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The Issues · Money · Asheville, NC

The Cost of Leaving People Outside

A person with nowhere to live can land in any of these public institutions. The jail can price a day to the dollar; the hospital figures are national averages applied here. None of it is joined to housing: no county record says whether the people in the jail have a home, and no published figure says so for the hospital or the psychiatric bed.

The loop

Seven stops, clockwise from the street.

YEARLY COST TO BUNCOMBE?no figure exists1Street2Police3Jail4Release5Emergency room6Hospital bed7Psychiatric bedback to the street

How to read the fills

A local or North Carolina figure
A national figure, stated or applied here
No figure exists

Each stop: what a day or a visit costs, and the record the institution does not keep, or has not published.

1Street
824people

counted on one night, February 2026 (the one-night count); 334 unsheltered.

2Police
474 to 628calls

downtown trespassing calls, 2024 to 2025: all trespassing calls, not only people without homes.

Trespassing: the most common charge among people recorded as unhoused (175 jails, national).

3Jail
$132.86a day

one bed: the $26,429,357 Detention Center line, July 2026 through June 2027, across 545 people. An average.

Stays: 32 days on average against 21 across all bookings (national).

Housing status: not recorded
4Release
around 20%

leave without housing: a county analyst's estimate at the June 2, 2026 briefing. Nothing published behind it; no dollar figure is built on it.

5Emergency room
3.1visits a year

against 0.4 for a housed person (CDC, 2020 and 2021). About $700 for a treat-and-release visit by a small-metro resident (2021): what it costs the hospital, not what it bills.

Housing status: none published
6Hospital bed
$16,672a stay

the 2022 national average for one inpatient stay.

Housing status: none published
7Psychiatric bed
$963a day

the lowest rate insurers negotiate in state-operated hospitals. A day can run well past $2,000 in a private, state or community hospital. At least $10,000 for one short episode that ends in a ruling that the person did not meet the commitment standard. Broughton Hospital wait: six to 18 months.

Episodes without housing: no published figure

The jail can price a day to the dollar; the rest are national averages applied here. No county record says who in the jail has a home, and no published figure says so for the hospital. That is why the local number does not exist.

The jail today

Over capacity; the sheriff calls it, in effect, the region's largest mental health facility.

545

held on an average day as of August 2, 2026, by the jail's own dashboard.

Solid: the jail's own counts
Hatched: about 37 a day, the share of the whole population a national booking rate attributes to homelessness (4.5 percent of bookings, weighted by longer stays), drawn against the 75-person gap: about half its size.

Mental health, June 2, 2026

223 of 530

in custody with mental health challenges; 134 with substance use challenges.

Jail administrators, July 2026

42.6%

of people held have some mental health issue, by the jail's administrators. That does not mean they were jailed because of it.

Double-bunking began May 2026

In August 2026, a second person slept on a mat in cells built for one, and booking cells held people until space opened.

Health contract, July 2026

$4,253,066for 12 months

the Wellpath health contract's base amount for its first twelve months, from the agreement itself: 26.8 full-time staff inside the jail. The term runs two years; whether the second year's base is the same is not in the part of the scan we can read.

Average daily population

+55%

about, from 2020 to 2026, from a low base.

Detention Center line

$24,619,180 to $26,429,357 in one year: about 7 percent.

County public safety spending (not only the Sheriff's Office)

$66.22 million (July 2016 through June 2017) to roughly $106 million (July 2026 through June 2027). Not adjusted for inflation, and the line covers more than the Sheriff's Office.

Waiting for state prison

33 in Buncombe

sentenced to state prison, still in the county jail, August 7, 2026; 1,154 statewide.

What the loop costs in a year

Counted pieces only: two from national rates, two with no figure at all.

Jail

4.5 percent of bookings, staying 32 days against 21: about 6.9 percent of jail nights, applied to the $26.4 million line. A national rate.

$1.8million a year, roughly

Hospital

The extra cost over a housed person, at national rates, across the 824 counted. The inpatient piece is the uncertain half.

$2.5to $6.1 million a year

Mental health

No published figure says how many commitment episodes involve people without housing.

?

Tourism

No figure exists. For scale, one percent of the close to $2.6 billion visitors spent in 2025 is $26 million, roughly the jail budget. The tourism authority anticipated $34.5 million in occupancy tax for the year beginning July 2026, and the share of it reserved for tourism-related spending may not go to affordable housing without a local act (Senate Bill 484, signed June 22, 2026).

?

Added up: a floor and a ceiling, to scale

Floor: jail share plus hospital share, national rates applied to local counts. The one local jail figure, the 20 percent estimate, suggests it is low.
Ceiling: Denver's $25,544 a person, for people arrested again and again and counted at Medicaid billing, applied to all 824. A ceiling, not a measurement.

What the floor leaves out

Police
Courts
Shelter
Detox
Every psychiatric bed
Schools
Child welfare: the 116 people counted in families with children
Ambulances: $1,662 a person a year lower in Denver's group offered housing

What interrupts the loop

Housing thinned all four measured arrows. It erased none.

Moore Place, Charlotte: 85 apartments, the size of Compass Point Village

The year before tenants moved in and the year after. Arrow width: each measure after, as a share of before.

