Castle Medical Center Dba Adventist Health Castle

What it reported doing in 2024

Castle Medical Center, dba Adventist Health Castle (AHCS), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although, reimbursement for services rendered is critical to the operation and stability of Castle Medical Center, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does Castle Medical Center provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHCS recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2024 was $6,600,461.The following Inpatient services were provided to all our patients:922 babies delivered969 surgeries performed26,922 patient days The following Outpatient services were provided to all our patients:36,082 emergency room visits2,179 outpatient surgeries performed74,561 outpatient visits 169,086 clinic visitsAHCS recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $16,868,073.AHCS' quality and performance awards include: Centers for Medicare and Medicaid Services 5-Star Rating, Top 100 Hospitals by Fortune and Premier's PINC AI, "A" Hospital Safety Grade from The Leapfrogn Group for Spring 2025, Best Places to Work in Hawaii by Hawaii Business Magazine, Healthgrades Quality Achievement Awards Outstanding Patient Experience - 12 Years Running, Beacon Award for Excellence - ICU, Level III Trauma Medical Center verification from the American College of Surgeons Committee on Trauma and the State of Hawaii Department of Health, 5-Star Cleanliness Rating by CMS, and America's Best Maternity Hospitals by Newsweek. Adventist Healths mission statement of living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/

Financial Efficiency

• Mission deployment rate: 79.6%; rating input score 80
• Program expense ratio: 82.7%; rating input score 83
• Fundraising efficiency: $18.02 raised per $1 spent on fundraising; rating input score 55; 55th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 29.3%; rating input score 29; 8th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 86.7%; rating input score 87; 33rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.5%; rating input score 50; 50th percentile among comparable filings
• Total-asset coverage ratio: 1.06; rating input score 41; 41st percentile among comparable filings
• Liabilities to assets ratio: 0.36; rating input score 49; 49th percentile among comparable filings
• Officer compensation ratio: 1.9%; rating input score 57; 57th percentile among comparable filings

Growth

• Program expense growth: 5.3% per year; rating input score 100; 43rd percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 45th percentile among comparable filings
• Asset growth: 5.4% per year; rating input score 100; 39th percentile among comparable filings