# Dialysis Facilities in Hawaii · Financial Profiles

State rollup · HI · Dialysis Facilities  
Page: https://astrelis.co/providers/dialysis/state/hi  
This twin: https://astrelis.co/providers/dialysis/state/hi.md  
Release: 2321a4fc37a7 (2026-10-22)

Hawaii's 41 current dialysis facilities (plus 1 historical record, listed and labeled below) trail the national cohort: median operating margin +9.3% against +16.8% nationally. 29% of the state's cohort filed an operating loss; the rest held at or above break-even. Median liquidity stands at 48 days cash on hand.

## Counts

- Current dialysis facilities: 41
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 42

## Medians

- **Median operating margin:** +9.3%. Basis: n = 41 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **Median days cash on hand:** 48 days. Basis: n = 17 values, each facility at its own latest settled fiscal year (FY2020 to FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** +16.8%. Basis: n = 7,109 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (42 records: 41 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Latest FY | Treatments | Rev / treatment | Cost / treatment | Quality star | Operating margin |
|---|---|---:|---:|---:|---:|---:|---:|
| [DIALYSIS 122532](https://astrelis.co/providers/dialysis/122532) ([twin](https://astrelis.co/providers/dialysis/122532.md)) · historical | Not reported in source | 2024 | 665 | $485 | $1,054 | Not reported in source | -117.0% |
| [FMC LANAI COMMUNITY DIALYSIS CENTER](https://astrelis.co/providers/dialysis/122506) ([twin](https://astrelis.co/providers/dialysis/122506.md)) | Lanai City | 2025 | 1,815 | $418 | $523 | 4★ | -25.2% |
| [FRESENIUS KIDNEY CARE HILO LANIKAULA](https://astrelis.co/providers/dialysis/122543) ([twin](https://astrelis.co/providers/dialysis/122543.md)) | Hilo | 2025 | 6,755 | $401 | $644 | 4★ | -60.8% |
| [LIBERTY DIALYSIS - NORTH HAWAII, LLC](https://astrelis.co/providers/dialysis/122519) ([twin](https://astrelis.co/providers/dialysis/122519.md)) | Kamuela | 2025 | 7,784 | $491 | $298 | 4★ | +39.3% |
| [LIBERTY DIALYSIS HAWAII - HAWAII KAI DIALYSIS](https://astrelis.co/providers/dialysis/122527) ([twin](https://astrelis.co/providers/dialysis/122527.md)) | Honolulu | 2025 | 8,740 | $406 | $325 | 4★ | +20.1% |
| [LIBERTY DIALYSIS HAWAII - HAWAII SALT LAKE](https://astrelis.co/providers/dialysis/122530) ([twin](https://astrelis.co/providers/dialysis/122530.md)) | Honolulu | 2025 | 18,439 | $444 | $293 | 4★ | +33.9% |
| [LIBERTY DIALYSIS HAWAII - HILO DIALYSIS](https://astrelis.co/providers/dialysis/122507) ([twin](https://astrelis.co/providers/dialysis/122507.md)) | Hilo | 2025 | 30,680 | $397 | $309 | 3★ | +22.2% |
| [LIBERTY DIALYSIS HAWAII - KAHANA DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122515) ([twin](https://astrelis.co/providers/dialysis/122515.md)) | Lahaina | 2025 | 3,983 | $572 | $633 | 3★ | -10.7% |
| [LIBERTY DIALYSIS HAWAII - KAILUA DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122524) ([twin](https://astrelis.co/providers/dialysis/122524.md)) | Kailua | 2025 | 16,837 | $425 | $296 | 3★ | +30.4% |
| [LIBERTY DIALYSIS HAWAII - KAIMUKI DIALYSIS](https://astrelis.co/providers/dialysis/122520) ([twin](https://astrelis.co/providers/dialysis/122520.md)) | Honolulu | 2025 | 19,591 | $448 | $274 | 4★ | +38.9% |
