190 Hospital Drive, Highlands, NC, 28741 · (828) 526-1200
Beds
24
FY 2025
Star rating
Not rated
Patient survey: 4 of 5
Net patient revenue
$30.2M
FY 2025
Net income
-$6.4M
Patient care margin -22.7%
Discharges
682
Occupancy 63.5%
Clinicians
156
Medicare clinicians who work here
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2025 | $30.2M | $37.1M | -22.7% | -$6.4M | 682 | $2.2M | 56.4% | 0.1% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate for heart failure patients | 11.6% | US median 11% |
| Hospital-wide death rate within 30 days | 3.9% | US median 3.9% |
| Death rate for pneumonia patients | 13.7% | US median 15.2% |
| Readmission rate for heart failure | 21.9% | US median 21.3% |
| Readmission rate for pneumonia | 17% | US median 17.2% |
Medicare clinicians who list this hospital, by specialty
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
| 2024 | $24.8M | $34.2M | -37.9% | -$9.0M | 660 | $1.8M | 52.3% | 0.1% |
| 2023 | $22.5M | $29.9M | -32.9% | -$7.0M | 608 | $1.8M | 54.0% | 0.5% |
| 2022 | $19.0M | $26.6M | -39.8% | -$7.3M | 481 | $1.5M | 60.7% | 0.4% |
| 2021 | $19.3M | $18.0M | 7.0% | $1.6M | 485 | $1.2M | 63.4% | 1.3% |
| 2020 | $14.8M | $24.1M | -62.5% | -$9.0M | 139 | $1.2M | 67.9% | 1.8% |
| C. diff intestinal infections (ratio to expected) | 0.00 | US median 0.28 |
| Doctors always communicated well | 91% | US median 79% |
| Nurses always communicated well | 88% | US median 80% |
| Patient survey summary star rating | 4 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 59% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 84% | US median 72% |
| Room and bathroom always clean | 81% | US median 73% |
| Patients who would definitely recommend the hospital | 85% | US median 71% |
| Patients who left the emergency department before being seen | 0% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 104 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 20% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 94% | US median 65% |
| Healthcare workers given the flu vaccine | 72% | US median 79% |
Highlands Cashiers Hospital is a for-profit critical access hospital in Highlands, NC with 24 beds, part of HCA Healthcare.
Highlands Cashiers Hospital in Highlands, NC has 24 beds (fiscal year 2025 cost report); 25 beds are certified for Medicare. It discharged 682 inpatients that year, with 63.5% of its beds in use on average.
In fiscal year 2025 (ending 2025-11-30), Highlands Cashiers Hospital reported net patient revenue of $30.2M and operating expenses of $37.1M, a margin on patient care of -22.7%. After other income and expenses its net income was -$6.4M (-20.9% of revenue), so it lost money that year.
Highlands Cashiers Hospital is part of HCA Healthcare (listed company, ticker HCA), a health system with 163 hospitals based in Nashville, TN. It is a for-profit hospital.
Highlands Cashiers Hospital has no overall star rating, usually because it reports too few quality measures (for example small, specialty or federal hospitals).
Yes, Highlands Cashiers Hospital provides emergency services.
156 Medicare clinicians list Highlands Cashiers Hospital as a hospital they work at, most often in Diagnostic Radiology, Internal Medicine, Nurse Practitioner.