Short Term Acute Care HospitalVoluntary Non-Profit - Church

Adventist Health Castle

Adventist Health · Kailua, HI

640 Ulukahiki Street, Kailua, HI 96734(808) 263-5015

4 of 5

CMS star rating

142

Beds

6,335

Inpatient discharges a year

$241.8M

Net patient revenue a year

In-network payers

About this hospital

Adventist Health Castle is a 142-bed voluntary non-profit - church hospital in Kailua, HI, affiliated with Adventist Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 276 disclosed rate categories.

Rural referral center
Reclassified as rural
Disproportionate share hospital
340B participant

CCN: 120006
NPI: 1316937691
Health system: Adventist Health
Teaching: No Medicare-funded residents
County: Honolulu County
Metro area: Urban Honolulu, HI MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 1966
Last CMS survey: 2007

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Anesthesia Range: 00100 - 01999	Negotiated	Very High
Aetna	Outpatient	CPT Anesthesia Range: 00100 - 01999	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Category II Codes Range: 0001F - 9007F	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Quality
4 of 5 stars
- 156 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-0.04%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- No Medicare-funded residents
- 33 services
- 368 affiliated clinicians
See doctors and services
Finances
$241.8M net patient revenue
- Operating margin on patient care -17.5%
- $6.8M unreimbursed and uncompensated care
- -$4.6M net income
See finances
Ownership and leadership
Owned by Adventist Health System/west
- Church
- Chase Aalborg, chief executive
- 340B drug pricing program participant
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adventist Health Castle in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
99-0107330(multi-state) Castle Medical Center	63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 58 more	1316937691 Castle Medical Center1578948519 Castle Medical Center1679540264 Castle Medical Centerand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

640 Ulukahiki Street, Kailua, HI 96734

(808) 263-5015

Get directions

Quality ratings (CMS Care Compare)

How Adventist Health Castle compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 10 measures
1 better, 8 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
78%
Higher than 72% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.81
Lower than 92% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
156 min
Higher than 55% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
93%
Higher than 98% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	4 of 5
Death rates	No different on 7 measures
Safety	Better on 1 of 7 measures
Readmissions	Mixed on 10 measures
Patient survey ratingCMS: Summary star rating	4 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	78%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.81	2022-07-01 to 2024-06-30
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	156 min	2024-10-01 to 2025-09-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	93%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Adventist Health Castle's inpatient payments for its readmissions, quality and cost results.

