CCN 340147NASH CountyGovernment - Hospital District or Authority292 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Rocky Mount, NC. It ran an operating surplus of 11.1% in FY25 on $370.6M of operating revenue. It held 106 days of cash on hand (72nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 4.4% in FY21 to 11.1% in FY25, though it fell 0.6 points in the most recent year.
Operating margin · FY25
+11.1%
▼ 0.6 pts vs FY24
vs Urban PPS hospitals76th pctl of 1,475 (FY25)
Days cash on hand · FY25
106d
all sources
▼ 69.3 days vs FY24
vs Urban PPS hospitals72nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$370.6M
▲ 22.2 $M vs FY24
vs Urban PPS hospitals60th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+15.1%
▲ 1.3 pts vs FY24
vs Urban PPS hospitals78th pctl of 1,475 (FY25)
One point of operating margin at UNC HEALTH NASH is about $3.7M per year (1% of FY25 total operating revenue).
Where UNC HEALTH NASH 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.
One urban pps hospitalUNC HEALTHUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
320,518
345,176
370,286
Other operating revenue
3,262
3,222
299
Total operating revenue
323,780
348,398
370,585
Total operating expenses
279,586
307,762
329,629
Operating income
44,194
40,636
40,956
Operating margin %
+13.6%
+11.7%
+11.1%
Investment income
5,096
8,735
17,809
Other non-operating, net
(1)
(1)
0
Net income
49,289
49,370
58,765
Net income %
+15.0%
+13.8%
+15.1%
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 292-bed hospital at 55% occupancy 59% 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
54.6%
Verified fact2025
HCRIS WS S-3
Average daily census
159.76
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
292
Verified fact2025
HCRIS WS S-3
Annual discharges
13,994
Verified fact2025
HCRIS WS S-3
Average length of stay
4.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
59.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,818
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.106
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
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)
0.957531
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
NASH County, NC
Median household income
$60.7K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
11.8%
vs 8.6% US · 8.4% rural median
Age 65+
19.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.6% of county personal income is Medicare/Medicaid medical benefits; 27.7% arrives as government transfers (BEA, 2022).
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