Astrelis
Urban PPS hospital · Cary, NC

WAKEMED, CARY HOSPITAL

CCN 340173WAKE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)211 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Cary, NC. It ran an operating surplus of 14.9% in FY25 on $456.1M of operating revenue. It held 1,070 days of cash on hand (100th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 12.8% in FY20 to 14.9% in FY25.

Operating margin · FY25
+14.9%
4.9 pts vs FY24
vs Urban PPS hospitals82nd pctl of 1,475 (FY25)
Days cash on hand · FY25
1,070d
all sources
155.7 days vs FY24
vs Urban PPS hospitals100th pctl of 1,386 (FY25)
Total operating revenue · FY25
$456.1M
44.7 $M vs FY24
vs Urban PPS hospitals67th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+14.9%
4.9 pts vs FY24
vs Urban PPS hospitals77th pctl of 1,475 (FY25)
One point of operating margin at WAKEMED, CARY HOSPITAL is about $4.6M per year (1% of FY25 total operating revenue).

Where WAKEMED, CARY HOSPITAL 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%WAKEMED, CARY +14.866199230312885%-20%0%+20%Urban PPS hospital median +1.3311360264910879%WAKEMED, CARY +14.866199230312885%
One urban pps hospitalWAKEMED, CARYUrban 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
+14.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+14.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1070d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.33× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
49% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue358,443411,422456,133
Total operating revenue358,443411,422456,133
Total operating expenses346,522370,543388,324
Operating income11,92240,88067,810
Operating margin %+3.3%+9.9%+14.9%
Other non-operating, net000
Net income11,92240,88067,810
Net income %+3.3%+9.9%+14.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 211-bed hospital at 85% occupancy 54% 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
85.1%
Verified fact2025
HCRIS WS S-3
Average daily census
176.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
211
Verified fact2025
HCRIS WS S-3
Annual discharges
16,200
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
54.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,469
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$18.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.283
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.040351
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+12.8%+10.5%-3.6%+3.3%+9.9%+14.9%FY20FY21FY22FY23FY24FY25
Days cash on hand
968 days787 days914 days1,070 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

WAKE County, NC · metro, 1M+ population
Median household income
$101.8K
vs $82.1K US · $59.7K rural median
Poverty rate
7.9%
vs 12.5% US · 14.3% rural median
Uninsured
8.2%
vs 8.6% US · 8.4% rural median
Age 65+
12.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.9% of county personal income is Medicare/Medicaid medical benefits; 10.5% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-24