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  • Financial data for hospital cost report period ending 06/30/2025 (HCRIS 835976 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2025 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2025 (Proposed rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Wilcox Medical Hospital

Lihue, HI  96766
CMS Certification Number: 120014

Identification and Characteristics

Name and Address: Wilcox Medical Hospital
3-3420 Kuhio Highway
Lihue, HI  96766
Telephone Number: (808) 245-1100
Hospital Website:
CMS Certification Number: 120014
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 72
   
Total Patient Revenue: $433,841,265
Total Discharges: 2,907
Total Patient Days: 14,817
TPS Quality Score: 40.50
Patient Experience Rating: ****.
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Notes



Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Oncology Services
Chemotherapy
Orthopedic Services
Joint Replacement
Other Services
Hemodialysis
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Magnetic Resonance Imaging (MRI)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)
Surgery
Inpatient Surgery

Joint Commission Accreditation

  • Current Status: 03/07/2024 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level III Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Cardiology 80 4.00 $39,084 1.2701
Medicine 215 4.83 $41,800 1.4010
Neurology 58 10.10 $63,722 1.4725
Orthopedic Surgery 77 5.77 $69,661 2.5096
Orthopedics 29 7.38 $45,669 1.2145
Pulmonology 81 4.84 $38,870 1.3953
Surgery 45 6.89 $72,800 2.7594
Urology 42 4.19 $33,434 1.3160
Total 649 5.78 $48,923 1.6266
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2025 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
96766 339 2,266 $17,892,596 -3.4% 75.5%
96746 289 1,829 $15,457,324 -5.2% 69.3%
96756 107 726 $6,372,162 15.1% 68.6%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5115 Level 5 Musculoskeletal Procedures 74 $9,152 $2,639
5025 Level 5 Type A ED Visits 824 $4,608 $623
8011 Comprehensive Observation Services 167 $4,614 $624
5114 Level 4 Musculoskeletal Procedures 55 $6,972 $2,011
5116 Level 6 Musculoskeletal Procedures 21 $13,683 $3,946
5524 Level 4 Imaging without Contrast 668 $2,325 $566
5024 Level 4 Type A ED Visits 846 $2,558 $346
5522 Level 2 Imaging without Contrast 2,354 $740 $172
5521 Level 1 Imaging without Contrast 2,731 $383 $134
5693 Level 3 Drug Administration 1,059 $530 $129
5361 Level 1 Laparoscopy and Related Services 33 $9,920 $2,861
5312 Level 2 Lower GI Procedures 148 $5,609 $1,618
5572 Level 2 Imaging with Contrast 476 $2,987 $290
5491 Level 1 Intraocular Procedures 71 $4,525 $1,305
5523 Level 3 Imaging without Contrast 570 $2,010 $279
5301 Level 1 Upper GI Procedures 153 $4,014 $1,153
5023 Level 3 Type A ED Visits 440 $1,608 $218
5694 Level 4 Drug Administration 355 $1,121 $273
5375 Level 5 Urology and Related Services 21 $8,885 $2,562
5311 Level 1 Lower GI Procedures 129 $4,176 $1,202

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 65 12,639
Special Care 7 1,412
Nursery 766
Total Hospital 72 14,817
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $433,841,265 93.5
Non-Patient Revenue $30,076,299 6.5
Total Revenue $463,917,564  
Net Income (or Loss) $15,663,840 3.4
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