Astrelis
Urban PPS hospital · Chapel Hill, NC

UNC HOSPITALS

CCN 340061ORANGE CountyGovernment - State664 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Chapel Hill, NC. It ran an operating surplus of 17.7% in FY25 on $3631.5M of operating revenue. It held 261 days of cash on hand (88th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 10.7% in FY21 to 17.7% in FY25.

Operating margin · FY25
+17.7%
4.1 pts vs FY24
vs Urban PPS hospitals88th pctl of 1,475 (FY25)
Days cash on hand · FY25
261d
all sources
13.0 days vs FY24
vs Urban PPS hospitals88th pctl of 1,386 (FY25)
Total operating revenue · FY25
$3.63B
434.7 $M vs FY24
vs Urban PPS hospitals99th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+18.6%
4.9 pts vs FY24
vs Urban PPS hospitals84th pctl of 1,475 (FY25)
One point of operating margin at UNC HOSPITALS is about $36.3M per year (1% of FY25 total operating revenue).

Where UNC HOSPITALS 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%UNC HOSPITALS +17.690781977769042%-20%0%+20%Urban PPS hospital median +1.3311360264910879%UNC HOSPITALS +17.690781977769042%
One urban pps hospitalUNC HOSPITALSUrban 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
+17.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
261d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.31× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
36% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
26d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue2,881,5933,167,7583,606,086
Other operating revenue35,64629,12025,453
Total operating revenue2,917,2393,196,8783,631,539
Total operating expenses2,498,5782,762,0832,989,092
Operating income418,662434,795642,448
Operating margin %+14.4%+13.6%+17.7%
Grants & contributions6,635
Investment income873
Other non-operating, net(136,849)30,87170,342
Net income289,321465,666712,790
Net income %+10.4%+14.4%+19.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 664-bed hospital at 92% occupancy 60% 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
92.3%
Verified fact2025
HCRIS WS S-3
Average daily census
612.98
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
664
Verified fact2025
HCRIS WS S-3
Annual discharges
36,630
Verified fact2025
HCRIS WS S-3
Average length of stay
6.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
59.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
8,693
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.575
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.917187
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+10.7%+10.5%+14.4%+13.6%+17.7%FY21FY22FY23FY24FY25
Days cash on hand
88 days92 days98 days248 days261 daysFY21FY22FY23FY24FY25

The county this hospital serves

ORANGE County, NC
Median household income
$88.6K
vs $82.1K US · $59.7K rural median
Poverty rate
12.4%
vs 12.5% US · 14.3% rural median
Uninsured
6.6%
vs 8.6% US · 8.4% rural median
Age 65+
15.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.8% of county personal income is Medicare/Medicaid medical benefits; 11.0% arrives as government transfers (BEA, 2022).

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