-0.04% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.59% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Adventist Health Castle, beside the US median and the average of HI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	Adventist Health Castle	US median	HI average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available		4.2
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,305 cases	3.6	3.9	3.677		Better than 69% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30 · 107 cases	11.6	11.8	11.4		Better than 56% of US hospitals
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		1.9
Death rate for COPD patients2022-07-01 to 2025-06-30 · 38 cases	11	8.5	8.983		Worse than 94% of US hospitals
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 123 cases	11.2	11	10.66		Worse than 54% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 234 cases	13.7	15.2	15.07		Better than 72% of US hospitals
Death rate for stroke patients2023-07-01 to 2025-06-30 · 130 cases	8.6	11.6	10.71		Better than 96% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,792 cases	0.26	0.51	0.8555	No Different Than the National Rate	Better than 84% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 27 cases	159	173	174	No Different Than the National Rate	Better than 75% of US hospitals
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,414 cases	0.18	0.2	0.2464	No Different Than the National Rate	Better than 76% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,445 cases	0.25	0.27	0.2773	No Different Than the National Rate	Better than 71% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 450 cases	2.08	2.29	2.417	No Different Than the National Rate	Better than 80% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 75 cases	1.62	1.63	1.579	No Different Than the National Rate	Better than 55% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 76 cases	7.47	8.88	8.895	No Different Than the National Rate	Better than 79% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 504 cases	3.51	3.4	3.842	No Different Than the National Rate	Worse than 63% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 77 cases	4.82	5.105	5.092	No Different Than the National Rate	Better than 70% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 136 cases	1.67	1.72	1.765	No Different Than the National Rate	Better than 70% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 434 cases	0.93	1.02	1.22	No Different Than the National Rate	Better than 77% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	Adventist Health Castle	US median	HI average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 114 cases	-30.8	4.2	9.6		Better than 95% of US hospitals
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 135 cases	18.2	1.25	21.92		Worse than 72% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 241 cases	4.4	3.85	5.255		Worse than 51% of US hospitals
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 121 cases	12.2	12.9	12.99	No Different Than the National Rate	Better than 86% of US hospitals
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 70 cases	10.3	10.7	10.2	No Different Than the National Rate	Better than 61% of US hospitals
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 70 cases	6	5.3	6.222	No Different Than the National Rate	Worse than 81% of US hospitals
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 168 cases	1.3	1	1.118	No Different than expected	Worse than 97% of US hospitals
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 149 cases	13.8	14.4	14.19		Better than 77% of US hospitals
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		10.83
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 74 cases	19.6	19.8	19.52		Better than 58% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 246 cases	21.2	21.3	21.05		Better than 53% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available		5.68
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 359 cases	14.8	17.2	16.64		Better than 99% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	Adventist Health Castle	US median	HI average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2329	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.597	1.504	2.335	No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	2,369	1,370	5,053	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	1.876	0.9835	4.482	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	0	0	2.5	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	0	0.484	0.7274	No Different than National Benchmark	The best result, shared by 21% of US hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.025	0.138	0.2057	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	2.426	1.392	2.329	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	2,545	1,799	4,489	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	2.033	1.377	4.821	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	1	0	3.429	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.492	0.399	0.7816	No Different than National Benchmark	Worse than 60% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.3714	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	2.076	2.135	2.964	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	54	61	84.83	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	1.443	1.591	2.192	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	0	1	2.333	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	0	0.7155	1.054	No Different than National Benchmark	The best result, shared by 19% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	10	38	30.17
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.089	0.328	0.2526
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	0	0	0.3333
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.0446	No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	2.569	1.855	2.003	No Different than National Benchmark
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	28,829	14,451	43,478	No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	1.166	0.567	2.397	No Different than National Benchmark
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	0	0	0.6429	No Different than National Benchmark
MRSA Bacteremia2024-10-01 to 2025-09-30	0	0.597	0.2263	No Different than National Benchmark	The best result, shared by 18% of US hospitals
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2111	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.355	0.747	1.026	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	27,481	13,646	44,003	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	8.44	5.683	21.87	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	0	2	8.429	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0	0.279	0.4274	Better than the National Benchmark	The best result, shared by 19% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	Adventist Health Castle	US median	HI average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 675 cases	80	73	76.47	Better than 75% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 675 cases	4	8	6.733	Better than 80% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 675 cases	16	18	16.8
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 675 cases	92	87	88.46	Better than 88% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 675 cases	5	4	3.923	The top rating, shared by 12% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 675 cases	84	80	79.2	Better than 74% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 675 cases	94	91	91.85	Better than 82% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 675 cases	3	4	4.2	Better than 58% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 675 cases	5	3	3.769	The top rating, shared by 18% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 675 cases	13	16	16.6
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 675 cases	81	79	79.73	Better than 59% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 675 cases	92	91	91.62	Better than 63% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 675 cases	4	5	5.267	Better than 62% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 675 cases	4	3	3.462	Better than 63% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 675 cases	15	16	15
Staff "always" explained2024-10-01 to 2025-09-30 · 675 cases	64	61	61.8	Better than 64% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 675 cases	80	77	78.62	Better than 72% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 675 cases	15	19	17.13	Better than 74% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 675 cases	3	3	3	Better than 47% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 675 cases	21	19	21.07
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 675 cases	91	86	86.46	Better than 92% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 675 cases	9	13	13.27	Better than 84% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 675 cases	5	3	3.462	The top rating, shared by 8% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 675 cases	91	87	86.73	Better than 84% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 675 cases	11	14	14.85	Better than 77% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 675 cases	89	86	85.15	Better than 77% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	75	74	75.38	Better than 55% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	6	7	6.538	Better than 53% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	19	19	18.08
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 675 cases	81	77	78.92	Better than 71% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 675 cases	4	6	5.154	Better than 70% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 675 cases	15	17	15.92
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	86	85	85.31	Better than 53% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	3	3	3.385	Better than 49% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	11	11	11.31
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 675 cases	5	8	8	Better than 73% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 675 cases	15	20	21.2
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 675 cases	80	72	70.8	Better than 80% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 675 cases	92	88	88.38	Better than 86% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 675 cases	4	3	3.308	Better than 55% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 675 cases	75	74	74.46	Better than 52% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 675 cases	5	9	8.615	Better than 86% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 675 cases	20	16	16.92
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	79	75	75.46	Better than 75% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	4	5	5.538	Better than 66% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 675 cases	17	20	19
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 675 cases	81	77	76.62	Better than 74% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 675 cases	3	4	4.077	Better than 64% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 675 cases	16	19	19.31
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	90	86	86	Better than 77% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	1	3	2.385	Better than 77% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 675 cases	9	11	11.62
"Always" quiet at night2024-10-01 to 2025-09-30 · 675 cases	60	59	53.73	Better than 51% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 675 cases	8	9	12.33	Better than 53% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 675 cases	32	31	33.93
Quietness - linear mean score2024-10-01 to 2025-09-30 · 675 cases	83	82	78.54	Better than 56% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 675 cases	4	3	2.769	Better than 56% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 675 cases	4	5	5	Better than 57% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 675 cases	78	71	71.93	Better than 72% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 675 cases	91	87	88.31	Better than 76% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 675 cases	18	23	23.07
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 675 cases	5	4	3.923	The top rating, shared by 24% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 675 cases	52	47	49.69	Better than 72% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 675 cases	25	30	27.62	Better than 74% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 675 cases	23	22	22.69
Summary star rating2024-10-01 to 2025-09-30 · 675 cases	4	3	3.462	Better than 60% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 675 cases	7	12	11.92	Better than 92% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 675 cases	93	88	88.08	Better than 92% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	Adventist Health Castle	US median	HI average	US rank
Emergency department volume2024-01-01 to 2024-12-31	medium
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		4.6
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		0.25
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,800 cases	95	79	65.63	Better than 86% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 438 cases	161	154	119	Worse than 55% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 400 cases	156	148	120	Worse than 55% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 21 cases	204	247	196	Better than 67% of US hospitals
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases	452	293	277	Worse than 91% of US hospitals
Left before being seen2024-01-01 to 2024-12-31 · 37,247 cases	1	1	0.8824	Better than 42% of US hospitals
Head CT results2024-10-01 to 2025-09-30 · 15 cases	67	74	68.14	Worse than 63% of US hospitals
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 25 cases	96	97	91.73	Worse than 54% of US hospitals
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,029 cases	13	15	11.31	Better than 60% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 110 cases	93	65	76.08	Better than 98% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 52 cases	96	73	85	Better than 94% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 40 cases	95	88	87.36	Better than 74% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 110 cases	97	82	90.67	Better than 97% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 82 cases	99	94	92.92	Better than 86% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 101 cases	92	98	95.7	Worse than 89% of US hospitals
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		71.75
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		92.86
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,594 cases	94	90	70.5	Better than 65% of US hospitals
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 472 cases	100	97	88.33	The best result, shared by 14% of US hospitals

