Velarion Records

Public registries, as they were filed.

Rural referral center · HI

PALI MOMI MEDICAL CENTER

$349,444,796Net patient revenueWhat the hospital took in for treating patients, after discounts.
-2.3%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
0.7%Charity careCare given free or discounted, as a share of what patients brought in.
1.0%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

From this hospital’s Medicare cost report for the year ended 30 June 2025. Every figure on this page names the cell it came from.

  • 6Registered locations
  • 3Associated locations
  • 44Contract pharmacies
  • 34With no end date
  • 9 November 2020In 340B since

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 June 2025.

FigureAs filedWhere it comes from
Net patient revenue$349,444,796CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$357,512,624CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$8,067,828CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$4,117,186CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$2,476,798CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$3,327,335CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$3,431,038CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds118CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.2788CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 120026 for 1 July 2024 to 30 June 2025, as submitted. The public file it was read from.

Among hospitals of the same type in Hawaii

No other rural referral center in Hawaii has both figures on file, so there is nothing here to read this hospital against.

Earlier years

One cost report is on file for this hospital, for the year ended 30 June 2025. There is no earlier year to set beside it.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “PALI MOMI MEDICAL CENTER” (340B ID RRC120026-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RRC120026-00

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
9 November 2020
Certification date
11 August 2026
Record last edited
11 August 2026

Identifiers

340B ID
RRC120026-00
Entity type as filed
RRC
CMS certification number
120026
Rural
Yes

98-1079 MOANALUA ROAD, AIEA HI 96701

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
RRC120026-01PALI MOMI MEDICAL CENTER - Imaging Medical Pavilion - Pali Momi Outpatient CenterRRCAIEA, HIFALSE
RRC120026-02PALI MOMI MEDICAL CENTER - Cancer CenterRRCAIEA, HITRUE
RRC120026-03PALI MOMI MEDICAL CENTER - Magnetic Resonance Imaging - Pali Momi Outpatient CenterRRCAIEA, HITRUE
RRC120026-04PALI MOMI MEDICAL CENTER - Women's Center - Pali Momi Outpatient CenterRRCAIEA, HITRUE
RRC120026-05PALI MOMI MEDICAL CENTER - OncologyRRCAiea, HITRUE
RRC120026-06PALI MOMI MEDICAL CENTER - HEART CENTER - CardiologyRRCAiea, HITRUE

Associated locations

OrganizationAddressWhere
PALI MOMI MEDICAL CENTER98-1079 MOANALUA ROADAIEA HI 96701
Pali Momi Medical Center Outpatient Pharmacy98-1079 Moanalua Road MOB Suite 150Aiea HI 96701
Pali Momi Medical Center98-1079 Moanalua RoadAiea HI 96701

Pharmacy contracts

PharmacyWhereBeginsEnds
ACCREDO HEALTH GROUP INCTEMPE, AZ9 November 2020no end date filed
ACCREDO HEALTH GROUP INCWARRENDALE, PA9 November 2020no end date filed
ACCREDO HEALTH GROUP INCMEMPHIS, TN9 November 2020no end date filed
ACCREDO HEALTH GROUP, INC.NEWARK, DE9 November 2020no end date filed
ACCREDO HEALTH GROUP, INC.HONOLULU, HI9 November 2020no end date filed
ACCREDO HEALTH GROUP, INC.LENEXA, KS9 November 2020no end date filed
CAREMARK FLORIDA SPECIALTY PHARMACY LLCTAMPA, FL9 November 2020no end date filed
CAREMARK KANSAS SPECIALTY PHARMACYLENEXA, KS9 November 2020no end date filed
CAREMARK MASSACHUSETTS SPECIALTY PHARMACMILFORD, MA9 November 2020no end date filed
CAREMARK MICHIGAN SPECIALTY PHARMACY, LLTROY, MI9 November 2020no end date filed
CAREMARK NEW JERSEY SPECIALTY PHCY, LLCFAIRFIELD, NJ9 November 2020no end date filed
CAREMARK NORTH CAROLINA SPECIALTY PHARMARALEIGH, NC9 November 2020no end date filed
CAREMARK TENNESSEE SPECIALTY PHARMACY, LBARTLETT, TN9 November 2020no end date filed
CAREMARK, L.L.C.REDLANDS, CA9 November 2020no end date filed
CAREMARK, L.L.C.LAS VEGAS, NV9 November 2020no end date filed
CVS/SPECIALTY OR CARELONRX SPECIALTY PHAFLOWER MOUND, TX9 November 2020no end date filed
HAWAII PACIFIC HEALTH SPECIALTY PHARMACYHONOLULU, HI1 July 2023no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.MILILANI, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.AIEA, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.EWA BEACH, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.HALEIWA, HI1 April 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.HONOLULU, HI1 April 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.HONOLULU, HI1 April 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.HONOLULU, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.MILILANI, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.PEARL CITY, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.PEARL CITY, HI1 April 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.WAHIAWA, HI9 November 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.WAIANAE, HI1 April 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.WAIPAHU, HI9 November 2020no end date filed
PROCARE PHARMACY DIRECT, L.L.C.MONROEVILLE, PA9 November 2020no end date filed
PROCARE PHARMACY, L.L.C.COLUMBIA, SC9 November 2020no end date filed
PROCARE PHARMACY, L.L.C.BIRMINGHAM, AL9 November 2020no end date filed
PROCARE PHARMACY, L.L.C.HONOLULU, HI1 April 2026no end date filed
PROCARE PHARMACY, L.L.C.HONOLULU, HI9 November 202023 June 2025
LONGS DRUG STORES CALIFORNIA, L.L.C.EWA BEACH, HI9 November 202010 September 2024
LONGS DRUG STORES CALIFORNIA, L.L.C.MILILANI, HI9 November 20207 December 2023
PHARMACARE NO. 5AIEA, HI9 November 202021 November 2022
CAREMARK ILLINOIS SPECIALTY PHARMACY, LLMOUNT PROSPECT, IL9 November 202011 January 2022
WAL-MART CENTRAL FILL 10-2670SPRING, TX9 November 202024 November 2021
WAL-MART PHARMACY 10-2314WAIPAHU, HI9 November 202024 November 2021
WAL-MART PHARMACY 10-3883KAPOLEI, HI9 November 202024 November 2021
WAL-MART PHARMACY 10-5274PEARL CITY, HI9 November 202024 November 2021
WAL-MART PHARMACY 10-5997ORLANDO, FL9 November 202024 November 2021

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.