| [LIBERTY DIALYSIS HAWAII - KAUAI DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122511) ([twin](https://astrelis.co/providers/dialysis/122511.md)) | Lihue | 2025 | 14,478 | $441 | $341 | 3★ | +22.7% |
| [LIBERTY DIALYSIS HAWAII - KONA DIALYSIS](https://astrelis.co/providers/dialysis/122513) ([twin](https://astrelis.co/providers/dialysis/122513.md)) | Kailua Kona | 2025 | 14,080 | $442 | $338 | 3★ | +23.5% |
| [LIBERTY DIALYSIS HAWAII - LEEWARD DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122512) ([twin](https://astrelis.co/providers/dialysis/122512.md)) | Ewa Beach | 2025 | 32,717 | $440 | $299 | 3★ | +32.1% |
| [LIBERTY DIALYSIS HAWAII - MAUI DIALYSIS](https://astrelis.co/providers/dialysis/122510) ([twin](https://astrelis.co/providers/dialysis/122510.md)) | Wailuku | 2025 | 34,731 | $458 | $352 | 3★ | +23.3% |
| [LIBERTY DIALYSIS HAWAII - MOLOKAI DIALYSIS](https://astrelis.co/providers/dialysis/122517) ([twin](https://astrelis.co/providers/dialysis/122517.md)) | Kaunakakai | 2025 | 5,831 | $430 | $379 | 4★ | +11.8% |
| [LIBERTY DIALYSIS HAWAII - SIEMSEN DIALYSIS](https://astrelis.co/providers/dialysis/122518) ([twin](https://astrelis.co/providers/dialysis/122518.md)) | Honolulu | 2025 | 36,682 | $373 | $278 | 3★ | +25.5% |
| [LIBERTY DIALYSIS HAWAII - SIEMSEN DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122536) ([twin](https://astrelis.co/providers/dialysis/122536.md)) | Honolulu | 2025 | 22,633 | $478 | $367 | 4★ | +23.3% |
| [LIBERTY DIALYSIS HAWAII - WAIANAE DIALYSIS FACILITY](https://astrelis.co/providers/dialysis/122514) ([twin](https://astrelis.co/providers/dialysis/122514.md)) | Waianae | 2025 | 13,816 | $365 | $315 | 3★ | +13.9% |
| [LIBERTY DIALYSIS HAWAII - WAIPAHU DIALYSIS](https://astrelis.co/providers/dialysis/122522) ([twin](https://astrelis.co/providers/dialysis/122522.md)) | Waipahu | 2025 | 39,068 | $423 | $299 | 3★ | +29.4% |
| [LIBERTY DIALYSIS HAWAII - WEST KAUAI DIALYSIS](https://astrelis.co/providers/dialysis/122516) ([twin](https://astrelis.co/providers/dialysis/122516.md)) | Waimea | 2025 | 7,860 | $401 | $305 | 3★ | +23.8% |
| [LIBERTY DIALYSIS HAWAII MILILANI](https://astrelis.co/providers/dialysis/122533) ([twin](https://astrelis.co/providers/dialysis/122533.md)) | Mililani | 2025 | 23,725 | $430 | $294 | 3★ | +31.7% |
| [LIBERTY WAIANAE COAST NANAKULI](https://astrelis.co/providers/dialysis/122538) ([twin](https://astrelis.co/providers/dialysis/122538.md)) | Waianae | 2025 | 6,037 | $401 | $489 | 3★ | -21.9% |
| [SHC Rainbow Dialysis Lahaina](https://astrelis.co/providers/dialysis/122528) ([twin](https://astrelis.co/providers/dialysis/122528.md)) | Lahaina | 2025 | 2,359 | $502 | $494 | 5★ | +1.6% |
| [SHC Rainbow Dialysis Wailuku](https://astrelis.co/providers/dialysis/122526) ([twin](https://astrelis.co/providers/dialysis/122526.md)) | Wailuku | 2025 | 16,363 | $482 | $414 | 3★ | +14.0% |
| [US RENAL CARE WAIPAHU DIALYSIS](https://astrelis.co/providers/dialysis/122525) ([twin](https://astrelis.co/providers/dialysis/122525.md)) | Waipahu | 2025 | 15,172 | $427 | $401 | 5★ | +6.0% |
| [USRC ALOHA DIALYSIS CENTER](https://astrelis.co/providers/dialysis/122503) ([twin](https://astrelis.co/providers/dialysis/122503.md)) | Honolulu | 2025 | 16,134 | $423 | $366 | 4★ | +13.4% |
