By state
North Carolina
- 2,690RecordsOne 340B identifier each, not one hospital.
- 1,907ParticipatingRecords the latest file shows as taking part today.
- 45.3%Disproportionate share hospitalsHospitals serving a large share of low-income patients, as a share of this state’s records.
- 70Records with locations beneath themA hospital registers its clinics and departments separately; this counts the records those are registered under.
1,218 of 2,690 records in North Carolina are registered as disproportionate share hospitals, and 70 parent records hold locations registered beneath them.
How North Carolina compares with itself
Distributions across the hospitals in North Carolina that file a Medicare cost report: the middle half, the midpoint, and the range the tenth to the ninetieth covers. No hospital is ranked. The same figures nationally →
Charity care
Middle half between 1.7% and 4.0%, midpoint 2.5%, across 71 hospitals with cost reports ending 2024–2025.
Uncompensated care
Middle half between 3.5% and 6.4%, midpoint 4.3%, across 71 hospitals with cost reports ending 2024–2025.
Left after the cost of care
Middle half between -2.6% and 14.0%, midpoint 5.9%, across 72 hospitals with cost reports ending 2024–2025.
Contract pharmacies
Middle half between 3 and 53, midpoint 15, across 72 hospitals with cost reports ending 2024–2025.
The register over time
Records entering 340B, by year
When the records now on the register in North Carolina first joined.
1992–2026. 2026: 169 so far — the file is dated inside this year, so this column is not a full one.
Records with a termination date, by year
Records whose registration ends, counted by the year it ends.
2016–2026. 2026: 58 so far — the file is dated inside this year, so this column is not a full one.
Contract-pharmacy arrangements beginning, by year
Each arrangement counted in the year the register says it began.
2002–2026. 2026: 1,064 so far — the file is dated inside this year, so this column is not a full one.
Hospitals in North Carolina that file a cost report
| Hospital ↑↓ | City ↑↓ | Type ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Charity care, share of patient revenue ↑↓ | Uncompensated care, same basis ↑↓ | Left after the cost of care ↑↓ | Year ended |
|---|---|---|---|---|---|---|---|---|
| WRMC HOSPITAL OPERATING CORPORATION | NORTH WILKESBORO | DSH | 77 | $154,054,832 | 1.4% | 3.0% | 8.9% | 2024-12-31 |
| WAYNE MEMORIAL HOSPITAL | GOLDSBORO | DSH | 245 | $349,235,572 | 3.2% | 4.8% | 20.4% | 2025-06-30 |
| WATAUGA MEDICAL CENTER | BOONE | SCH | 121 | $211,084,738 | 2.1% | 4.0% | 4.9% | 2025-06-30 |
| WAKEMED | RALEIGH | DSH | 689 | $1,442,800,112 | 4.8% | 6.4% | 4.0% | 2024-09-30 |
| UNC ROCKINGHAM HOSPITAL | EDEN | DSH | 108 | $58,915,047 | 4.5% | 8.5% | -15.8% | 2025-06-30 |
| UNC Hospitals | CHAPEL HILL | DSH | 842 | $3,606,086,345 | 2.3% | 2.9% | 17.1% | 2025-06-30 |
| TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL | BREVARD | CAH | 25 | $59,356,188 | 4.7% | 5.8% | 7.1% | 2024-10-31 |
| THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | GREENSBORO | DSH | 787 | $1,720,095,979 | 1.9% | 4.0% | 9.8% | 2024-09-30 |
| THE MCDOWELL HOSPITAL, INC | MARION | DSH | 43 | $80,628,493 | 5.5% | 7.2% | -4.1% | 2025-01-31 |
| Sentara Albemarle Regional Medical Center | ELIZABETH CITY | SCH | 98 | $194,022,094 | 4.2% | 5.6% | 3.9% | 2024-12-31 |
| SCOTLAND MEMORIAL HOSPITAL | LAURINBURG | DSH | 104 | $244,917,299 | 2.0% | 4.3% | 1.1% | 2024-09-30 |
| S.E. REGL MEDICAL CENTER | LUMBERTON | DSH | 189 | $345,536,131 | 2.4% | 3.7% | 7.3% | 2025-06-30 |