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	Adventist Health Castle	US median	HI average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	3.1	5	4.446		Better than 73% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	7.1	6.6	6.189		Worse than 57% of US hospitals

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	Adventist Health Castle	US median	HI average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.91	0.99	0.8855		Better than 84% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	Adventist Health Castle	US median	HI average	US rank
VBP clinical outcomes domain scoreFY 2026	12	20	20.86	Worse than 68% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	3	5	5.216	Worse than 68% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	50	10	61.82	Better than 84% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	12.5	2.5	15.45	Better than 83% of US hospitals
VBP person and community engagement domain scoreFY 2026	63	34	38.64	Better than 88% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	15.75	8.75	9.659	Better than 87% of US hospitals
VBP safety domain scoreFY 2026	83.33	40	42.33	Better than 96% of US hospitals
VBP safety weighted domain scoreFY 2026	20.83	10	10.58	Better than 95% of US hospitals
VBP total performance scoreFY 2026	52.08	29.5	40.91	Better than 95% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	34	52	55	34	16	12
VBP clinical outcomes weighted domain score	8.5	13	13.75	8.5	4	3
VBP efficiency and cost reduction domain score	50	Not Available	50	50	20	50
VBP efficiency and cost reduction weighted domain score	12.5	Not Available	12.5	12.5	5	12.5
VBP person and community engagement domain score	75	Not Available	Not Available	36	49	63
VBP person and community engagement weighted domain score	18.75	Not Available	Not Available	9	12.25	15.75
VBP safety domain score	42	Not Available	Not Available	56	42	83.33
VBP safety weighted domain score	10.5	Not Available	Not Available	14	10.5	20.83
VBP total performance score	50.25	Not Available	Not Available	44	31.75	52.08

