CCN 340184HAYWOOD CountyGovernment - Hospital District or Authority109 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Clyde, NC. It ran an operating surplus of 1.8% in FY25 on $183.1M of operating revenue. It held 0 days of cash on hand (20th percentile among Urban PPS hospitals on liquidity).
Operating margin · FY25
+1.8%
▼ 5.0 pts vs FY24
vs Urban PPS hospitals52nd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▼ 0.4 days vs FY24
vs Urban PPS hospitals20th pctl of 1,386 (FY25)
Total operating revenue · FY25
$183.1M
▼ 7.1 $M vs FY24
vs Urban PPS hospitals36th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.3%
▼ 4.8 pts vs FY24
vs Urban PPS hospitals35th pctl of 1,475 (FY25)
One point of operating margin at HAYWOOD REGIONAL MEDICAL CENTER is about $1.8M per year (1% of FY25 total operating revenue).
Where HAYWOOD REGIONAL 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.
One urban pps hospitalHAYWOOD REGIONALUrban 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
148,155
187,481
180,518
Other operating revenue
2,588
2,771
2,596
Total operating revenue
150,743
190,252
183,115
Total operating expenses
151,973
177,367
179,813
Operating income
(1,230)
12,885
3,302
Operating margin %
-0.8%
+6.8%
+1.8%
Other non-operating, net
812
775
941
Net income
(418)
13,660
4,243
Net income %
-0.3%
+7.2%
+2.3%
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 109-bed hospital at 41% occupancy 67% 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
41.2%
Verified fact2025
HCRIS WS S-3
Average daily census
45.05
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
109
Verified fact2025
HCRIS WS S-3
Annual discharges
4,822
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
67.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
726.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.215
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
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)
0.943539
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
HAYWOOD County, NC
Median household income
$61.0K
vs $82.1K US · $59.7K rural median
Poverty rate
11.3%
vs 12.5% US · 14.3% rural median
Uninsured
11.3%
vs 8.6% US · 8.4% rural median
Age 65+
25.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.5% of county personal income is Medicare/Medicaid medical benefits; 31.4% arrives as government transfers (BEA, 2022).
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