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Short-term acute care hospital · Monroe, North Carolina · 183 beds · CMS certification number 340130

Atrium Health Union

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.

Fiscal 2025 at a glance

Net patient revenue
$454.1M
$454,068,917 · G-3 line 3
Operating expenses
$333.8M
$333,841,766 · G-3 line 4
Result from patient care
$120.2M
$120,227,151 · G-3 line 5
Margin on patient care
26.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $41.5M in its first year on file (1996) to $454.1M in 2025.
  • Its result from patient care: $76.9M (2023), $93.8M (2024), $120.2M (2025).
  • All 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 2.2% of its inpatient days and Medicare for 19.2%.

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
$41.5M
$40.1M
1997
reopened
$44.8M
$40.9M
1998
reopened
$55.8M
$47.1M
1999
reopened
$59.4M
$52.9M
2000
reopened
$64.7M
$57.1M
2001
settled
$77.2M
$68.5M
2002
reopened
$89.4M
$84.7M
2003
reopened
$102.1M
$98.3M
2004
reopened
$111.7M
$109.5M
2005
reopened
$132.3M
$122.4M
2006
reopened
$145.0M
$135.7M
2007
reopened
$159.0M
$152.2M
2008
reopened
$162.3M
$157.2M
2009
reopened
$170.9M
$158.3M
2010
reopened
$174.9M
$163.6M
2011
reopened
$179.6M
$165.6M
2012
reopened
$194.8M
$182.3M
2013
reopened
$127.4M
$126.8M
2014
reopened
$169.3M
$167.8M
2015
reopened
$201.6M
$176.5M
2016
settled
$220.2M
$195.3M
2017
reopened
$236.8M
$205.3M
2018
reopened
$243.8M
$199.8M
2019
reopened
$257.3M
$197.3M
2020
settled
$238.2M
$199.1M
2021
settled with audit
$283.1M
$224.3M
2022
settled
$302.3M
$281.1M
2023
settled
$378.3M
$301.4M
2024
amended
$418.1M
$324.4M
2025
as submitted
$454.1M
$333.8M

Beside its peers

Short-term acute care hospitals in North Carolina with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Atrium Health Union183$454,068,917$333,841,76626.5%
Alamance Regional Medical Center, Burlington176$329,639,706$292,460,57911.3%
UNC Health Johnston, Smithfield179$387,481,936$352,164,6399.1%
UNC Health Lenoir, Kinston177$172,824,259$157,418,0878.9%
Novant Health Rowan Medical Center, Salisbury188$378,093,768$368,335,4282.6%
UNC Health Southeastern, Lumberton189$345,536,131$320,353,5417.3%

Patients and payers

Discharges
15,236
S-3 line 14, col 15
Inpatient days
67,593
S-3 line 14, col 8
Beds in use, on an average day
185.7
days ÷ days in year
Occupancy
101.2%
days ÷ bed days
Medicare share of days
19.2%
S-3 cols 6 ÷ 8
Medicaid share of days
2.2%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: CMHA DBA ATRIUM, management services.

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 340130. Patients and payers: worksheet S-3 Part I of the same filing.

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