Short-term acute care hospital · Kailua, Hawaii · 142 beds · CMS certification number 120006
Adventist Health Castle
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS July 14, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $51.9M in its first year on file (1996) to $241.8M in 2025.
- Its result from patient care: −$29.7M (2023), −$24.8M (2024), −$42.3M (2025).
- All 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.7% of its inpatient days and Medicare for 19.6%.
- ADVENTIST HEALTH SYSTEM/WEST holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
30 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Hospitals of the same type (short-term acute care hospital), nearest in size, from Hawaii first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Adventist Health Castle | 142 | $241,780,702 | $284,123,757 | −17.5% |
| Hilo Benioff Medical Center, Hilo | 194 | $316,785,734 | $374,233,655 | −18.1% |
| Kona Hospital, Kealakekua | 83 | $118,324,206 | $163,449,230 | −38.1% |
| Kuakini Medical Center, Honolulu | 170 | $152,591,190 | $191,306,474 | −25.4% |
| Pali Momi Medical Center, Aiea | 118 | $349,444,796 | $357,512,624 | −2.3% |
| Straub Benioff Medical Center, Honolulu | 159 | $590,299,965 | $631,548,700 | −7.0% |
Patients and payers
- Discharges
- 6,335S-3 line 14, col 15
- Inpatient days
- 25,186S-3 line 14, col 8
- Beds in use, on an average day
- 69.2days ÷ days in year
- Occupancy
- 48.6%days ÷ bed days
- Medicare share of days
- 19.6%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.7%S-3 cols 7 ÷ 8
Who owns it
- ADVENTIST HEALTH SYSTEM/WEST100%
Related organizations on its own cost report: ADVENTIST HEALT, healthcare mana.
Other hospitals with the same owner: Adventist Health St. Helena (CA), Adventist Health White Memorial (CA), Adventist Health Hanford (CA), Adventist Health Reedley (CA), Adventist Health Simi Valley (CA), Adventist Health Glendale (CA), Adventist Health Ukiah Valley (CA), Sonora Community Hospital (CA), Adventist Health Lodi Memorial (CA), Adventist Health Bakersfield (CA), Adventist Health Sierra Vista (CA), Adventist Health (CA).
Type of control on its cost report: voluntary nonprofit, church.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Castle Medical Center (employer identification number 990107330) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $16,368,606 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $745,831 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $7,592,514 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $8,338,345 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $8,030,261 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0662 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202443069349300439. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Castle Medical Center (employer identification number 990107330) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Anderson Erik | Patient Care Executive | $0 | $342,484 | $2,293 | |
| Ashlock Ryan | President, AHCS | Officer | $0 | $616,479 | $64,489 |
| Banks David | Director | Trustee/director | $0 | $26,181 | $0 |
| Beaman John | CFO/Asst Secty | Officer | $0 | $1,680,553 | $71,703 |
| Cherry Robert | Director | Trustee/director | $0 | $26,611 | $0 |
| Davis Andrew | Director | Trustee/director | $0 | $26,611 | $0 |
| Fehr Joy | Director | Trustee/director | $0 | $430 | $0 |
| Freedman John | Dir/Chair | Trustee/director | $0 | $26,770 | $0 |
| Heinrich Kerry | Director/CEO | Trustee/director, Officer | $0 | $3,302,428 | $55,743 |
| Hofheins Todd | COO/Vice Chair | Officer | $0 | $2,272,592 | $74,489 |
| Ing Albert | Physician | $1,537,212 | $0 | $73,524 | |
| Innocent Larry | Director | Trustee/director | $0 | $26,611 | $0 |
| Jahn Andrew | Former Care Div Pres thru 02/22 | $0 | $1,465,906 | $50,625 | |
| Jobe Meredith | Secretary | Officer | $0 | $959,488 | $60,723 |
| Johnson Nicolas | Treasurer | Officer | $0 | $577,669 | $71,755 |
| Kanagaraj Gautham | Physician | $640,320 | $0 | $70,827 | |
| LeeAdam | For Dir Mark&Comm,PNR thru 8/23 | $0 | $330,361 | $47,790 | |
| LumSteven | Physician | $612,060 | $0 | $57,774 | |
| Munir Jamalah | Physician | $574,931 | $0 | $59,517 | |
| Nahapetian Arby | Former Care Div Med Off thru 02/22 | $0 | $1,482,294 | $67,961 | |
| NewmyerJoyce | Form President, PNR thru 08/20 | $0 | $1,107,614 | $58,035 | |
| Newton Bradford | Dir/Vice Chair | Trustee/director | $0 | $26,611 | $0 |
| Panetta James | Physician | $612,085 | $0 | $5,454 | |
| Reiner Richard | Director | Trustee/director | $0 | $26,611 | $0 |
| Rippey Wesley | Frmr Reginal Med Off,PNR thru 3/21 | $0 | $755,844 | $71,360 | |
| Saavedra Garcia Katherine | Operations Executive | $0 | $412,201 | $37,519 | |
| Salazar Velino | Director | Trustee/director | $0 | $26,611 | $0 |
| SmitsonRobert | Medical Officer | $0 | $296,035 | $55,442 | |
| SpenstBrett | Former Care Div Finance thru 04/23 | $0 | $520,625 | $44,711 | |
| StevensEric | President, Northern CA/HI State Net | $0 | $1,526,293 | $57,900 | |
| Thordarson Heidar | Former Treas / Asst Sec thru 05/22 | $0 | $464,717 | $46,036 | |
| Voshell Shane | Former Reg HR Dir, PNR thru 3/23 | $0 | $279,016 | $36,073 | |
| Wagner Jack | Director | Trustee/director | $0 | $16,180 | $0 |
| Welch Donald | Frmr Finance Officer, PNR thru 8/22 | $0 | $773,750 | $39,360 | |
| WingBilly | Former Dir/A Sec/V Chair thru 01/22 | $0 | $1,438,460 | $26,777 | |
| Woodson Marc | Director | Trustee/director | $0 | $21,611 | $0 |
E-file object id 202443069349300439. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 120006. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read July 14, 2026.