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Short-term acute care hospital · Boone, North Carolina · 121 beds · CMS certification number 340051

Watauga Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS August 31, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$211.1M
$211,084,738 · G-3 line 3
Operating expenses
$200.8M
$200,775,733 · G-3 line 4
Result from patient care
$10.3M
$10,309,005 · G-3 line 5
Margin on patient care
4.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $35.3M in its first year on file (1996) to $211.1M in 2025.
  • Its result from patient care: −$12.6M (2023), −$1.9M (2024), $10.3M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 2.1% of its inpatient days and Medicare for 30.7%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled
$35.3M
$32.1M
1997
settled
$39.2M
$35.9M
1998
settled
$42.0M
$41.0M
1999
reopened
$46.0M
$43.6M
2000
settled
$49.7M
$48.7M
2001
reopened
$57.3M
$54.7M
2002
settled
$59.1M
$58.8M
2003
settled
$60.4M
$61.0M
2004
reopened
$65.6M
$66.1M
2005
reopened
$72.3M
$75.1M
2006
reopened
$78.3M
$85.0M
2007
reopened
$80.0M
$89.4M
2008
reopened
$87.0M
$94.6M
2009
settled with audit
$82.4M
$96.4M
2010
reopened
$106.5M
$97.0M
2011
reopened
$108.0M
$98.1M
2012
reopened
$115.0M
$104.3M
2013
settled
$120.6M
$113.7M
2014
settled
$123.4M
$112.9M
2015
settled
$148.3M
$133.7M
2016
settled
$130.2M
$116.8M
2017
settled
$135.2M
$119.1M
2018
settled
$137.5M
$122.4M
2019
settled
$148.5M
$131.7M
2020
settled
$150.8M
$139.1M
2021
settled with audit
$180.5M
$164.1M
2022
settled
$187.3M
$182.8M
2023
settled
$131.7M
$144.3M
2024
amended
$205.5M
$207.4M
2025
amended
$211.1M
$200.8M

Beside its peers

Short-term acute care hospitals in North Carolina with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Watauga Medical Center121$211,084,738$200,775,7334.9%
Central Carolina Hospital, Sanford127$85,272,646$92,214,916−8.1%
Duke Health Lake Norman Hospital, Mooresville123$34,526,876$36,021,776−4.3%
Cape Fear Valley Betsy Johnson Hospital, Dunn127$156,492,197$137,645,14812.0%
Haywood Regional Medical Center, Clyde121$180,518,253$179,812,5260.4%
Rutherford Regional Medical Center, Rutherfordton119$112,469,686$100,352,31510.8%

Patients and payers

Discharges
4,365
S-3 line 14, col 15
Inpatient days
16,892
S-3 line 14, col 8
Beds in use, on an average day
46.4
days ÷ days in year
Occupancy
38.3%
days ÷ bed days
Medicare share of days
30.7%
S-3 cols 6 ÷ 8
Medicaid share of days
2.1%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC

Related organizations on its own cost report: APPALACHIAN REGIONAL HEALTHCARE SYST, home office.

Other hospitals with the same owner: Charles A Cannon Jr Memorial Hospital (NC), Dorothea Dix Behavioral Health Center (NC).

Type of control on its cost report: governmental, county.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 340051. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read August 31, 2026.