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Short-term acute care hospital · Hilo, Hawaii · 194 beds · CMS certification number 120005

Hilo Benioff Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 15, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$316.8M
$316,785,734 · G-3 line 3
Operating expenses
$374.2M
$374,233,655 · G-3 line 4
Result from patient care
−$57.4M
−$57,447,921 · G-3 line 5
Margin on patient care
−18.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $46.3M in its first year on file (1997) to $316.8M in 2025.
  • Its result from patient care: −$51.3M (2023), −$51.7M (2024), −$57.4M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 27.6% of its inpatient days and Medicare for 18.9%.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
settled with audit
$46.3M
$62.0M
1998
reopened
$63.2M
$62.7M
1999
settled with audit
$61.8M
$67.9M
2000
settled with audit
$62.8M
$67.5M
2001
settled with audit
$65.3M
$72.5M
2002
settled
$69.5M
$81.9M
2003
settled
$74.6M
$86.0M
2004
settled
$77.0M
$88.5M
2005
settled
$84.6M
$97.6M
2006
settled
$91.8M
$105.3M
2007
reopened
$100.8M
$118.3M
2008
reopened
$101.7M
$127.5M
2009
reopened
$97.4M
$129.3M
2010
reopened
$110.0M
$125.6M
2011
settled
$109.9M
$135.5M
2012
settled
$128.0M
$156.7M
2013
settled with audit
$135.3M
$180.7M
2014
settled
$143.5M
$188.5M
2015
reopened
$150.6M
$193.8M
2016
reopened
$165.4M
$201.2M
2017
reopened
$168.8M
$224.4M
2018
settled
$239.2M
$224.9M
2019
settled
$186.4M
$238.6M
2020
amended
$191.8M
$252.4M
2021
amended
$208.3M
$248.5M
2022
amended
$234.2M
$281.7M
2023
amended
$263.6M
$314.9M
2024
as submitted
$295.6M
$347.3M
2025
as submitted
$316.8M
$374.2M

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from Hawaii first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Hilo Benioff Medical Center194$316,785,734$374,233,655−18.1%
Adventist Health Castle, Kailua142$241,780,702$284,123,757−17.5%
Kuakini Medical Center, Honolulu170$152,591,190$191,306,474−25.4%
Maui Memorial Medical Center, Wailuku219$382,548,368$369,621,9613.4%
Pali Momi Medical Center, Aiea118$349,444,796$357,512,624−2.3%
Straub Benioff Medical Center, Honolulu159$590,299,965$631,548,700−7.0%

Patients and payers

Discharges
8,891
S-3 line 14, col 15
Inpatient days
60,237
S-3 line 14, col 8
Beds in use, on an average day
165.5
days ÷ days in year
Occupancy
85.1%
days ÷ bed days
Medicare share of days
18.9%
S-3 cols 6 ÷ 8
Medicaid share of days
27.6%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: HHSC (100%), home office.

Type of control on its cost report: governmental, state.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 120005. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 15, 2025.