| [USRC BERETANIA DIALYSIS](https://astrelis.co/providers/dialysis/122531) ([twin](https://astrelis.co/providers/dialysis/122531.md)) | Honolulu | 2025 | 13,698 | $441 | $414 | 3★ | +6.0% |
| [USRC EWA BEACH DIALYSIS](https://astrelis.co/providers/dialysis/122535) ([twin](https://astrelis.co/providers/dialysis/122535.md)) | Ewa Beach | 2025 | 11,848 | $434 | $458 | 4★ | -5.7% |
| [USRC HILO DIALYSIS](https://astrelis.co/providers/dialysis/122539) ([twin](https://astrelis.co/providers/dialysis/122539.md)) | Hilo | 2025 | 10,811 | $467 | $573 | 2★ | -22.7% |
| [USRC HONOLULU DIALYSIS CENTER](https://astrelis.co/providers/dialysis/122501) ([twin](https://astrelis.co/providers/dialysis/122501.md)) | Honolulu | 2025 | 28,996 | $435 | $394 | 4★ | +9.3% |
| [USRC KALIHI](https://astrelis.co/providers/dialysis/122542) ([twin](https://astrelis.co/providers/dialysis/122542.md)) | Honolulu | 2025 | 12,647 | $458 | $487 | 3★ | -6.4% |
| [USRC KAPAHULU DIALYSIS CENTER](https://astrelis.co/providers/dialysis/122521) ([twin](https://astrelis.co/providers/dialysis/122521.md)) | Honolulu | 2025 | 13,066 | $425 | $422 | 3★ | +0.8% |
| [USRC Kapolei Dialysis](https://astrelis.co/providers/dialysis/122508) ([twin](https://astrelis.co/providers/dialysis/122508.md)) | Kapolei | 2025 | 7,829 | $427 | $493 | 3★ | -15.6% |
| [USRC KO OLAU DIALYSIS CENTER](https://astrelis.co/providers/dialysis/122523) ([twin](https://astrelis.co/providers/dialysis/122523.md)) | Kaneohe | 2025 | 13,808 | $427 | $398 | 4★ | +6.7% |
| [USRC KONA COAST](https://astrelis.co/providers/dialysis/122544) ([twin](https://astrelis.co/providers/dialysis/122544.md)) | Kailua Kona | 2025 | 3,790 | $490 | $1,015 | Not reported in source | -107.2% |
| [USRC KUAKINI](https://astrelis.co/providers/dialysis/122541) ([twin](https://astrelis.co/providers/dialysis/122541.md)) | Honolulu | 2025 | 150 | $418 | $8,678 | 3★ | -1974.5% |
| [USRC Pearlridge Dialysis](https://astrelis.co/providers/dialysis/122509) ([twin](https://astrelis.co/providers/dialysis/122509.md)) | Aiea | 2025 | 48,205 | $425 | $402 | 4★ | +5.2% |
| [USRC Wahiawa Dialysis Center](https://astrelis.co/providers/dialysis/122500) ([twin](https://astrelis.co/providers/dialysis/122500.md)) | Wahiawa | 2025 | 10,148 | $412 | $428 | 4★ | -3.9% |
| [USRC WAIANAE DIALYSIS](https://astrelis.co/providers/dialysis/122537) ([twin](https://astrelis.co/providers/dialysis/122537.md)) | Waianae | 2025 | 12,592 | $427 | $453 | 1★ | -6.0% |
| [USRC Waipio Dialysis](https://astrelis.co/providers/dialysis/122534) ([twin](https://astrelis.co/providers/dialysis/122534.md)) | Waipahu | 2025 | 11,122 | $454 | $440 | 4★ | +3.1% |
| [USRC WEST OAHU DIALYSIS](https://astrelis.co/providers/dialysis/122529) ([twin](https://astrelis.co/providers/dialysis/122529.md)) | Kapolei | 2025 | 18,129 | $454 | $430 | 5★ | +5.4% |
| [USRC WINDWARD DIALYSIS](https://astrelis.co/providers/dialysis/122502) ([twin](https://astrelis.co/providers/dialysis/122502.md)) | Kaneohe | 2025 | 12,974 | $460 | $413 | 4★ | +10.3% |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Dialysis Facilities in Hawaii · Financial Profiles", https://astrelis.co/providers/dialysis/state/hi, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.