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Short-term acute care hospital · Charlotte, North Carolina · 1,219 beds · CMS certification number 340113

Carolinas Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 5, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$4.4B
$4,444,918,592 · G-3 line 3
Operating expenses
$4.3B
$4,333,038,771 · G-3 line 4
Result from patient care
$111.9M
$111,879,821 · G-3 line 5
Margin on patient care
2.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $454.5M in its first year on file (1996) to $4.4B in 2025.
  • Its result from patient care: $150.9M (2023), $92.0M (2024), $111.9M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 4.9% of its inpatient days and Medicare for 12.0%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$454.5M
$490.7M
1997
reopened
$471.1M
$535.2M
1998
settled with audit
$494.8M
$571.3M
1999
settled with audit
$527.0M
$545.3M
2000
reopened
$547.6M
$572.3M
2001
reopened
$579.6M
$636.7M
2002
settled with audit
$644.8M
$680.8M
2003
settled
$717.0M
$737.8M
2004
settled
$780.7M
$795.7M
2005
reopened
$873.0M
$882.0M
2006
reopened
$939.8M
$1.0B
2007
reopened
$1.0B
$1.1B
2008
reopened
$1.1B
$1.3B
2009
reopened
$1.2B
$1.3B
2010
reopened
$1.2B
$1.4B
2011
reopened
$1.3B
$1.4B
2012
reopened
$1.4B
$1.4B
2013
reopened
$1.5B
$1.5B
2014
settled
$1.8B
$1.7B
2015
settled
$2.1B
$1.9B
2016
reopened
$2.2B
$2.1B
2017
settled
$2.3B
$2.2B
2018
settled
$2.4B
$2.2B
2019
settled
$2.5B
$2.4B
2020
amended
$2.5B
$2.5B
2021
amended
$2.9B
$2.9B
2022
amended
$3.0B
$3.2B
2023
amended
$3.7B
$3.6B
2024
amended
$4.1B
$4.0B
2025
as submitted
$4.4B
$4.3B

Beside its peers

Short-term acute care hospitals in North Carolina with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Carolinas Medical Center1,219$4,444,918,592$4,333,038,7712.5%
Duke University Hospital, Durham1,266$4,842,220,810$4,623,529,1154.5%
Novant Health Forsyth Medical Center, Winston Salem967$1,734,594,805$1,855,247,204−7.0%
North Carolina Baptist Hospital, Winston-Salem857$2,988,922,677$3,760,630,146−25.8%
ECU Health Medical Center, Greenville1,013$1,873,700,850$1,834,255,1762.1%
UNC Hospitals, Chapel Hill842$3,606,086,345$2,989,067,52217.1%

Patients and payers

Discharges
64,943
S-3 line 14, col 15
Inpatient days
409,702
S-3 line 14, col 8
Beds in use, on an average day
1125.6
days ÷ days in year
Occupancy
92.1%
days ÷ bed days
Medicare share of days
12.0%
S-3 cols 6 ÷ 8
Medicaid share of days
4.9%
S-3 cols 7 ÷ 8

Who owns it

Indirect owners: THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY; THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Related organizations on its own cost report: CHS (100%); CHS ANESTHESIA (100%).

Other hospitals with the same owner: Atrium Health Floyd Cherokee Medical Center (AL), Atrium Health Floyd Medical Center (GA), Atrium Health Navicent the Medical Center (GA), Atrium Health Navicent Baldwin (GA), Atrium Health Navicent Peach (GA), Atrium Health Floyd Polk Medical Center (GA), Atrium Health Navicent Rehabilitation Hopsital (GA).

Type of control on its cost report: governmental, hospital district.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 340113. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 5, 2026.