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Critical access hospital · Nags Head, North Carolina · 21 beds · CMS certification number 341324

Outer Banks Health 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. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$122.2M
$122,238,964 · G-3 line 3
Operating expenses
$90.3M
$90,336,885 · G-3 line 4
Result from patient care
$31.9M
$31,902,079 · G-3 line 5
Margin on patient care
26.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $25.3M in its first year on file (2006) to $122.2M in 2025.
  • Its result from patient care: $23.6M (2023), $20.2M (2024), $31.9M (2025).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 2.7% of its inpatient days and Medicare for 40.9%.

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

Twenty years of filings

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

Net patient revenueOperating expenses
2006
settled
$25.3M
$18.7M
2007
settled
$37.2M
$29.0M
2008
settled
$51.6M
$42.0M
2009
settled with audit
$52.3M
$43.5M
2010
settled with audit
$52.4M
$44.2M
2011
settled
$54.9M
$45.1M
2012
settled
$56.6M
$47.1M
2013
settled with audit
$61.3M
$52.6M
2014
settled
$66.6M
$54.5M
2015
settled
$64.5M
$56.7M
2016
settled
$69.8M
$54.2M
2017
settled with audit
$67.2M
$53.9M
2018
settled
$74.0M
$57.9M
2019
settled with audit
$82.0M
$61.2M
2020
settled
$79.2M
$57.5M
2021
settled
$95.3M
$64.2M
2022
settled
$93.7M
$69.1M
2023
as submitted
$96.7M
$73.0M
2024
as submitted
$106.3M
$86.1M
2025
as submitted
$122.2M
$90.3M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Outer Banks Health Hospital21$122,238,964$90,336,88526.1%
Cape Fear Valley-Bladen County Hospital, Elizabethtown21$62,263,190$39,131,30337.1%
Charles A Cannon Jr Memorial Hospital, Linville23$27,991,435$26,491,8425.4%
Firsthealth Montgomery Memorial Hospital, Troy9$22,475,766$19,273,72014.2%
MH Highlands-Cashiers Medical Center, LLLP, Highlands24$30,218,969$37,082,186−22.7%
Swain County Hospital, Bryson City24$20,605,201$20,113,0772.4%

Patients and payers

Discharges
1,407
S-3 line 14, col 15
Inpatient days
3,992
S-3 line 14, col 8
Beds in use, on an average day
11.0
days ÷ days in year
Occupancy
52.1%
days ÷ bed days
Medicare share of days
40.9%
S-3 cols 6 ÷ 8
Medicaid share of days
2.7%
S-3 cols 7 ÷ 8

Who owns it

Indirect owners: EAST CAROLINA HEALTH; UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC.

Related organizations on its own cost report: ECU HEALTH, parent company; VMG, phy services.

Other hospitals with the same owner: ECU Health Medical Center (NC), ECU Health Roanoke Chowan Hospital (NC), ECU Health Edgecombe Hospital (NC), ECU Health Duplin Hospital (NC), ECU Health North Hospital (NC), ECU Health Bertie Hospital (NC), ECU Health Chowan Hospital (NC).

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 The Outer Banks Hospital Inc (employer identification number 562112733) 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)$2,948,396IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$1,870,052IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$0IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,870,052IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$1,078,344IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0252IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202442009349300719. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by The Outer Banks Hospital Inc (employer identification number 562112733) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Amanda Pettibone PondPhysicianHighest-compensated employee$524,408$0$42,879
Charles SheltonPhysicianHighest-compensated employee$548,535$0$46,762
Christopher MannPhysicianHighest-compensated employee$646,473$0$50,604
Cindy ThornsvardBoard MemberTrustee/director$0$0$0
Jamie Fountain MDBoard MemberTrustee/director$0$0$0
Jay BrileyBoard MemberTrustee/director$0$395,814$185,320
Jeffrey ChasePhysicianHighest-compensated employee$536,824$0$47,431
Marcella BryantVP, Clinical OperationsKey employee$184,207$0$57,247
Matthew McKennaPhysicianHighest-compensated employee$540,372$0$52,743
Myra BowenBoard MemberTrustee/director$0$0$0
Myra Ladd-BoneBoard MemberTrustee/director$0$0$0
Pete BurkhimerBoard MemberTrustee/director$0$0$0
Reese JacksonBoard MemberTrustee/director$0$0$0
Robert TullVICE CHAIRTrustee/director$0$0$0
Ronald SloanPresidentOfficer$272,775$0$108,029
Stuart BellBoard MemberTrustee/director$0$0$0
Tess JudgeCHAIRTrustee/director$0$0$0
Todd WarlitnerVP, Finance-Critical AccessKey employee$72,862$109,293$55,443

E-file object id 202442009349300719. 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 341324. 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.