Astrelis
Urban PPS hospital · Hickory, NC

CATAWBA VALLEY MEDICAL CENTER

CCN 340143CATAWBA CountyVoluntary non-profit - OtherUrban (USDA RUCC)169 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Hickory, NC. It ran an operating surplus of 16.9% in FY25 on $441.9M of operating revenue. It held 317 days of cash on hand (92nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 6.5% in FY21 to 16.9% in FY25.

Operating margin · FY25
+16.9%
9.5 pts vs FY24
vs Urban PPS hospitals86th pctl of 1,475 (FY25)
Days cash on hand · FY25
317d
all sources
126.2 days vs FY24
vs Urban PPS hospitals92nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$441.9M
9.4 $M vs FY24
vs Urban PPS hospitals66th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+18.1%
9.4 pts vs FY24
vs Urban PPS hospitals84th pctl of 1,475 (FY25)
One point of operating margin at CATAWBA VALLEY MEDICAL CENTER is about $4.4M per year (1% of FY25 total operating revenue).

Where CATAWBA VALLEY MEDICAL 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%CATAWBA VALLEY +16.94005803682365%-20%0%+20%Urban PPS hospital median +1.3311360264910879%CATAWBA VALLEY +16.94005803682365%
One urban pps hospitalCATAWBA VALLEYUrban 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
+16.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
317d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.01× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
56% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue451,934424,213426,582
Other operating revenue1,7478,22815,276
Total operating revenue453,682432,441441,857
Total operating expenses425,260400,444367,007
Operating income28,42231,99774,851
Operating margin %+6.3%+7.4%+16.9%
Grants & contributions930833
Investment income3,7063,209
Other non-operating, net1,3432,2786,522
Net income34,40138,31781,373
Net income %+7.5%+8.7%+18.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22 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 169-bed hospital at 44% occupancy 68% 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
44.3%
Verified fact2025
HCRIS WS S-3
Average daily census
75.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
169
Verified fact2025
HCRIS WS S-3
Annual discharges
9,100
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
67.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,637
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
27.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.206
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.934822
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+6.5%+7.6%+6.3%+7.4%+16.9%FY21FY22FY23FY24FY25
Days cash on hand
271 days246 days197 days191 days317 daysFY21FY22FY23FY24FY25

The county this hospital serves

CATAWBA County, NC
Median household income
$64.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.8%
vs 12.5% US · 14.3% rural median
Uninsured
11.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.3% of county personal income is Medicare/Medicaid medical benefits; 23.9% arrives as government transfers (BEA, 2022).

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