A hospital in Hilo, HI. It ran an operating surplus of 12.3% in FY25 on $426.6M of operating revenue. It held 81 days of cash on hand (67th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 10.0% in FY21 to 12.3% in FY25.
Operating margin · FY25
+12.3%
▲ 0.0 pts vs FY24
vs Urban PPS hospitals78th pctl of 1,475 (FY25)
Days cash on hand · FY25
81d
all sources
▼ 53.4 days vs FY24
vs Urban PPS hospitals67th pctl of 1,386 (FY25)
Total operating revenue · FY25
$426.6M
▲ 30.9 $M vs FY24
vs Urban PPS hospitals64th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.8%
▼ 2.4 pts vs FY24
vs Urban PPS hospitals56th pctl of 1,475 (FY25)
One point of operating margin at HILO BENIOFF MEDICAL CENTER is about $4.3M per year (1% of FY25 total operating revenue).
Where HILO BENIOFF MEDICAL sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalHILO BENIOFFUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
263,616
295,587
316,786
Other operating revenue
87,790
100,097
109,777
Total operating revenue
351,407
395,685
426,562
Total operating expenses
314,900
347,321
374,234
Operating income
36,507
48,364
52,329
Operating margin %
+10.4%
+12.2%
+12.3%
Other non-operating, net
(3,857)
(8,308)
(19,253)
Net income
32,650
40,056
33,076
Net income %
+9.4%
+10.3%
+8.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 183-bed hospital at 81% occupancy 53% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
80.9%
Verified fact2025
HCRIS WS S-3
Average daily census
148.46
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
183
Verified fact2025
HCRIS WS S-3
Annual discharges
8,891
Verified fact2025
HCRIS WS S-3
Average length of stay
6.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.46
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
1.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
53.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,377
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
33.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.354
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.89
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.409698
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HAWAII County, HI
Median household income
$77.2K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.2%
vs 8.6% US · 8.4% rural median
Age 65+
23.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 27.3% arrives as government transfers (BEA, 2022).
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