The year before

46500571471

The year after

108212499
Emergency room visits
571 before124 after
Days in a hospital bed
471 before99 after
Nights in the Mecklenburg County jail
500 before82 after
Arrests
46 before10 after

Hospital rows: the 61 tenants who released records; jail rows: 64. Hospital figures are bills, not costs.

Denver's randomized trial, 2016 to 2020

724 people arrested again and again; half offered a place in supportive housing. Public services used, per person per year:

$18,668 with it

$6,876 less, counting everyone offered a place whether or not they moved in: about half of program cost, or 19 to 31 percent of a full year in housing. Ambulance alone: $1,662 lower.

Three years on: the 243 who moved in early enough to be followed

68% still in the program's housing
12% had died, a similar rate to people never offered housing

Woodfin, Homeward Bound, Asheville

Emergency room visits at Mission have decreased by 50 percent: a Homeward Bound board member's account, in a Mountain Xpress letter, of a figure Mission has not published itself. The letter attaches no period to it and gives no unit count for Woodfin. Secondhand.

Chez Soi, Canada, moderate-need arm

Net cost down 46 percent, from society's point of view, not a public budget's. Earlier reports from the same trial put it at about a third.

Homeward Bound, Asheville

92% remained stably housed in 2025

of the people in its permanent supportive housing, by its own reporting. The organization does not say how many people that is. Not a three-year follow like Denver's.

What interrupting it costs

Two real numbers, to scale.

Do not divide one by the other. An average cost over a program cost is not a savings rate.

The jail budget does not shrink when a bed empties. A jail with 37 fewer people still has to be staffed and run: the crowding would ease, about half of the 75-person gap, and it would not send $1.8 million back to the county.

Before the door

Prevention: locally a plan and an argument, not yet a measured result.

stays housed

Right at Home, February 2026

$5million minimum, over three years

for at least 1,000 households: about $5,000 a household at those minimums. The Asheville-Buncombe Continuum of Care is one of 10 pilot communities.

Santa Clara County (Notre Dame, 2023)

81% less likely to become homeless within six months
73% less likely within a year

The full report

Every figure here, with its source and its qualifier.

The Cost of Leaving People Outside Read the full report →

Local. Buncombe County Adopted Budget in Brief for the budget years July 2025 through June 2026 and July 2026 through June 2027 (Detention Center lines; public safety totals). The jail's population dashboard and the June 2, 2026 commission briefing, as reported by Mountain Xpress (June 3 and August 14, 2026) and WLOS (July, August 5 and August 12, 2026). Asheville-Buncombe Continuum of Care one-night count report, February 2026. HUD Continuum of Care awards to Homeward Bound for the grant year beginning January 2026; Asheville Watchdog, November 2025 (102 households). Homeward Bound's 2025 reporting; a Homeward Bound board member in Mountain Xpress on Woodfin. Downtown trespassing call counts, 2024 and 2025. Visit NC visitor spending as reported by Explore Asheville and WLOS. Session Law 2026-15 (Senate Bill 484). Right at Home announcement, February and March 2026. Wellpath contract, July 2026. Disability Rights North Carolina, June 2025 (the lowest rate insurers negotiate in state-operated hospitals, $963 a day; "well over $2,000 per day" in a private psychiatric facility, state psychiatric hospital OR community hospital; and at least $10,000 for an episode that runs from the emergency room through several days in a 24-hour facility and ends in a ruling that the person did not meet involuntary-commitment requirements). WLOS, August 12, 2026 (33 people in the Buncombe jail awaiting transfer to state prison as of August 7, against a statewide backlog of 1,154, per the N.C. Department of Adult Correction). BPR (the Tourism Development Authority anticipating $34.5 million in total occupancy tax revenue for the year beginning July 2026). Mountain Xpress, a letter from a Homeward Bound board member (90 percent of Woodfin Apartments clients consistently housed and emergency room visits at Mission down 50 percent; the letter gives no period and no unit count).

National. Prison Policy Initiative, February 2025 (175 jails, July 2023 through June 2024). CDC National Hospital Ambulatory Medical Care Survey, 2020 and 2021. HCUP Statistical Briefs 311 and 316. UNC Charlotte, Moore Place evaluation, year one. Urban Institute, Denver supportive housing trial (Gillespie, Hanson, Leopold and Oneto, July 2021; Cunningham and others). Latimer and others, JAMA Network Open, 2019 (At Home/Chez Soi). University of Notre Dame, 2023 (Santa Clara County).

Derived. $26,429,357 across 545 people is $132.86 a day and $48,494 a year. 4.5 percent of bookings at 32 days against 21 is about 6.9 percent of jail nights; 6.9 percent of $26.4 million is roughly $1.8 million, or about 37 people a day. $1,420,174 across 102 households, plus 25 percent, is $17,404. 545 less 470 is 75. One percent of $2.6 billion is $26 million. $6,876 against a full housed year of $22,265 at one Denver provider or $35,770 at the other is 31 or 19 percent. $5 million across 1,000 households is $5,000. $1.8 million plus $2.5 million to $6.1 million is $4.3 million to $7.9 million. $25,544 across 824 people is about $21 million.

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