CCN 340166MECKLENBURG CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)97 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Charlotte, NC. It ran an operating surplus of 36.6% in FY24 on $370.0M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 26.7% in FY20 to 36.6% in FY24.
Operating margin · FY24
+36.6%
▲ 0.3 pts vs FY23
vs Urban PPS hospitals98th pctl of 2,562 (FY24)
Days cash on hand · FY24
0d
all sources
vs Urban PPS hospitals0th pctl of 2,354 (FY24)
Total operating revenue · FY24
$370.0M
▲ 24.1 $M vs FY23
vs Urban PPS hospitals61st pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+37.1%
▲ 0.4 pts vs FY23
vs Urban PPS hospitals97th 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 ATRIUM HEALTH UNIVERSITY CITY is about $3.7M per year (1% of FY24 total operating revenue).
Where ATRIUM HEALTH UNIVERSITY 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.
One urban pps hospitalATRIUM 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
FY22
FY23
FY24
Patient revenue
286,924
341,166
365,353
Other operating revenue
3,634
4,744
4,673
Total operating revenue
290,558
345,910
370,026
Total operating expenses
204,971
220,469
234,610
Operating income
85,587
125,440
135,417
Operating margin %
+29.5%
+36.3%
+36.6%
Grants & contributions
56
—
1
Investment income
170
(2)
1,042
Other non-operating, net
5,084
2,255
2,005
Net income
90,897
127,693
138,465
Net income %
+30.7%
+36.7%
+37.1%
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 97-bed hospital 70% 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
Average daily census
104.68
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
97
Verified fact2024
HCRIS WS S-3
Annual discharges
8,701
Verified fact2024
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
70.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,108
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$22.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.141
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
0.93
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.01196
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
MECKLENBURG County, NC · metro, 1M+ population
Median household income
$83.8K
vs $82.1K US · $59.7K rural median
Poverty rate
10.4%
vs 12.5% US · 14.3% rural median
Uninsured
11.6%
vs 8.6% US · 8.4% rural median
Age 65+
11.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.3% of county personal income is Medicare/Medicaid medical benefits; 11.2% arrives as government transfers (BEA, 2022).
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