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Adventist Health Castle	US median	HI average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 129 cases	0.9058	0.9995	1.005	Better than 93% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		0.9704
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	1.046	0.9969	0.9963	Worse than 84% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 114 cases	1.003	0.9983	1.003	Worse than 53% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	0.9711	0.9916	0.9556	Better than 56% of US hospitals
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 201 cases	0.9966	0.9955	0.9561	Worse than 51% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	0.9644	0.973	0.9961	0.9723	0.9405	0.9058
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	0.98	0.9808	0.9858	0.9931	1.038	1.046
READM-30-HF-HRRP	1.046	1.053	1.081	0.9983	1.002	1.003
READM-30-HIP-KNEE-HRRP	1.058	1.012	1.018	0.9699	1.01	0.9711
READM-30-PN-HRRP	0.9101	0.9696	1.046	1.024	1.075	0.9966

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Adventist Health Castle	US median	HI average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.152	0.489	0.9801	Better than 82% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.174	0.346	0.5455	Better than 77% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.379	0.559	0.8835	Better than 68% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.357	0.6405	0.4982	Better than 76% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.8068	0.9628	1.068	Better than 92% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	0.341	0.7945	1.393	Better than 79% of US hospitals
Total HAC scoreFY 2026	-0.8533	-0.0453	0.4309	Better than 93% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	-0.2486	-0.3022	0	-0.554	-0.684	-0.8533

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2007)
Accreditation
Graduate
Medical school affiliation
Church
Ownership type
160
Medicare-certified beds
179
Registered nurses (full-time equivalent)
1966
In Medicare since

33 services at Adventist Health Castle

Emergency and trauma: Emergency DepartmentEmergency Psychiatric Care
Intensive care: Surgical ICU (Medical Surgical Intensive Care Unit)
Heart: Cardiac Catheterization Lab
Surgery: AnesthesiaInpatient SurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear Medicine
Cancer: Chemotherapy
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryObstetrics / Child Birth
Behavioral health: Adult Inpatient Psychiatric CareGeriatric Psychiatric
Rehabilitation and therapy: AudiologyOT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareESWL (Extracorporeal Shockwave Lithotripter)OutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Adventist Health Castle reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

6,335
Inpatient discharges
Medicare 19%, Medicaid 0%
25,186
Inpatient days
49% of available bed days used
816
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 839661). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Adventist Health Castle reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	4,925	179	20,082	25,186
Discharges	1,193	20	5,122	6,335
Average length of stay	4.1 days	8.9 days	3.9 days	4.0 days
Average daily census	13.5	0.5	55.0	69.0

5,824
Medicare Advantage days
1,402 discharges
6,123
Medicaid managed care days
1,454 discharges
2,129
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	134	22,411	4,460	46%
Intensive care unit	8	1,530	465	52%
Nursery		1,245

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Adventist Health Castle treats Medicare patients for most often, in 2024. 775 Medicare discharges in 26 published DRGs; 11% surgical; 74% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	145	$50,846	$16,461	$15,305	1.98
PsychosesMS-DRG 885, medical	80	$31,216	$12,837	$9,396	1.37
Respiratory infections and inflammations with MCCMS-DRG 177, medical	61	$48,899	$14,051	$14,719	1.70
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	51	$56,648	$16,082	$17,051	1.59
Heart failure and shock with MCCMS-DRG 291, medical	42	$31,390	$10,601	$9,449	1.28
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	32	$31,714	$8,118	$9,546	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	29	$128,619	$41,375	$38,714	5.00
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	26	$56,955	$17,322	$17,143	2.07
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	25	$42,071	$11,502	$12,663	1.33
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	24	$39,468	$7,843	$11,880	0.98
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	23	$27,735	$10,576	$8,348	1.32
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	21	$36,093	$7,795	$10,864	0.91
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	21	$60,198	$16,286	$18,120	1.79
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	19	$39,546	$7,595	$11,903	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	17	$52,014	$15,751	$15,656	2.00
Pulmonary edema and respiratory failureMS-DRG 189, medical	17	$37,109	$9,800	$11,170	1.23
Renal failure with CCMS-DRG 683, medical	17	$32,988	$6,428	$9,929	0.90
Gastrointestinal obstruction with CCMS-DRG 389, medical	16	$27,828	$6,252	$8,376	0.80
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	16	$64,644	$18,989	$19,458	2.11
Cellulitis without MCCMS-DRG 603, medical	16	$28,882	$5,539	$8,694	0.88

