Psychiatric HospitalGovernment - State

Julian F Keith - Adatc

Black Mountain, NC

201 Tabernacle Road, Black Mountain, NC 28711(828) 669-3402

Not rated by CMS

CMS star rating

Beds

1,461

Inpatient discharges a year

$42M

Net patient revenue a year

About this hospital

Julian F Keith - Adatc is an 80-bed government - state hospital in Black Mountain, NC.

CCN: 344023
NPI: 1992851331
County: Buncombe County
Metro area: Asheville, NC MSA
Medicare contractor: Jurisdiction M, Palmetto GBA (11501)
In Medicare since: 1997
Last CMS survey: 2017

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Quality
Not rated by CMS
See quality ratings
Doctors and services
Accredited by The Joint Commission
- 8 services
See doctors and services
Finances
$42M net patient revenue
- Operating margin on patient care 17.5%
- -$23,145 net income
See finances
Ownership and leadership
Owned by Julian F Keith Alcohol And Drug Abuse Treatment Center
- State
See ownership and leadership

Location

201 Tabernacle Road, Black Mountain, NC 28711

(828) 669-3402

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Every CMS quality measure

Each result CMS publishes for Julian F Keith - Adatc, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	Julian F Keith - Adatc	US median	NC average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		59.85
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		33.06
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 13,960 cases	0	0.05	0.1111		The worst result, shared by 22% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 13,960 cases	0	0.03	0.2657		The worst result, shared by 39% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 255 cases	84	87	80.67		Worse than 54% of US hospitals
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		78.62
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 37 cases	19	19.1	19.06	No Different Than the National Rate	Better than 51% of US hospitals
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 78 cases	63	92	86.71		Worse than 87% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 250 cases	98	74	69.63		Better than 88% of US hospitals
Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 248 cases	98	81	76.21		Better than 83% of US hospitals
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 481 cases	93	77	80.34		Better than 73% of US hospitals
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 481 cases	73	56	72.69		Better than 63% of US hospitals
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 425 cases	37	64	61.36		Worse than 69% of US hospitals
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 425 cases	6	4	29.48		Better than 53% of US hospitals
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 565 cases	71	77	49.51		Worse than 55% of US hospitals

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
State
Ownership type
80
Medicare-certified beds
43
Registered nurses (full-time equivalent)
1997
In Medicare since

8 services at Julian F Keith - Adatc

Emergency and trauma: Emergency Psychiatric Care
Imaging: Diagnostic Radiology
Women and children: Clinical Laboratory
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug Service
Other services: Dietary CarePharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Julian F Keith - Adatc reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

1,461
Inpatient discharges
Medicare 2%, Medicaid 2%
13,991
Inpatient days
48% of available bed days used
101
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 837643). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Julian F Keith - Adatc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	281	7,929	5,781	13,991
Discharges	27	36	1,398	1,461
Average length of stay	10.4 days	220.3 days	4.1 days	9.6 days
Average daily census	0.8	21.7	15.8	38.3

604
Medicare Advantage days
63 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	80	13,991	281	48%

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Julian F Keith - Adatc reported at its latest Medicare certification survey (2017). Counts are people, not full-time equivalents.

43
Registered nurses
5
Licensed practical nurses
7
Physicians
1
Nurse practitioners
2
Physician assistants
2
Pharmacists
1
Dietitians
9
Social workers
104
Other personnel

Source: CMS Provider of Services file.

Income statement

Revenue, expenses and income Julian F Keith - Adatc reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$42M	100.0%
Inpatient	$42M	100.0%
Contractual allowances and discounts	-$1	-0.0%
Net patient revenue	$42M	100.0%
Operating expenses	-$34.7M	-82.5%
Operating income from patient care	$7.3M	17.5%
Other income	-$7.4M	-17.5%
Government appropriations	-$7.5M	-17.9%
Other	$170,853	0.4%
Net income	-$23,145	-0.1%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$3,541	0.0%
Other payers and self-pay	$18.6M	100.0%
Total charges	$18.6M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Julian F Keith - Adatc's latest cost report.

