Rural referral center · HI
PALI MOMI MEDICAL CENTER
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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $349,444,796 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $357,512,624 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$8,067,828 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $4,117,186 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $2,476,798 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $3,327,335 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $3,431,038 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 118 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2788 | CMS-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.
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 ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| RRC120026-01 | PALI MOMI MEDICAL CENTER - Imaging Medical Pavilion - Pali Momi Outpatient Center | RRC | AIEA, HI | FALSE |
| RRC120026-02 | PALI MOMI MEDICAL CENTER - Cancer Center | RRC | AIEA, HI | TRUE |
| RRC120026-03 | PALI MOMI MEDICAL CENTER - Magnetic Resonance Imaging - Pali Momi Outpatient Center | RRC | AIEA, HI | TRUE |
| RRC120026-04 | PALI MOMI MEDICAL CENTER - Women's Center - Pali Momi Outpatient Center | RRC | AIEA, HI | TRUE |
| RRC120026-05 | PALI MOMI MEDICAL CENTER - Oncology | RRC | Aiea, HI | TRUE |
| RRC120026-06 | PALI MOMI MEDICAL CENTER - HEART CENTER - Cardiology | RRC | Aiea, HI | TRUE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| PALI MOMI MEDICAL CENTER | 98-1079 MOANALUA ROAD | AIEA HI 96701 |
| Pali Momi Medical Center Outpatient Pharmacy | 98-1079 Moanalua Road MOB Suite 150 | Aiea HI 96701 |
| Pali Momi Medical Center | 98-1079 Moanalua Road | Aiea HI 96701 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 9 November 2020 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 9 November 2020 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 9 November 2020 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 9 November 2020 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | HONOLULU, HI | 9 November 2020 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | LENEXA, KS | 9 November 2020 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 9 November 2020 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 9 November 2020 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 9 November 2020 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 9 November 2020 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 9 November 2020 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 9 November 2020 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 9 November 2020 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 9 November 2020 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 9 November 2020 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 9 November 2020 | no end date filed |
| HAWAII PACIFIC HEALTH SPECIALTY PHARMACY | HONOLULU, HI | 1 July 2023 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | MILILANI, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | AIEA, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | EWA BEACH, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | HALEIWA, HI | 1 April 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | HONOLULU, HI | 1 April 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | HONOLULU, HI | 1 April 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | HONOLULU, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | MILILANI, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | PEARL CITY, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | PEARL CITY, HI | 1 April 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | WAHIAWA, HI | 9 November 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | WAIANAE, HI | 1 April 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | WAIPAHU, HI | 9 November 2020 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 9 November 2020 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 9 November 2020 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 9 November 2020 | no end date filed |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | 1 April 2026 | no end date filed |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | 9 November 2020 | 23 June 2025 |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | EWA BEACH, HI | 9 November 2020 | 10 September 2024 |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | MILILANI, HI | 9 November 2020 | 7 December 2023 |
| PHARMACARE NO. 5 | AIEA, HI | 9 November 2020 | 21 November 2022 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 9 November 2020 | 11 January 2022 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 9 November 2020 | 24 November 2021 |
| WAL-MART PHARMACY 10-2314 | WAIPAHU, HI | 9 November 2020 | 24 November 2021 |
| WAL-MART PHARMACY 10-3883 | KAPOLEI, HI | 9 November 2020 | 24 November 2021 |
| WAL-MART PHARMACY 10-5274 | PEARL CITY, HI | 9 November 2020 | 24 November 2021 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 9 November 2020 | 24 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.