Annual Report

View the 2018 Annual Report

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Past Annual Reports (pdf)

Financial Overview

Last Updated on August 18, 2018

The Charlotte-Mecklenburg Hospital Authority, doing business as Atrium Health, was organized in 1943 under the North Carolina Hospital Authorities Act. The System has its headquarters in Charlotte, Mecklenburg County, North Carolina. Its mission is to create and operate a comprehensive system to provide healthcare and related services, including education and research opportunities, for the benefit of the people it serves.

Atrium Health, a not-for-profit self-supporting public organization, is the largest healthcare system in North and South Carolina. A multi-faceted, vertically integrated healthcare system, it offers a wide variety of health and human services to residents of the Carolinas. Atrium Health owns, leases and manages hospitals, nursing homes, physician practices, home health agencies, radiation therapy facilities, physical therapy facilities, and other healthcare related operations, comprising more than 7,200 licensed beds and more than 60,000 full-time and part-time employees.

Atrium Health debt currently carries an "Aa3" credit rating with a stable outlook from Moody's Investors Service and an "AA-" credit rating with a stable outlook from S&P Global Ratings. Moody’s and S&P’s ratings were affirmed in September 2018 and October 2018, respectively.

Financial Reports

The following documents relating to Atrium Health or its tax-exempt bond issues are available on the Electronic Municipal Market Access (EMMA) website created by the Municipal Securities Rulemaking Board:

  • Official Statements
  • Continuing Disclosure Filings Required Under Rule 15c2-12, including:
    • Annual Financial Information, including Audited Financial Statements, and
    • Material Event Notices
  • Quarterly Financial Statements (unaudited)

Rating Agency Analysis Reports

  • November 2018
    • S&P Global Ratings assigned its 'AA-/A-1' rating to Charlotte-Mecklenburg Hospital Authority, N.C.'s $50 million series 2018G and $50 million series 2018H variable-rate revenue bonds. Learn more
    • Moody's assigns Aa3/VMIG 1 to Charlotte-Mecklenburg Hospital Authority's (NC) Ser. 2018G and 2018H; outlook stable. Learn more
  • October 2018: Standard and Poor’s Report on Charlotte Mecklenburg Hospital Authority d/b/a Atrium Health. Learn more
  • September 2018: Moody’s Report on Charlotte Mecklenburg Hospital Authority d/b/a Atrium Health. Learn more

Contact Information for Potential Investors

Questions or comments regarding information contained on this website should be directed to Atrium Health Financial Services Division at To purchase Atrium Health Bonds, please contact your local broker.