640 Ulukahiki St, Kailua, HI, 96734 · (808) 263-5015
Beds
142
FY 2024
Star rating
4 of 5
Patient survey: 4 of 5
Net patient revenue
$239.2M
FY 2024
Net income
$6.5M
Patient care margin -10.4%
Discharges
6,795
Occupancy 53.3%
Clinicians
358
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2024 | $239.2M | $264.0M | -10.4% | $6.5M | 6,795 | $4.5M | 20.3% | 0.7% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate for COPD patients | 11% | US median 8.5% |
| Death rate for heart attack patients | 11.6% | US median 11.8% |
| Death rate for heart failure patients | 11.2% | US median 11% |
| Hospital-wide death rate within 30 days | 3.6% | US median 3.9% |
| Death rate for pneumonia patients | 13.7% | US median 15.2% |
| Death rate for stroke patients | 8.6% | US median 11.6% |
Medicare clinicians who list this hospital, by specialty
Inpatient stays by diagnosis related group (DRG), 2024
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
Medicare clinicians who work here
| 2023 | $218.1M | $247.7M | -13.6% | -$2.1M | 6,257 | $2.8M | 21.1% | 0.2% |
| 2022 | $187.9M | $214.1M | -13.9% | -$7.9M | 6,169 | $2.4M | 23.1% | 24.4% |
| 2021 | $174.4M | $191.5M | -9.8% | $13.7M | 6,344 | $1.2M | 21.7% | 29.6% |
| 2020 | $156.4M | $180.4M | -15.3% | -$3.3M | 6,528 | $2.5M | 21.0% | 0.5% |
| Readmission rate for COPD | 19.6% | US median 19.8% |
| Readmission rate after a heart attack | 13.8% | US median 14.4% |
| Readmission rate for heart failure | 21.2% | US median 21.3% |
| Readmission rate for pneumonia | 14.8% | US median 17.2% |
| Serious complications (patient safety composite) | 0.81 | US median 0.96 |
| C. diff intestinal infections (ratio to expected) | 0.00 | US median 0.28 · better |
| Central line bloodstream infections (ratio to expected) | 0.00 | US median 0.48 |
| Surgical site infections after colon surgery (ratio to expected) | 0.00 | US median 0.72 |
| MRSA bloodstream infections (ratio to expected) | 0.00 | US median 0.60 |
| Catheter urinary tract infections (ratio to expected) | 0.49 | US median 0.40 |
| Doctors always communicated well | 81% | US median 79% |
| Nurses always communicated well | 84% | US median 80% |
| Patient survey summary star rating | 4 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 60% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 80% | US median 72% |
| Room and bathroom always clean | 80% | US median 73% |
| Patients who would definitely recommend the hospital | 78% | US median 71% |
| Patients who left the emergency department before being seen | 1% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 156 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 13% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 93% | US median 65% |
| Healthcare workers given the flu vaccine | 95% | US median 79% |
| Stroke patients who got a brain scan within 45 minutes of arrival | 67% | US median 74% |
| 61 |
| $48,898.74 |
| $14,051.11 |
| $12,667.88 |
| DRG 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 51 | $56,648.22 | $16,082.10 | $12,400.10 |
| DRG 291 HEART FAILURE AND SHOCK WITH MCC | 42 | $31,390.38 | $10,600.81 | $10,022.34 |
| DRG 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 32 | $31,713.81 | $8,117.91 | $7,681.44 |
| DRG 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 29 | $128,619.17 | $41,374.79 | $40,556.82 |
| DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 26 | $56,954.81 | $17,322.08 | $15,801.33 |
| DRG 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 25 | $42,071.08 | $11,502.36 | $9,867.73 |
| DRG 378 GASTROINTESTINAL HEMORRHAGE WITH CC | 24 | $39,467.63 | $7,843.00 | $7,294.77 |
| DRG 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 23 | $27,734.87 | $10,576.04 | $10,642.23 |
| DRG 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 21 | $36,093.05 | $7,795.33 | $6,648.56 |
| DRG 377 GASTROINTESTINAL HEMORRHAGE WITH MCC | 21 | $60,198.29 | $16,285.57 | $14,301.50 |
| DRG 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 19 | $39,546.32 | $7,594.74 | $7,474.08 |
| DRG 683 RENAL FAILURE WITH CC | 17 | $32,988.24 | $6,428.06 | $6,629.69 |
Hospital outpatient services by payment group (APC), 2024
| Service group | Services | Patients | Medicare pays per service | All hospitals |
|---|---|---|---|---|
| APC 8011 Comprehensive Observation Services | 147 | 137 | $2,459.58 | $2,090.36 |
| APC 5372 Level 2 Urology and Related Services | 101 | 95 | $605.52 | $502.15 |
| APC 5115 Level 5 Musculoskeletal Procedures | 71 | 67 | $13,475.59 | $10,771.69 |
| APC 5191 Level 1 Endovascular Procedures | 61 | 61 | $2,555.24 | $2,207.96 |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 52 | 49 | $1,428.55 | $1,219.56 |
| APC 5153 Level 3 Airway Endoscopy | 47 | 30 | $1,555.31 | $1,264.08 |
| APC 5361 Level 1 Laparoscopy and Related Services | 34 | 34 | $5,122.63 | $4,357.80 |
| APC 5114 Level 4 Musculoskeletal Procedures | 34 | 33 | $6,395.67 | $5,338.75 |
| APC 5373 Level 3 Urology and Related Services | 33 | 29 | $1,808.20 | $1,516.28 |
| APC 5193 Level 3 Endovascular Procedures | 30 | 28 | $10,991.30 | $8,873.86 |
| APC 5375 Level 5 Urology and Related Services | 28 | 28 | $4,741.57 | $3,917.51 |
| APC 5374 Level 4 Urology and Related Services | 27 | 19 | $3,187.61 | $2,629.24 |
Official US government data on Original Medicare hospital stays and outpatient services; groups with fewer than 11 cases are not published. Payments are those drug and device companies must report.
Adventist Health Castle is a nonprofit short-term acute care hospital in Kailua, HI with 142 beds, part of Adventist Health and a 4-star overall rating.
Adventist Health Castle in Kailua, HI has 142 beds (fiscal year 2024 cost report); 160 beds are certified for Medicare. It discharged 6,795 inpatients that year, with 53.3% of its beds in use on average.
In fiscal year 2024 (ending 2024-12-31), Adventist Health Castle reported net patient revenue of $239.2M and operating expenses of $264.0M, a margin on patient care of -10.4%. After other income and expenses its net income was $6.5M (2.4% of revenue), so it made a profit that year.
Adventist Health Castle is part of Adventist Health, a health system with 26 hospitals based in Roseville, CA. It is a nonprofit hospital.
Adventist Health Castle has an overall rating of 4 out of 5 stars in the official hospital quality ratings. Patients rate it 4 out of 5 stars in the patient survey.
Yes, Adventist Health Castle provides emergency services.
358 Medicare clinicians list Adventist Health Castle as a hospital they work at, most often in Internal Medicine, Family Practice, Nurse Practitioner.
In 2024, Adventist Health Castle had 775 Medicare inpatient stays in 26 diagnosis groups. The most common was DRG 871 (septicemia or severe sepsis without mv >96 hours with mcc) with 145 stays; Medicare paid $16,461.18 per stay on average, compared with $15,524.21 across all hospitals.