See all 26 Medicare inpatient DRGs at Adventist Health Castle

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Adventist Health Castle billed Medicare for most in 2024: 779 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	147	137	$19,341	$2,460	$2,090
Level 2 Urology and Related ServicesAPC 5372	101	95	$2,082	$606	$502
Level 5 Musculoskeletal ProceduresAPC 5115	71	67	$48,801	$13,476	$10,772
Level 1 Endovascular ProceduresAPC 5191	61	61	$19,903	$2,555	$2,208
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	52	49	$6,864	$1,429	$1,220
Level 3 Airway EndoscopyAPC 5153	47	30	$7,101	$1,555	$1,264
Level 4 Musculoskeletal ProceduresAPC 5114	34	33	$30,187	$6,396	$5,339
Level 1 Laparoscopy and Related ServicesAPC 5361	34	34	$28,649	$5,123	$4,358
Level 3 Urology and Related ServicesAPC 5373	33	29	$14,916	$1,808	$1,516
Level 3 Endovascular ProceduresAPC 5193	30	28	$55,643	$10,991	$8,874

See all 18 Medicare outpatient services at Adventist Health Castle

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Adventist Health Castle in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,405 in 2020 to 2,527 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
96744	885	35%	3,423	$49.3M	46%	46%
96734	673	27%	2,742	$39.4M	50%	54%
96795	204	8%	851	$14.2M	51%	59%
96825	101	4%	358	$5M	8%	3%
96717	63	2%	240	$3.7M	50%	60%
96819	61	2%	295	$2.4M	4%	4%
96817	59	2%	260	$3M	2%	2%
96731	45	2%	240	$3.4M	69%	29%
96826	34	1%	169	$1.7M	3%	2%
96762	33	1%	129	$2.1M	52%	76%
96792	30	1%	149	$1.3M	1%	2%
96820	28	1%	183	$956,353	17%	17%
96813	27	1%	106	$1.3M	2%	2%
96701	25	1%	98	$631,580	2%	1%
96707	25	1%	108	$1.2M	2%	2%
96786	21	1%	113	$937,416	2%	9%
96782	20	1%	87	$886,363	1%	2%
96706	19	1%	93	$817,476	1%	1%
96816	18	1%	90	$1M	1%	1%
96821	18	1%	58	$737,378	2%	2%
96822	18	1%	127	$967,342	1%	1%
96815	17	1%	48	$745,758	2%	2%
96730	16	1%	60	$845,561	100%	59%
96797	16	1%	74	$1.1M	1%	2%
96814	14	1%	55	$636,281	2%	3%

Source: CMS Hospital Service Area file. Shares are of the 2,527 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Adventist Health Castle reported at its latest Medicare certification survey (2007). Counts are people, not full-time equivalents.

2
Off-site locations

179
Registered nurses
8
Licensed practical nurses
7
Physicians
11
Pharmacists
14
Respiratory therapists
13
Physical therapists
4
Occupational therapists
1
Speech pathologists and audiologists
23
Radiology technicians
2
Nuclear medicine technicians
2
Laboratory technicians
1
Medical technologists
3
Dietitians
6
Social workers
406
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

368 clinicians who bill Medicare list Adventist Health Castle as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Internal Medicine Physician 47
Family Medicine Physician 40
Emergency Medicine Physician 34
Diagnostic Radiology Physician 29
Family Nurse Practitioner 21
Cardiovascular Disease Physician 13
Physician Assistant 13
Anesthesiology Physician 11
Orthopaedic Surgery Physician 11
Obstetrics & Gynecology Physician 10

