A hospital in Edenton, NC. It ran an operating surplus of 24.1% in FY25 on $90.6M of operating revenue. It held 279 days of cash on hand (79th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 19.2% in FY20 to 24.1% in FY25, though it fell 2.7 points in the most recent year.
Operating margin · FY25
+24.1%
vs Critical Access Hospitals96th pctl of 824 (FY25)
Days cash on hand · FY25
279d
all sources
vs Critical Access Hospitals79th pctl of 827 (FY25)
Total operating revenue · FY25
$90.6M
vs Critical Access Hospitals90th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+26.9%
vs Critical Access Hospitals95th pctl of 824 (FY25)
One point of operating margin at VIDANT CHOWAN HOSPITAL is about $906K per year (1% of FY25 total operating revenue).
Where VIDANT CHOWAN HOSPITAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access Hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalVIDANT CHOWANCritical Access Hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+53.0% (FY25)
93rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+69.8% (FY25)
92nd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
74,886
84,798
89,730
Other operating revenue
1,177
2,164
878
Total operating revenue
76,063
86,961
90,607
Total operating expenses
59,414
63,632
68,734
Operating income
16,649
23,330
21,873
Operating margin %
+21.9%
+26.8%
+24.1%
Grants & contributions
125
—
176
Investment income
65
56
19
Other non-operating, net
0
(1)
3,164
Net income
16,839
23,385
25,232
Net income %
+22.1%
+26.9%
+26.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 21-bed hospital at 53% occupancy 76% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
52.7%
Verified fact2025
HCRIS WS S-3
Average daily census
11.10
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2025
HCRIS WS S-3
Annual discharges
1,463
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
76.4%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$5.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
570%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 94th percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CHOWAN County, NC · nonmetro, rural, metro-adjacent
Median household income
$57.0K
vs $82.1K US · $59.7K rural median
Poverty rate
20.5%
vs 12.5% US · 14.3% rural median
Uninsured
8.9%
vs 8.6% US · 8.4% rural median
Age 65+
27.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 31.8% arrives as government transfers (BEA, 2022).
What this hospital means to Chowan County
economic contribution · FY25 cost report
Direct annual spending
$68.7M
total operating expense · reported
Total economic output
$158.1M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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