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Critical access hospital · Sparta, North Carolina · 25 beds · CMS certification number 341320

Alleghany Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 3, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$14.6M
$14,569,096 · G-3 line 3
Operating expenses
$16.9M
$16,886,013 · G-3 line 4
Result from patient care
−$2.3M
−$2,316,917 · G-3 line 5
Margin on patient care
−15.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $6.2M in its first year on file (2005) to $14.6M in 2025.
  • Its result from patient care: −$3.1M (2023), −$2.3M (2024), −$2.3M (2025).
  • 2 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 1.5% of its inpatient days and Medicare for 39.2%.
  • ALLEGHANY COUNTY MEMORIAL HOSPITAL INC holds 100% of it, on its Medicare enrollment.

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

21 years of filings

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

Net patient revenueOperating expenses
2005
settled
$6.2M
$7.2M
2006
settled
$9.3M
$10.9M
2007
reopened
$9.8M
$10.6M
2008
reopened
$9.6M
$11.0M
2009
reopened
$9.5M
$11.0M
2010
reopened
$10.3M
$11.4M
2011
reopened
$9.6M
$11.3M
2012
reopened
$9.5M
$11.3M
2013
settled
$11.6M
$12.3M
2014
settled
$10.2M
$11.9M
2015
settled with audit
$10.6M
$12.2M
2016
settled
$11.8M
$12.7M
2017
settled
$11.2M
$12.3M
2018
settled
$10.8M
$12.4M
2019
settled
$9.0M
$11.8M
2020
settled
$9.1M
$11.6M
2021
settled
$11.2M
$13.1M
2022
settled
$11.0M
$14.5M
2023
as submitted
$12.2M
$15.3M
2024
as submitted
$13.1M
$15.4M
2025
as submitted
$14.6M
$16.9M

Beside its peers

Critical access hospitals in North Carolina with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Alleghany Memorial Hospital25$14,569,096$16,886,013−15.9%
Washington Regional Medical Center, Plymouth25$19,240,653$20,652,470−7.3%
Chatham Hospital, Siler City25$60,173,363$52,453,81112.8%
ECU Health Chowan Hospital, Edenton25$89,729,491$68,733,84323.4%
Lifebrite Community Hospital of Stokes, Danbury25$12,417,954$13,777,147−10.9%
Novant Health Pender Medical Center, Burgaw25$48,359,864$40,318,21316.6%

Patients and payers

Discharges
215
S-3 line 14, col 15
Inpatient days
589
S-3 line 14, col 8
Beds in use, on an average day
1.6
days ÷ days in year
Occupancy
6.5%
days ÷ bed days
Medicare share of days
39.2%
S-3 cols 6 ÷ 8
Medicaid share of days
1.5%
S-3 cols 7 ÷ 8

Who owns it

  • ALLEGHANY COUNTY MEMORIAL HOSPITAL INC100%
  • ALLEGHANY HEALTH, LLC100%

Indirect owner: HUGH CHATHAM MEMORIAL HOSPITAL, INC.

Related organizations on its own cost report: ALLEGHANY, hospital; ALLEGHANY, hospital.

Type of control on its cost report: voluntary nonprofit, other.

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ALLEGHANY COUNTY MEMORIAL HOSPITAL INC (employer identification number 560525657) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$173,606IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$173,606IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$173,606IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0109IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202422089349300227. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ALLEGHANY COUNTY MEMORIAL HOSPITAL INC (employer identification number 560525657) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
APRIL MAINESCLINICAL DIRECTORHighest-compensated employee$110,540$0$11,598
BRYAN EDWARDSTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
CHARLES MANGANOTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
DR DENISE BRYANTPHYSICIANHighest-compensated employee$125,693$0$22,433
DR DWYNN GREENFIELDPHYSICIANHighest-compensated employee$138,491$0$14,949
DR JOSE AROCHACHIEF OF MEDICINEHighest-compensated employee$353,197$0$32,850
JENA FOLGERTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
JIM BECKERTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
JIM HOEKSTRATRUSTEE/BOARD MEMBERTrustee/director$0$0$0
KATHRYN DOBYCHIEF ADMIN OFFICEROfficer$201,561$0$26,598
KENT THOMPSONTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
MARY BLACKBURNTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
PAMELA HOPPERSPHARMACISTHighest-compensated employee$147,839$0$18,994
PAUL HAMMESTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
RICKY BROWNTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
ROCKY PROFITTTRUSTEE/BOARD MEMBERTrustee/director$0$0$0
WHITNEY IVEYTRUSTEE/BOARD MEMBERTrustee/director$0$0$0

E-file object id 202422089349300227. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 341320. 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 HOSP10FY2025.ZIP, read March 3, 2026.