David Tamura, M.D.
Hematology & Oncology Physician
NPI 1295953123
See commercial rates for David Tamura, M.D.
Melvin Palalay, M.D.
Hematology & Oncology Physician
NPI 1508833971
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Nanci Mercer, MD
Diagnostic Radiology Physician
NPI 1306838776
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Arnold Yee, M.D.
Hematology & Oncology Physician
NPI 1194792119
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Sian Yik Lim, MD
Rheumatology Physician
NPI 1992092225
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Linda Rasmussen, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1811966740
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Gregory Dunn, M.D.
Diagnostic Radiology Physician
NPI 1700901212
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Scott Harada, M.D.
Diagnostic Radiology Physician
NPI 1649571548
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Sonny Wong, M.D.
Cardiovascular Disease Physician
NPI 1457369571
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Stephen Ko, M.D.
Diagnostic Radiology Physician
NPI 1972568236
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Ryan Smith, DO, FACC
Cardiovascular Disease Physician
NPI 1639157365
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Johnny Ling, MD
Diagnostic Radiology Physician
NPI 1578927539
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Andy Chon, MD
Diagnostic Radiology Physician
NPI 1093978538
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Charles Weber, MD
Diagnostic Radiology Physician
NPI 1609197078
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Hingson Chun, M.D.
Cardiovascular Disease Physician
NPI 1891883468
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Maria Markarian, DO
Interventional Cardiology Physician
NPI 1861490641
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Alfredo Nino, M.D.
Diagnostic Radiology Physician
NPI 1164489258
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Kamonkiat Wirunsawanya, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1639552599
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Christina Speirs, MD PHD
Radiation Oncology Physician
NPI 1386934495
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Wesley Kim
Anatomic Pathology & Clinical Pathology Physician
NPI 1427005743
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Zachary Love, M.D.
Vascular & Interventional Radiology Physician
NPI 1487817524
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Donald Blair, MD
Diagnostic Radiology Physician
NPI 1477523710
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Brian Pien, M.D.
Infectious Disease Physician
NPI 1457436941
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Philip Ho, M.D.
Diagnostic Radiology Physician
NPI 1508165960
See commercial rates for Philip Ho, M.D.

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Adventist Health Castle reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$793.1M	328.0%
Inpatient	$287.9M	119.1%
Outpatient	$505.2M	209.0%
Contractual allowances and discounts	-$551.3M	-228.0%
Net patient revenue	$241.8M	100.0%
Operating expenses	-$284.1M	-117.5%
Operating income from patient care	-$42.3M	-17.5%
Other income	$37.8M	15.6%
Contributions and donations	$163	0.0%
Investment income	$10.2M	4.2%
Other	$27.5M	11.4%
Net income	-$4.6M	-1.9%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$131.4M	17.6%
Medicaid (including managed care)	$127.2M	17.0%
Other payers and self-pay	$487.7M	65.3%
Total charges	$746.3M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Adventist Health Castle's latest cost report.

-17.5%
Operating margin
Operating income from patient care / net patient revenue
-1.6%
Total margin
Net income / net patient revenue plus other income
2.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$59.65
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-1.7%
Return on assets
Net income for a year / total assets
-2.8%
Return on equity
Net income for a year / fund balance
1.15
Current ratio
Current assets / current liabilities
1.08
Quick ratio
Cash, temporary investments and net receivables / current liabilities
103 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
57 days
Days in patient receivables
Net patient receivables / daily net patient revenue
142 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.03
Asset turnover
Total revenue for a year / total assets
16.3 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Adventist Health Castle owned and owed at the end of its reporting period (Dec 2025), across all fund types: $270.4M in total assets and a $161.2M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$77.2M	28.6%
Patient receivables, net	$37.7M	14.0%
Inventory	$5.2M	1.9%
Total current assets	$123M	45.5%
Property and equipment, net of depreciation	$127.8M	47.3%
Investments and other assets	$19.6M	7.3%
Total assets	$270.4M	100.0%
Current liabilities	$106.7M	39.5%
Total liabilities	$109.2M	40.4%
Fund balance (net assets)	$161.2M	59.6%

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Adventist Health Castle provided without full payment, as reported on Worksheet S-10 of its cost report.