| ROWAN REGIONAL HOSPITAL | SALISBURY | DSH | 189 | $346,047,349 | 2.0% | 3.2% | 1.4% | 2024-12-31 |
| RANDOLPH HOSPITAL | ASHEBORO | DSH | 145 | $107,554,531 | 4.5% | 7.1% | -12.6% | 2024-12-31 |
| Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center | CHARLOTTE | DSH | 536 | $2,029,067,133 | 1.1% | 1.9% | 15.0% | 2024-12-31 |
| PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER | GREENVILLE | DSH | 1,013 | $1,770,994,226 | 2.7% | 3.6% | 6.1% | 2024-09-30 |
| OUTER BANKS HEALTH HOSPITAL DBA | NAGS HEAD | CAH | 21 | $106,300,332 | 1.6% | 6.3% | 19.0% | 2024-09-30 |
| Onslow Memorial Hospital | Jacksonville | SCH | 162 | $227,546,292 | 3.2% | 6.3% | 15.9% | 2025-06-30 |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | THOMASVILLE | DSH | 73 | $373,689,742 | 1.2% | 2.1% | -11.8% | 2024-12-31 |
| Novant Health New Hanover Regional Medical Center | Wilmington | DSH | 723 | $2,019,244,974 | 1.7% | 2.4% | 9.1% | 2024-12-31 |
| NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY | MOUNT AIRY | DSH | 100 | $118,034,550 | 0.9% | 7.7% | -16.2% | 2024-09-30 |
| NORTH CAROLINA BAPTIST HOSPITAL | WINSTON-SALEM | DSH | 831 | $2,399,209,430 | 1.1% | 1.9% | -25.7% | 2024-12-31 |
| NASH HOSPITALS, INC. | ROCKY MOUNT | DSH | 322 | $370,286,001 | 6.6% | 8.4% | 11.0% | 2025-06-30 |
| MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital | MURPHY | CAH | 25 | $70,508,049 | 3.5% | 7.3% | -7.1% | 2025-06-30 |
| MISSION HOSPITALS, INC. | ASHEVILLE | DSH | 717 | $1,438,823,437 | 3.3% | 3.8% | 14.2% | 2024-09-30 |
| MARGARET R. PARDEE MEMORIAL HOSPITAL | HENDERSONVILLE | DSH | 160 | $450,953,513 | 2.2% | 2.9% | 0.7% | 2025-06-30 |
| LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes | Danbury | CAH | 25 | $13,839,541 | 0.6% | 1.3% | -6.8% | 2024-12-31 |
| LEXINGTON MEMORIAL HOSPITAL, INC. | LEXINGTON | DSH | 70 | $162,079,267 | 1.7% | 3.6% | 15.0% | 2024-12-31 |
| LENOIR MEMORIAL HOSPITAL, INC. | KINSTON | DSH | 177 | $172,824,259 | 2.9% | 5.1% | 8.9% | 2025-06-30 |
| Johnston Health Services Corporation | SMITHFIELD | DSH | 179 | $387,481,936 | 4.5% | 6.0% | 9.1% | 2025-06-30 |
| J ARTHUR DOSHER MEMORIAL HOSPITAL | SOUTHPORT | CAH | 25 | $58,767,710 | 0.1% | 2.2% | -6.2% | 2024-09-30 |
| HIGHLANDS-CASHIERS HOSPITAL, INC. | HIGHLANDS | CAH | 24 | $24,791,302 | 6.0% | 7.1% | -37.9% | 2024-11-30 |
| HIGH POINT REGIONAL HEALTH | High Point | DSH | 288 | $463,278,562 | 1.1% | 2.5% | 5.0% | 2024-12-31 |
| HARNETT HEALTH SYSTEM, INC. | DUNN | DSH | 121 | $134,829,746 | 5.4% | 7.1% | -0.8% | 2024-09-30 |
| Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital | ROANOKE RAPIDS | DSH | 100 | $113,278,913 | 3.6% | 6.0% | -17.0% | 2024-09-30 |
| GRANVILLE MEDICAL CENTER | OXFORD | DSH | 42 | $98,904,519 | 0.8% | 4.4% | 1.1% | 2024-09-30 |
| GASTON MEMORIAL HOSPITAL | GASTONIA | DSH | 468 | $822,685,423 | 1.8% | 2.9% | 8.9% | 2025-06-30 |
| Forsyth Memorial Hospital, Inc d/b/a Novant Health Forsyth Medical Center | WINSTON-SALEM | DSH | 917 | $1,669,350,253 | 1.5% | 2.5% | -2.4% | 2024-12-31 |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | PINEHURST | RRC | 412 | $903,965,919 | 1.9% | 3.5% | 9.3% | 2024-09-30 |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL | TROY | CAH | 3 | $21,147,686 | 3.3% | 9.4% | 12.8% | 2024-09-30 |
| East Carolina Health-Heritage, Inc. d/b/a ECU Health Edgecombe Hospital | TARBORO | DSH | 101 | $109,510,539 | 4.3% | 6.5% | 2.7% | 2024-09-30 |
| East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital | EDENTON | CAH | 25 | $84,797,668 | 2.7% | 5.2% | 25.0% | 2024-09-30 |
