653 -643,601.5	9,057,405 -116,254	-14,771,092 -5,025,862	15,871,003 -1,284,564
NS2P margin ? Median	8.97% -0.62	3.74% -0.29	3.51% 0.18	-6.09% -5.07	5.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PALI MOMI MEDICAL CENTER 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	6,982,733 5,089,215	8,645,544 4,572,541	8,815,299 5,268,134	14,371,054 13,092,619	36,428,846 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	229,753 224,999	309,609 199,009	263,102 206,870.5	348,536 194,343	420,795 249,496
⊳ Line 7: Investments ? ⊳ Median	3,371,101 299,524	4,641,490 188,688.5	3,175,279 370,813	4,785,485 309,361.5	15,932,583 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	56	131	936	400	316
⊳ Line 11: Rebates and refunds of expenses	0	0	0	14,975	0
⊳ Line 12: Parking lot receipts	560,089	524,032	641,675	671,375	580,046
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,552,695	1,415,144	1,416,610	1,186,200	897,600
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ 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	0	1,600	600	300	123,525
⊳ Line 18: Revenue from sale of medical records and abstracts	37,074	35,918	35,338	38,994	37,244
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	98,410	91,771	100,771	72,078	63,356
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	979,607	1,164,981	1,252,881	1,392,100	1,671,631
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	155,343 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	153,948	305,525	1,928,107	5,860,518	16,701,597
Total income ? Median	27,799,610 6,586,430	17,473,197 6,767,106	17,872,704 8,419,950	-400,038 8,094,175	52,299,849 15,162,888
Non-operating expenses Median	27,371 146,289.5	13,281 164,857	244,884 89,880.5	1,841,408 106,761	211,833 31,473.5
Net income Median	27,772,239 6,043,842	17,459,916 5,845,112	17,627,820 7,606,259	-2,241,446 7,283,041	52,088,016 14,957,241
Net margin Median	11.62160% 4.62%	7.13380% 4.42%	6.59743% 5.16%	-0.87300% 5.2%	17.17543% 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 PALI MOMI MEDICAL CENTER 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	31,037,937 23,241,334	33,017,999 23,709,545	36,335,686 24,248,380	34,474,338 22,858,541	34,126,574 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	31,037,937 21,577,146	33,017,999 22,041,594	36,335,686 22,722,063	34,474,338 21,570,441	34,126,574 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	14,762,018 11,160,864	17,713,731 11,987,345	20,913,282 12,926,866	19,259,551 11,884,480	18,486,422 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	14,762,018 10,918,923	17,713,731 11,706,976	20,913,282 12,615,917	19,259,551 11,458,116	18,486,422 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	492,955 3,284,314	1,058,942 3,250,551	1,646,086 3,386,837	1,686,617 3,360,806	1,781,410 3,508,953
Disproportionate-share hospital (DSH) Median	496,508 594,888	622,744 595,761	555,414 577,894	554,068 542,168	577,325 549,667
Outlier Median	2,242,289 582,572	1,795,717 538,116	3,383,960 212,434	55,466 126,559	107,020 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,635,831 3,662,910	3,722,202 3,730,911	4,643,041 4,081,319	5,322,504 4,643,908	2,302,237 4,389,147
Charity care Median	2,222,592 2,654,636	2,246,259 2,940,659	1,585,461 3,380,215	1,541,246 3,488,738	1,572,340 3,233,405
Uncompensated care (UCC) Median	3,196,904 5,147,790	3,130,702 5,337,617	2,709,311 5,711,082	2,521,980 5,923,418	2,321,381 5,508,107
UCC as a % of operating expenses Median	1.51% 3.24	1.38% 3.12	1.09% 3.21	0.98% 3.3	0.92% 2.86
Total shortfall/UCC Median	5,832,735 9,489,989	6,852,904 9,424,297	7,352,352 10,120,158	7,844,484 11,171,337	4,623,618 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	78,451,050 52,142,039	81,985,771 54,485,252	87,509,923 57,395,589	87,126,884 58,830,919	81,462,902 61,722,907
Salaries as a % of operating expenses Median	37.15 36.68	36.07 36.56	35.10 36.37	33.88 35.93	32.46 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	588,639 1,251,927	508,580 1,186,494	559,372 1,204,885	644,632 1,279,653	745,891 1,469,317
Contract adjusted salaries, direct-care Median	761,451 1,449,244	639,989 1,475,986	713,323 1,563,078	799,050 1,721,954	745,891 2,991,828
Contract hours, direct-care Median	30,063.95 22,725	25,201.95 23,018.5	27,161.50 24,503.48	30,699.40 25,026.5	31,948.80 33,786
Contract wages, direct-care Median	25.33 64.67	25.39 64.53	26.26 65.06	26.03 68.97	23.35 88.94

* in an approved program

Return to top

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.