17.5%
Operating margin
Operating income from patient care / net patient revenue
-0.1%
Total margin
Net income / net patient revenue plus other income
1.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$25.82
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-0.3%
Return on assets
Net income for a year / total assets
-0.3%
Return on equity
Net income for a year / fund balance
1.11
Current ratio
Current assets / current liabilities
12 days
Days in patient receivables
Net patient receivables / daily net patient revenue
14 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
4.23
Asset turnover
Total revenue for a year / total assets
12.5 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Julian F Keith - Adatc owned and owed at the end of its reporting period (Jun 2025), across all fund types: $8.2M in total assets and a $6.9M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Patient receivables, net	$1.3M	16.3%
Inventory	$136,779	1.7%
Total current assets	$1.5M	18.2%
Property and equipment, net of depreciation	$6.7M	81.8%
Total assets	$8.2M	100.0%
Current liabilities	$1.3M	16.3%
Total liabilities	$1.3M	16.3%
Fund balance (net assets)	$6.9M	83.7%

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Julian F Keith - Adatc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$14.1M	$15.8M	$25.1M	$34.4M	$36.3M	$42M
Operating expenses	$20.1M	$20.9M	$29.5M	$30.6M	$35M	$34.7M
Operating margin	-42.8%	-32.8%	-17.6%	11.1%	3.6%	17.5%
Net income	$1	-$1		$3.8M	$110,002	-$23,145
Total assets	$5.3M	$5.2M	$5.4M	$8.4M	$8.4M	$8.2M
Discharges	1,712	1,815	1,187	1,253	1,461	1,461
Inpatient days	20,005	16,315	13,417	14,390	15,899	13,991
Medicare Advantage days	297	52	371	410	663	604
Beds	80	80	80	80	80	80
Employees (FTE)	197	197	197	196	192	101

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Julian F Keith - Adatc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 17 departments

Ancillary and outpatient departments

Department	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients	$300,629	$127,961	2.35	2,575
Laboratory	$246,322	$175,769	1.40	160
Radiology-diagnostic	$1,138	$3,513	0.32

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.3M	$21.4M	$18.3M	1.17	32,948

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2.8M	$4.3M	75,649	$28.38	14,241
Rehabilitation services	$1.7M	$2.5M			23,536
Operation of plant	$327,213	$970,780	10,612	$31.52	4,481
Pharmacy	$434,245	$847,585	10,489	$42.01
Dietary	$68,485	$833,503	2,080	$33.69	6,926
Housekeeping	$248,297	$497,793	16,860	$15.56	1,751
Cap rel costs-bldg & fixt		$433,945			89,522
Employee benefits department	$184,565	$347,851	6,274	$31.76
Medical records & library	$198,496	$313,038	10,403	$19.89	1,731
Nursing administration	$151,045	$214,278	4,259	$35.66	392
Cap rel costs-mvble equip		$176,928
Security		$62,842
Laundry & linen service		$21,080

Source: CMS cost report (HCRIS, Form 2552-10), report 837643, reopened. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Julian F Keith - Adatc's rates and hospital price transparency.

How many patients does Julian F Keith - Adatc admit?

Julian F Keith - Adatc reported 1,461 inpatient discharges and 13,991 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Julian F Keith - Adatc have?

Julian F Keith - Adatc reported 101 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Julian F Keith - Adatc make?

Julian F Keith - Adatc reported $42M in net patient revenue on $42M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 17.5%, and net income of -$23,145.

Is Julian F Keith - Adatc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Julian F Keith - Adatc, effective 2023.

Who owns Julian F Keith - Adatc?

In its Medicare enrollment, Julian F Keith - Adatc reports Julian F Keith Alcohol And Drug Abuse Treatment Center as 5% or greater direct ownership interest (100%).

What services does Julian F Keith - Adatc offer?

CMS lists 8 services at Julian F Keith - Adatc, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Psychiatric Care.

How many beds does Julian F Keith - Adatc have?

Julian F Keith - Adatc has 80 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Psychiatric Hospital.

Where is Julian F Keith - Adatc and what is its phone number?

Julian F Keith - Adatc is located at 201 Tabernacle Road, Black Mountain, NC 28711. Its main phone number is (828) 669-3402.

What is Julian F Keith - Adatc's CCN (Medicare provider number)?

Julian F Keith - Adatc's CMS Certification Number (CCN), also called its Medicare provider number, is 344023.

What is Julian F Keith - Adatc's NPI number?

The National Provider Identifier (NPI) on file for Julian F Keith - Adatc is 1992851331.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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      }
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Julian F Keith - Adatc

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

8 services at Julian F Keith - Adatc

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

8 services at Julian F Keith - Adatc

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts