Health care · Small-town market · Hawaii
Primary care and pediatric clinics in the Hilo-Kailua, HI area
The primary care and pediatric clinics in the Hilo-Kailua, HI area, the household spending behind them and how the market ranks against other small-town markets.
Groundwork market score · out of 100
Score 49 out of 100: Lower middle
Ranked #246 of 458 scored small-town markets
#2 of 2 scored small-town markets based in Hawaii
- Listings
- 80
- 3 chain locations (4%)
- Official establishments
- 100
- −21.9% since 2019
- Household spending a year
- $96M
- On medical and dental services · $1,296 a household
- Spending per listing
- $1.2M
- 33% below the U.S.
- Listings per 10k households
- 10.8
- 50% above the U.S.
- Population, 2025
- 210,043
- +4.6% since 2020
See the primary care and pediatric clinics around any address in the Hilo-Kailua area
The site report maps the primary care and pediatric clinics on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of the Hilo-Kailua area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
Map listings as of September 2026 show 80 primary care and pediatric clinics in the Hilo-Kailua area. Of those, 3 are chain locations, or 4%, against 9% across the U.S. That is 10.8 per 10,000 households, 50% above the U.S. rate of 7.2.
Household spending on medical and dental services in the Hilo-Kailua area comes to about $96M a year: $1,296 per household, in line with the U.S. average. That works out to $1.2M per clinic, 33% below the U.S. figure of $1.8M. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade.
Official counts show 100 businesses with payroll classed as offices of physicians in the Hilo-Kailua area in 2023, down 21.9% from 2019. That is one for every 741 households, against one for every 593 across the U.S. Another 186 one-person businesses have no payroll, by official counts. Since fiscal 2022, 1 SBA-backed loan worth $500K has gone to businesses classed as offices of physicians in the Hilo-Kailua area.
Population estimates put the population change in the Hilo-Kailua area from 2020 to 2025 at +4.6%, faster than the U.S. (+3.1%). The Groundwork market score for primary care and pediatric clinics in the Hilo-Kailua area is 49 (lower middle), #246 of 458 scored small-town markets and #2 of 2 scored small-town markets based in Hawaii.
How the Hilo-Kailua area compares
The same measures for Hawaii and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the primary care and pediatric clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Hilo-Kailua area | Hawaii | U.S. |
|---|---|---|---|
| Listings per 10k households | 10.8 | 18.8 | 7.2 |
| Spending per listing | $1.2M | $772K | $1.8M |
| Households per official establishment | 741 | 527 | 593 |
| Official establishment growth, 2019–2023 | −21.9% | −15.5% | −2.2% |
| Population growth, 2020–2025 | +4.6% | −1.3% | +3.1% |
| Spending per household on medical and dental services | $1,296 | $1,453 | $1,288 |
| Median household income | $78,639 | $100,389 | $80,734 |
| Groundwork market score | 49 | 23 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 100−21.9% over the period
- Employees, 2023
- 479
- Annual payroll, 2023
- $29.5M
- One-person businesses, 2023
- 186Businesses with no payroll
- Map listings, September 2026
- 803 chain locations
- Listings at the U.S. rate for this spending
- 54The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 1
- Amount
- $500K
SBA-backed loans to businesses classed as offices of physicians in the Hilo-Kailua area, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in the Hilo-Kailua area
- Population, 2025 estimate
- 210,043+4.6% since 2020
- Households
- 74,072
- Median age
- 44.6
- Homes lived in by their owners
- 74%
- Vehicles per household
- 2.0
- Land area
- 4,028 sq. mi.
- People per square mile
- 51
- Median household income
- $78,639+26.0% vs. 2015–2019, before inflation
- Average household income
- $106,737
- Median home value
- $519,300
- Jobs located here
- 69,607
- Daytime population
- 224,838Residents who don’t work, plus everyone whose job is here
Looking at a specific site in the Hilo-Kailua area?
These figures cover the whole small-town market. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the primary care and pediatric clinics on map listings by name and distance.
Or open the report at the center of the Hilo-Kailua area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardPrimary care and pediatrics across Hawaii
Every Hawaii market ranked →The highest-scoring small-town markets in Hawaii for primary care and pediatric clinics, numbered among those based in Hawaii, with the Hilo-Kailua area marked.
Top small-town markets in Hawaii
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Kapaa, HI | 51 | 20 | 8.5 | $1.7M | +0.3% | #228 of 458 |
| 2Hilo-Kailua, HI | 49 | 80 | 10.8 | $1.2M | +4.6% | #246 of 458 |
Other business types in the Hilo-Kailua area
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics57
- Dentists and orthodontists59
- Primary care and pediatrics49
- Urgent care and walk-in clinics
- Chiropractors68
- Physical therapy65
- Optometrists and eye care74
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many primary care and pediatric clinics are in the Hilo-Kailua, HI area?
There are 80 primary care and pediatric clinics on map listings in the Hilo-Kailua area as of September 2026. 3 of them (4%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 100 businesses with payroll classed as offices of physicians in 2023, down 21.9% from 2019. Official counts list 186 one-person businesses without payroll.
How much do households in the Hilo-Kailua, HI area spend on medical and dental services?
About $96M a year, or $1,296 per household. That is in line with the U.S. average (an index of 101, where 100 is the U.S. average). Spread across the 80 primary care and pediatric clinics on map listings, it comes to $1.2M per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics. It is estimated from the incomes of the 74,072 households in the Hilo-Kailua area and national spending patterns by income.
How does the Hilo-Kailua, HI area compare with the U.S. for primary care and pediatric clinics?
The Hilo-Kailua area has 10.8 primary care and pediatric clinics per 10,000 households, 50% above the U.S. rate of 7.2. Spending per clinic is $1.2M, 33% below the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, the Hilo-Kailua area would have about 54, against 80 on map listings. There is one business with payroll in the industry for every 741 households, against one for every 593 across the U.S. The official count fell 21.9% from 2019 to 2023, against −2.2% for the U.S.
How fast is the Hilo-Kailua, HI area growing?
Population estimates put the Hilo-Kailua area at 210,043 people in 2025, up 4.6% since 2020, faster than the U.S. (+3.1%). It has 74,072 households. The median household income in the Hilo-Kailua area is $78,639 a year, 3% below the U.S. median of $80,734. That rose 26.0% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. The Hilo-Kailua area scores 49 for primary care and pediatric clinics (lower middle), #246 of 458 scored small-town markets.
How can I see the market around a specific site?
Run a Groundwork site report on an address in the Hilo-Kailua area. It maps the primary care and pediatric clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for primary care and pediatric clinics · All 56 business types in the Hilo-Kailua area
Screening a site or an acquisition in the Hilo-Kailua area?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of the Hilo-Kailua area. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.