Astrelis
Urban PPS hospital · Asheboro, NC

RANDOLPH HOSPITAL

CCN 340123RANDOLPH CountyVoluntary non-profit - PrivateUrban (USDA RUCC)133 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Asheboro, NC. It ran an operating loss of 12.3% in FY24 on $107.9M of operating revenue. It held 28 days of cash on hand (53rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from -9.9% in FY20 to -12.3% in FY24. Including nonoperating items, the all-in result was positive at 18.7%.

Operating margin · FY24
-12.3%
10.3 pts vs FY23
vs Urban PPS hospitals16th pctl of 2,562 (FY24)
Days cash on hand · FY24
28d
all sources
23.4 days vs FY23
vs Urban PPS hospitals53rd pctl of 2,354 (FY24)
Total operating revenue · FY24
$107.9M
1.0 $M vs FY23
vs Urban PPS hospitals23rd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+18.7%
3.0 pts vs FY23
vs Urban PPS hospitals85th 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 RANDOLPH HOSPITAL is about $1.1M per year (1% of FY24 total operating revenue).

Where RANDOLPH HOSPITAL 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%RANDOLPH HOSPITAL -12.251661154205538%-20%0%+20%Urban PPS hospital median +2.027429837815152%RANDOLPH HOSPITAL -12.251661154205538%
One urban pps hospitalRANDOLPH HOSPITALUrban 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
-12.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.7% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
28d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, outside plausibility bounds
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
73% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
51d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue119,642108,511107,555
Other operating revenue2,668392322
Total operating revenue122,310108,903107,877
Total operating expenses108,041111,004121,094
Operating income14,269(2,101)(13,217)
Operating margin %+11.7%-1.9%-12.3%
Grants & contributions21,18139,460
Other non-operating, net1,4811,6431,588
Net income15,75020,72327,831
Net income %+12.7%+15.7%+18.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 133-bed hospital at 27% occupancy 64% 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
26.7%
Verified fact2024
HCRIS WS S-3
Average daily census
35.65
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
133
Verified fact2024
HCRIS WS S-3
Annual discharges
5,282
Verified fact2024
HCRIS WS S-3
Average length of stay
2.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
63.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
846.10
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$10.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.313
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.9
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.968572
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-9.9%-40.7%+11.7%-1.9%-12.3%FY20FY21FY22FY23FY24
Days cash on hand
124 days108 days25 days51 days28 daysFY20FY21FY22FY23FY24

The county this hospital serves

RANDOLPH County, NC · metro, 250K–1M
Median household income
$59.0K
vs $82.1K US · $59.7K rural median
Poverty rate
14.8%
vs 12.5% US · 14.3% rural median
Uninsured
12.4%
vs 8.6% US · 8.4% rural median
Age 65+
18.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.1% of county personal income is Medicare/Medicaid medical benefits; 26.9% arrives as government transfers (BEA, 2022).

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