The Outer Banks Hospital
Also known as Outer Banks Health
The Outer Banks Hospital reported $155.0 million in revenue and $137.6 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $91.40 went to program services, $8.60 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.3% of the total. The highest compensation it reported for one person was $770,350 (PHYSICIAN). 135 people received more than $100,000 in reportable compensation. Revenue rose 51% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $138MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $155MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 91.4% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 8.6% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.6% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $770,350 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.56% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 135 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 7 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseOutpatient and emergency services: provided emergency services to 20,276 patients 24 hours a day for 365 days. Provided outpatient diagnostic and therapeutic services to 36,182 patients. Performed 2,096 outpatient surgical procedures
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $715,883 | $0 | $54,467 | $770,350 |
| BOARD MEMBER Director/trustee, 2.0 hrs/week | $0 | $527,546 | $205,074 | $732,620 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $609,482 | $0 | $56,231 | $665,713 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $574,975 | $0 | $50,538 | $625,513 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $573,281 | $0 | $52,046 | $625,327 |
| ANESTHESIOLOGIST Highest compensated employee, 40.0 hrs/week | $564,707 | $0 | $33,732 | $598,439 |
| PRESIDENT Officer, 40.0 hrs/week | $409,121 | $0 | $145,578 | $554,699 |
| BOARD MEMBER Director/trustee, 40.0 hrs/week | $443,545 | $0 | $78,756 | $522,301 |
135 people received more than $100,000 in reportable compensation from The Outer Banks Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.9M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 7 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 50
- Volunteers Part I, line 676
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| AMN HEALTHCARE Temp labor services | $3,880,296 |
| SODEXO INC & AFFILIATES Contract labor & mgt | $1,020,805 |
| MEDICAL SOLUTIONS LLC Locums/temp labor | $867,262 |
| CHESAPEAKE REGIONAL MEDICAL GROUP Hosp/medical group | $802,694 |
| WEATHERBY LOCUMS INC Locums/temp labor | $656,676 |
Individuals listed as contractors are left out. 23 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to The Outer Banks Hospital totaling $100K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from The Outer Banks Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for The Outer Banks Hospital, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 The Outer Banks Hospital spent in FY2025, $91.40 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in North Carolina
Questions people ask
How much of The Outer Banks Hospital's spending goes to programs?
In the fiscal year ending September 30, 2025, The Outer Banks Hospital reported that 91.4% of its $137.6 million in expenses went to program services, 8.6% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does The Outer Banks Hospital pay its top executive?
The largest total compensation The Outer Banks Hospital reported for one person in the fiscal year ending September 30, 2025 was $770,350, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does The Outer Banks Hospital get its money?
Of $155.0 million in revenue in the fiscal year ending September 30, 2025, 0.6% came from contributions and grants and 95.3% from program service revenue (Form 990, Part VIII).
Is The Outer Banks Hospital a registered charity?
The IRS lists EIN 56-2112733 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202622229349301382 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202502049349300240 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202442009349300719 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202342229349301039 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202201789349300705 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202102249349301205 · read the filing
All filings for EIN 56-2112733: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.