$2.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.8M
Bad debt
Patient bills written off as uncollectible, at charges
$11.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.8M
Total unreimbursed and uncompensated care
2.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Adventist Health Castle's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue	$156.4M	$174.4M	$187.9M	$218.1M	$239.2M	$241.8M
Operating expenses	$180.4M	$191.5M	$214.1M	$247.7M	$264M	$284.1M
Operating margin	-15.3%	-9.8%	-13.9%	-13.6%	-10.4%	-17.5%
Net income	-$3.3M	$13.7M	-$7.9M	-$2.1M	$6.5M	-$4.6M
Total assets	$287.4M	$303.5M	$280.9M	$255.5M	$268.7M	$270.4M
Discharges	6,528	6,344	6,169	6,257	6,795	6,335
Inpatient days	26,493	26,469	26,438	25,738	27,709	25,186
Medicare Advantage days	5,693	5,541	6,136	5,753	7,060	5,824
Beds	160	160	160	142	142	142
Employees (FTE)	637	608	800	1,098	824	816

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Adventist Health Castle reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 46 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Clinic	$23.8M	$25.3M	$21.3M	1.18	24,421
Drugs charged to patients		$23.5M	$86.7M	0.27
Operating room	$4.8M	$19.2M	$57.6M	0.33	12,673
Emergency	$7.3M	$17.3M	$126.6M	0.14	10,465
Laboratory	$3M	$11.6M	$97M	0.12	4,317
Impl. dev. charged to patients		$8.8M	$28.2M	0.31
Cardiac catheterization	$1.2M	$6.7M	$25.2M	0.26	2,172
Radiology-diagnostic	$2.5M	$6.7M	$17.5M	0.38	6,092
Delivery room & labor room	$5.4M	$6.5M	$8.9M	0.74	6,519
Recovery room	$2.3M	$5.1M	$15.2M	0.33	3,818
Observation beds (non-distinct part		$4.2M	$7.4M	0.58
Rural health clinic	$1.6M	$4M	$4.5M	0.89	3,582
Ct scan	$1.4M	$3.4M	$57.5M	0.06	1,684
Respiratory therapy	$1.7M	$3.3M	$16.3M	0.20	1,369
Electrocardiology	$1.4M	$3M	$18M	0.17	596
Performance rehab center	$862,761	$1.7M	$4.9M	0.34
Mri	$667,604	$1.6M	$14M	0.11	2,011
Ultrasound	$701,677	$1.5M	$6.8M	0.22	1,104
Medical supplies charged to patient		$1.2M	$9.3M	0.13
Renal dialysis		$1.1M	$2.4M	0.47	608
Physical therapy	$630,468	$875,051	$2M	0.45	248
Anesthesiology	$203,379	$829,585	$20.8M	0.04	533
Radioisotope	$299,140	$747,616	$5.4M	0.14	432
Occupational therapy	$364,316	$611,940	$1.7M	0.37	184
Bariatric	$184,039	$338,777	$11,718	28.91	379
Speech pathology	$140,626	$189,433	$1.1M	0.17	141
Electroencephalography		$38,254	$79,232	0.48	2

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$17M	$48.9M	$75.8M	0.65	52,136
Intensive care unit	$3.3M	$7.8M	$11.7M	0.66	5,130
Nursery		$2.1M	$2.3M	0.92	1,584

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Other adminstrative & general	$5.7M	$43.3M			22,156
Employee benefits department	$765,252	$23.2M	6,096	$125.54	1,278
Operation of plant	$1.3M	$10.5M	32,481	$39.16	11,856
Nursing administration	$5.6M	$6.6M	88,957	$62.88	1,841
Cap rel costs-bldg & fixt		$6.4M			254,435
Cap rel costs-mvble equip		$4.5M
Medical records & library	$2.1M	$3.8M	64,515	$32.20	1,582
Pharmacy	$3.2M	$2.9M	58,181	$54.89	3,988
Housekeeping		$2.8M			2,985
Cafeteria		$1.7M			5,712
Dietary		$1.7M			3,497
Laundry & linen service		$953,356			644
Social service		$848,571
Weinberg medical plaza		$840,097			19,798
Central services & supply	$1,269	$331,076
Castle professional center		$35,040			22,327

Source: CMS cost report (HCRIS, Form 2552-10), report 839661, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Adventist Health Castle for an inpatient stay.

1.74
Case mix index
Higher than 56% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
31.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,198
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.81	1.81	1.89	1.89	1.96	1.83	1.74
Wage index	1.256	1.201	1.325	1.378	1.309	1.260	1.198
Readmissions adjustment	0.00%	-0.40%	-0.17%	-0.29%	-0.09%	-0.40%	-0.04%
Value-based purchasing adjustment	+1.30%	+1.22%	+1.22%	+0.26%	+2.18%	+0.84%	+1.59%
Medicare inpatient stays	1,502	1,502	1,302	1,186	1,260	1,356	1,198

Source: CMS IPPS final rule Impact File (FY 2027).

