Market Analysis — SAMUEL MAHELONA MEMORIAL HOSPITAL
HI market | 8 hospitals | HHI: 2,497 (Moderate)
🛡️ Public data only — no PHI permitted on this instance.
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8
Hospitals in Market
397
Total Beds
$0.6B
Market Revenue
Moderate
HHI: 2,497
None
Moat Rating (3/10)
#6
Market Share Rank
Competitive Moat (Mauboussin Framework)
Based on "Measuring the Moat" adapted for healthcare. Score 0-10: wide (8+), narrow (5-7), none (<5).
Scale Advantageweak
Switching Costslow
Market Share4.9%
Top 3 Concentration75.1%
Network Density2.02
Margin vs Market+14.9%
Bed Util vs Market-58.9%
What This Means
This hospital has a none moat — no moat — commoditized market position, pricing power limited. The HI market is moderately concentrated — oligopoly dynamics, negotiating leverage exists (HHI: 2,497).
Implications: Operational improvements are the primary value driver — see the EBITDA bridge. Compare against peers via comparables or see the full HI market.
Top Competitors
| Hospital | Beds | Revenue | Rev Share | Bed Share |
|---|---|---|---|---|
| HILO MEDICAL CENTER | 194 | $264M | 42.8% | 48.9% |
| KONA COMMUNITY HOSPITAL | 83 | $105M | 17.1% | 20.9% |
| NORTH HAWAII COMMUNITY HOSPITAL | 33 | $94M | 15.2% | 8.3% |
| KAUAI VETERANS MEMORIAL HOSPITAL | 25 | $49M | 8.0% | 6.3% |
| KAU HOSPITAL | 21 | $34M | 5.5% | 5.3% |
| HALE HOOLA HAMAKUA | 11 | $20M | 3.3% | 2.8% |
| KOHALA HOSPITAL | 25 | $20M | 3.2% | 6.3% |
Regional Payer Mix
■ Medicare 24%■ Medicaid 44%■ Commercial 32%