Astrelis
Urban PPS hospital · Asheville, NC

MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE

CCN 340002BUNCOMBE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)524 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Asheville, NC. It ran an operating surplus of 16.4% in FY25 on $1524.3M of operating revenue. It held 1 day of cash on hand (24th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -12.5% in FY20 to 16.4% in FY25.

Operating margin · FY25
+16.4%
1.8 pts vs FY24
vs Urban PPS hospitals85th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
0.1 days vs FY24
vs Urban PPS hospitals24th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.52B
78.2 $M vs FY24
vs Urban PPS hospitals92nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+15.4%
1.1 pts vs FY24
vs Urban PPS hospitals78th pctl of 1,475 (FY25)
One point of operating margin at MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE is about $15.2M per year (1% of FY25 total operating revenue).

Where MEMORIAL MISSION HOSPITAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%MEMORIAL MISSION +16.39792161013349%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MEMORIAL MISSION +16.39792161013349%
One urban pps hospitalMEMORIAL MISSIONUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+16.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+15.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,335,6261,438,8231,471,639
Other operating revenue54,2167,24552,637
Total operating revenue1,389,8421,446,0681,524,276
Total operating expenses1,169,0011,234,5021,274,327
Operating income220,842211,566249,950
Operating margin %+15.9%+14.6%+16.4%
Grants & contributions0
Other non-operating, net(3,104)34,268(15,972)
Net income217,738245,834233,978
Net income %+15.7%+16.6%+15.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 524-bed hospital at 86% occupancy 43% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
85.7%
Verified fact2025
HCRIS WS S-3
Average daily census
450.65
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
524
Verified fact2025
HCRIS WS S-3
Annual discharges
50,611
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
42.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,436
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$54.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.195
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.8%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.99
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.679891
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-12.5%+17.5%+11.3%+15.9%+14.6%+16.4%FY20FY21FY22FY23FY24FY25
Days cash on hand
1 day1 day1 day1 day0 days1 dayFY20FY21FY22FY23FY24FY25

The county this hospital serves

BUNCOMBE County, NC · metro, 250K–1M
Median household income
$70.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
11.9%
vs 8.6% US · 8.4% rural median
Age 65+
20.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.7% of county personal income is Medicare/Medicaid medical benefits; 20.2% arrives as government transfers (BEA, 2022).

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