A hospital in Nags Head, NC. It ran an operating surplus of 28.4% in FY25 on $126.2M of operating revenue. It held 116 days of cash on hand (53rd percentile among Critical Access Hospitals on liquidity).
Operating margin · FY25
+28.4%
vs Critical Access Hospitals97th pctl of 824 (FY25)
Days cash on hand · FY25
116d
all sources
vs Critical Access Hospitals53rd pctl of 827 (FY25)
Total operating revenue · FY25
$126.2M
vs Critical Access Hospitals96th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+30.1%
vs Critical Access Hospitals97th pctl of 824 (FY25)
One point of operating margin at THE OUTER BANKS HOSPITAL, INC is about $1.3M per year (1% of FY25 total operating revenue).
Where THE OUTER BANKS 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 hospitalTHE OUTERCritical 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
+52.4% (FY25)
91st percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+64.7% (FY25)
88th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
96,664
106,300
122,239
Other operating revenue
1,402
7,327
4,006
Total operating revenue
98,066
113,628
126,245
Total operating expenses
73,032
86,094
90,337
Operating income
25,035
27,533
35,908
Operating margin %
+25.5%
+24.2%
+28.4%
Grants & contributions
1
—
996
Investment income
2,469
3,139
1,609
Other non-operating, net
0
0
299
Net income
27,505
30,672
38,812
Net income %
+27.4%
+26.3%
+30.1%
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 46% occupancy 86% 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
46.1%
Verified fact2025
HCRIS WS S-3
Average daily census
9.71
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2025
HCRIS WS S-3
Annual discharges
1,407
Verified fact2025
HCRIS WS S-3
Average length of stay
2.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
86.1%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$6.4M
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
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DARE County, NC · nonmetro, urban 20K+, metro-adjacent
Median household income
$81.2K
vs $82.1K US · $59.7K rural median
Poverty rate
7.5%
vs 12.5% US · 14.3% rural median
Uninsured
8.9%
vs 8.6% US · 8.4% rural median
Age 65+
24.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 5.7% of county personal income is Medicare/Medicaid medical benefits; 17.7% arrives as government transfers (BEA, 2022).
What this hospital means to Dare County
economic contribution · FY25 cost report
Direct annual spending
$90.3M
total operating expense · reported
Total economic output
$207.8M
× 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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