Astrelis
Urban PPS hospital · Hendersonville, NC

ADVENTHEALTH HENDERSONVILLE

CCN 340023HENDERSON CountyVoluntary non-profit - PrivateUrban (USDA RUCC)84 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Hendersonville, NC. It ran an operating surplus of 0.5% in FY24 on $290.9M of operating revenue. It held 152 days of cash on hand (79th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -4.4% in FY20 to 0.5% in FY24, though it fell 4.3 points in the most recent year.

Operating margin · FY24
+0.5%
4.3 pts vs FY23
vs Urban PPS hospitals45th pctl of 2,562 (FY24)
Days cash on hand · FY24
152d
all sources
42.0 days vs FY23
vs Urban PPS hospitals79th pctl of 2,354 (FY24)
Total operating revenue · FY24
$290.9M
12.0 $M vs FY23
vs Urban PPS hospitals53rd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+4.6%
6.2 pts vs FY23
vs Urban PPS hospitals46th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at ADVENTHEALTH HENDERSONVILLE is about $2.9M per year (1% of FY24 total operating revenue).

Where ADVENTHEALTH HENDERSONVILLE sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%ADVENTHEALTH HENDERSONVILLE +0.5426087434812352%-20%0%+20%Urban PPS hospital median +2.027429837815152%ADVENTHEALTH HENDERSONVILLE +0.5426087434812352%
One urban pps hospitalADVENTHEALTH HENDERSONVILLEUrban 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
+0.5% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+4.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
152d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.47× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
77% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
46d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue227,142276,530288,727
Other operating revenue1,5472,3382,165
Total operating revenue228,688278,868290,891
Total operating expenses236,511265,484289,313
Operating income(7,822)13,3841,578
Operating margin %-3.4%+4.8%+0.5%
Investment income(25,467)9,5826,528
Other non-operating, net7,0119,2135,740
Net income(26,278)32,17913,846
Net income %-12.5%+10.8%+4.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 84-bed hospital at 66% occupancy 83% 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
66.1%
Verified fact2024
HCRIS WS S-3
Average daily census
55.64
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
84
Verified fact2024
HCRIS WS S-3
Annual discharges
4,776
Verified fact2024
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
83.0%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,235
Verified fact2024
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$22.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.93
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.01846
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-4.4%+0.3%-3.4%+4.8%+0.5%FY20FY21FY22FY23FY24
Days cash on hand
301 days318 days221 days194 days152 daysFY20FY21FY22FY23FY24

The county this hospital serves

HENDERSON County, NC · metro, 250K–1M
Median household income
$67.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
12.2%
vs 8.6% US · 8.4% rural median
Age 65+
26.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.2% of county personal income is Medicare/Medicaid medical benefits; 26.4% arrives as government transfers (BEA, 2022).

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