| East Carolina Health-Bertie d/b/a ECU Health Bertie Hospital | WINDSOR | CAH | 6 | $35,019,938 | 2.8% | 6.4% | 23.8% | 2024-09-30 |
| East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital | AHOSKIE | DSH | 52 | $97,458,334 | 3.0% | 5.1% | -4.9% | 2024-09-30 |
| DUPLIN GENERAL HOSPITAL, INC. D/B/A ECU HEALTH DUPLIN HOSPITAL | KENANSVILLE | DSH | 49 | $80,858,359 | 6.1% | 8.9% | 6.8% | 2024-09-30 |
| DUKE UNIVERSITY HOSPITAL | DURHAM | DSH | 1,266 | $4,842,220,810 | 2.4% | 2.6% | 4.5% | 2025-06-30 |
| DUKE REGIONAL HOSPITAL | DURHAM | RRC | 301 | $540,516,550 | 5.9% | 6.2% | -3.4% | 2025-06-30 |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | WHITEVILLE | DSH | 154 | $137,291,066 | 1.5% | 4.2% | 9.6% | 2024-09-30 |
| CHATHAM HOSPITAL INC | SILER CITY | CAH | 25 | $60,173,363 | 7.5% | 9.6% | 12.8% | 2025-06-30 |
| Charles A. Cannon Memorial Hospital | Linville | CAH | 23 | $27,991,435 | 2.4% | 5.5% | 5.4% | 2025-06-30 |
| CATAWBA VALLEY MEDICAL CENTER | HICKORY | DSH | 200 | $426,581,770 | 3.8% | 4.9% | 14.0% | 2025-06-30 |
| CAROLINAS MEDICAL CENTER | CHARLOTTE | DSH | 1,243 | $4,075,132,959 | 1.4% | 2.3% | 2.3% | 2024-12-31 |
| CAPE FEAR VALLEY MEDICAL CENTER | FAYETTEVILLE | DSH | 701 | $1,060,713,646 | 3.5% | 4.2% | -5.4% | 2024-09-30 |
| CAPE FEAR VALLEY HOKE HOSPITAL | RAEFORD | DSH | 37 | $77,258,508 | 8.8% | 10.5% | 25.3% | 2024-09-30 |
| CALDWELL MEMORIAL HOSPITAL | LENOIR | DSH | 137 | $205,381,534 | 2.3% | 3.5% | 7.5% | 2025-06-30 |
| CAH #1 - WASHINGTON | PLYMOUTH | CAH | 25 | $13,662,847 | -13.9% | 2024-12-31 | ||
| BLUE RIDGE REGIONAL HOSPITAL | SPRUCE PINE | CAH | 25 | $49,022,695 | 6.3% | 8.1% | -25.5% | 2024-10-31 |
| Blue Ridge HealthCare Hospitals, Inc | MORGANTON | DSH | 159 | $332,228,219 | 2.8% | 4.3% | 5.7% | 2025-06-30 |
| Bladen Healthcare, LLC DBA Cape Fear Valley Health System - Bladen County Hospital | Elizabethtown | CAH | 21 | $54,668,652 | 5.9% | 7.5% | 24.3% | 2024-09-30 |
| Atrium Health University City | Charlotte | DSH | 114 | $365,352,731 | 2.8% | 5.1% | 35.8% | 2024-12-31 |
| ATRIUM HEALTH UNION | MONROE | DSH | 183 | $418,132,949 | 2.2% | 4.1% | 22.4% | 2024-12-31 |
| ATRIUM HEALTH STANLY | ALBEMARLE | DSH | 97 | $128,652,255 | 1.9% | 3.8% | 15.3% | 2024-12-31 |
| Atrium Health Lincoln | LINCOLNTON | DSH | 101 | $196,313,658 | 1.5% | 3.1% | 35.5% | 2024-12-31 |
| ATRIUM HEALTH CLEVELAND | SHELBY | DSH | 308 | $388,954,404 | 1.9% | 3.8% | 16.4% | 2024-12-31 |
| ATRIUM HEALTH CABARRUS | CONCORD | DSH | 447 | $958,630,099 | 1.6% | 3.0% | 18.9% | 2024-12-31 |
| ATRIUM HEALTH ANSON | WADESBORO | DSH | 15 | $36,499,925 | 1.9% | 4.2% | 30.1% | 2024-12-31 |
| ASHE MEMORIAL HOSPITAL | JEFFERSON | CAH | 25 | $52,127,356 | 0.1% | 4.3% | -3.6% | 2024-12-31 |
| Angel Medical Center | Franklin | CAH | 30 | $73,879,588 | 5.3% | 6.6% | 3.4% | 2024-10-31 |
| ALLEGHANY MEMORIAL HOSPITAL | SPARTA | CAH | 25 | $13,117,456 | 2.9% | 7.5% | -17.6% | 2024-09-30 |
| ALAMANCE REGIONAL MEDICAL CENTER | BURLINGTON | DSH | 176 | $317,358,654 | 2.5% | 5.2% | 11.9% | 2024-09-30 |
| AdventHealth Polk | COLUMBUS | CAH | 25 | $50,231,761 | 1.2% | 3.9% | 4.0% | 2024-09-30 |
| ADVENTHEALTH HENDERSONVILLE | HENDERSONVILLE | DSH | 98 | $288,726,500 | 2.9% | 3.6% | -0.2% | 2024-12-31 |
Records
A record is one 340B identifier, not one hospital: a hospital registers its outpatient clinics and departments separately, so a single system can hold dozens of records here.
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