Ownership

Organizations Adventist Health Castle reports to Medicare as owners or with operational control.

Adventist Health System/west
5% or greater direct ownership interest, 100%, since 1966
Adventist Health System/west
Operational/managerial control, since 1966

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on Adventist Health Castle's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Meredith S Jobe Officer, Secretary, since 2014
Kerry L Heinrich Officer, Chair, since 2022
Nick C. Johnson Officer, Treasurer, since 2022
Chase Aalborg Officer, President, since 2024
Eric A Stevens Officer, Vice Chair, since 2025
Larry L Innocent Director, Board Member, since 2011
John C Freedman Director, since 2016
Richard K Reiner Director, since 2017
Andrew R Davis Director, since 2017
Robert A Cherry Director, since 2017
Marc K Woodson Director, since 2019
Joy A. Fehr Director, Board Member, since 2020
Bradford C Newton Director, Board Member, since 2021
Jack W Wagner Director, Board Member, since 2022
Ann K Beckett Director, Board Member, since 2024
Jonathan J Daggett Director, Board Member, since 2024
Kenneth Jutzy Director, Board Member, since 2024
John H Cress Director, Board Member, since 2024

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 20 are shown.

Officers and key employees of Castle Medical Center (IRS Form 990, tax year 2024)

Castle Medical Center files the Form 990 for the tax ID insurers list for Adventist Health Castle, so these people may lead the wider organization rather than Adventist Health Castle alone.

Name	Title
HeinrichKerry	Director/ceo
Hofheins Todd	Coo/vice Chair
Beaman John	Cfo/asst Secty
Jobe Meredith	Secretary
Ashlock Ryan thru 1024	President, Ahcs
Johnson Nicolas	Treasurer
Aalborg Chase eff 1024	President, Ahcs
Freedman John	Dir/chair
Newton Bradford	Dir/vice Chair

Board members: Davis Andrew, Cherry Robert, Innocent Larry, Reiner Richard, Wagner Jack, Woodson Marc, SalazarVelino thru924, Fehr Joy, Beckett Ann, Jutsy Kenneth, Daggett Jonathan, Cress John eff 1024.

Source: IRS Form 990 Part VII filed by Castle Medical Center (EIN 99-0107330), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

340B drug pricing program
Participating since 2006
340B ID DSH120006, registered as a disproportionate share hospital; 14 registered outpatient sites; 19 active contract pharmacies. Authorizing official: Jonathan Just, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.

Hospital-based units

Hospital-based units with their own Medicare certification

Health clinic of laie
CCN 123978, certified 2016, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Adventist Health Castle's latest Medicare cost report (HCRIS).

Frequently asked questions

About Adventist Health Castle's rates and hospital price transparency.

What is Adventist Health Castle's CMS star rating?

Adventist Health Castle has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Adventist Health Castle a teaching hospital?

CMS reports no Medicare-funded interns or residents at Adventist Health Castle for fiscal year 2027.

Does Medicare penalize Adventist Health Castle for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventist Health Castle's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Adventist Health Castle?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (145 discharges), psychoses (80 discharges), respiratory infections and inflammations with mcc (61 discharges).

What is Adventist Health Castle's case mix index?

Adventist Health Castle's Medicare case mix index is 1.74 for fiscal year 2027, higher than 56% of hospitals paid under the inpatient prospective payment system.

How many patients does Adventist Health Castle admit?

Adventist Health Castle reported 6,335 inpatient discharges and 25,186 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Adventist Health Castle have?

Adventist Health Castle reported 816 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Adventist Health Castle make?

Adventist Health Castle reported $241.8M in net patient revenue on $793.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -17.5%, and net income of -$4.6M.

How much charity and uncompensated care does Adventist Health Castle provide?

Adventist Health Castle reported $6.8M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2.9M of charity care at cost.

Who is the CEO of Adventist Health Castle?

Adventist Health Castle's Medicare enrollment lists Chase Aalborg as President since 2024.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
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        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "standard_charge_dollar": 250
      }
    ]
  }]
}

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About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

33 services at Adventist Health Castle

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees of Castle Medical Center (IRS Form 990, tax year 2024)

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

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