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Nonprofiteer
← THE OUTER BANK HOSPITAL INC

Form 990 for tax year 2024

Filed by THE OUTER BANK HOSPITAL INC.

Totals

Total revenue
$154,950,522
Total expenses
$137,638,341
Contributions and grants received
$997,047
Grants paid
$271,327
Program service revenue
$147,692,925
Investment income
$2,238,831
Other revenue
$4,021,719
Total assets, end of year
$152,666,321
Total liabilities, end of year
$29,876,246
Net assets or fund balances, end of year
$122,790,075
Program services expenses (Part IX)
$125,799,806
Management and general expenses
$11,838,535
Fundraising expenses
$0
Program service expenses (Part III)
$125,799,806

Program services were 91.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $997,047

  • 2a · Program service revenue: OUTPATIENT SERVICES

    total $125,836,894 · related or exempt $125,836,894

  • 2b · Program service revenue: INPATIENT SERVICES

    total $21,856,031 · related or exempt $21,856,031

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $2,223,612 · excluded $2,223,612

  • 6a · Gross rents

    real property $263,413

  • 6c · Rental income or loss

    real property $263,413 · personal property $0

  • 6d · Net rental income or loss

    total $263,413 · excluded $263,413

  • 7a · Gross sales of assets other than inventory

    other assets $15,219

  • 7c · Gain or loss

    securities $0 · other assets $15,219

  • 7d · Net gain or loss

    total $15,219 · excluded $15,219

  • 11a · Other revenue: OTHER REVENUE

    total $3,444,640 · excluded $3,444,640

  • 11b · Other revenue: CAFETERIA MEALS

    total $228,973 · excluded $228,973

  • 11c · Other revenue: REBATES

    total $52,666 · excluded $52,666

  • 11d · All other revenue

    total $32,027 · related or exempt $0 · unrelated business $0 · excluded $32,027

  • 11e · Other revenue, total

    $3,758,306

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $271,327 · program services $271,327

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $1,899,545 · management and general $1,899,545

  • 7 · Other salaries and wages

    total $54,506,410 · program services $53,288,924 · management and general $1,217,486

  • 8 · Pension plan contributions

    total $1,421,821 · program services $1,350,730 · management and general $71,091

  • 9 · Other employee benefits

    total $6,573,872 · program services $6,541,912 · management and general $31,960

  • 10 · Payroll taxes

    total $3,859,925 · program services $3,666,929 · management and general $192,996

  • 11a · Fees: management

    total $48,172 · program services $38,537 · management and general $9,635

  • 11b · Fees: legal

    total $1,805 · program services $0 · management and general $1,805

  • 11c · Fees: accounting

    total $47,161 · program services $0 · management and general $47,161

  • 11d · Fees: lobbying

    total $2,598 · program services $0 · management and general $2,598

  • 11g · Fees: other

    total $33,323,712 · program services $26,658,969 · management and general $6,664,743 · fundraising $0

  • 12 · Advertising and promotion

    total $659,514 · program services $527,611 · management and general $131,903

  • 13 · Office expenses

    total $440,408 · program services $396,367 · management and general $44,041

  • 14 · Information technology

    total $67,624 · program services $13,525 · management and general $54,099

  • 16 · Occupancy

    total $1,138,919 · program services $911,135 · management and general $227,784

  • 17 · Travel

    total $266,756 · program services $213,405 · management and general $53,351

  • 20 · Interest

    total $334,050 · management and general $334,050

  • 22 · Depreciation, depletion and amortization

    total $4,960,392 · program services $4,960,392

  • 23 · Insurance

    total $774,207 · program services $154,841 · management and general $619,366

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $23,702,354 · program services $23,702,354

  • 24b · Other expenses: BAD DEBT

    total $2,163,162 · program services $2,163,162

  • 24c · Other expenses: ALL OTHER EXPENSES

    total $1,174,607 · program services $939,686 · management and general $234,921

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $28,499,435 · end of year $18,895,272

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $18,353,363 · end of year $21,677,614

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,094,352 · end of year $2,071,000

  • 9 · Prepaid expenses and deferred charges

    beginning of year $230,410 · end of year $182,752

  • 10a · Land, buildings and equipment: cost or other basis

    $123,454,747

  • 10b · Land, buildings and equipment: accumulated depreciation

    $61,239,134

  • 10c · Land, buildings and equipment, net

    beginning of year $57,042,002 · end of year $62,215,613

  • 11 · Investments: publicly traded securities

    beginning of year $31,854,989 · end of year $41,101,841

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $6,863,381 · end of year $6,522,229

  • 17 · Accounts payable and accrued expenses

    beginning of year $25,004,588 · end of year $27,480,069

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $3,455,450 · end of year $2,396,177

  • 27 · Net assets without donor restrictions

    beginning of year $116,477,894 · end of year $122,790,075

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

TO ENHANCE THE QUALITY OF LIFE FOR THE RESIDENTS AND VISITORS OF DARE COUNTY AND THE SURROUNDING REGION BY PROMOTING WELLNESS AND PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES.

Activities or mission (Part I)

TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA.

  • OUTPATIENT 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.

    Expenses $125,799,806 · Grants $271,327 · Revenue $125,836,894

  • INPATIENT SERVICES: PROVIDED INPATIENT CARE 24 HOURS A DAY FOR 365 DAYS TO 1,699 PATIENTS. DELIVERED 273 BABIES. PERFORMED 157 INPATIENT SURGICAL PROCEDURES.

    Revenue $21,856,031

As filed on the 2024 return.

Listed in Part VII

  • Jamie Fountain MD

    BOARD MEMBER

    Total calculated
    $522,301
    From this org
    $443,545
    From related orgs
    $0
    Other
    $78,756
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $320,994
    Bonus
    $122,551
    Other
    $0
    Deferred
    $29,948
    Nontaxable benefits
    $48,808
    Filer's total
    $522,301

  • Jason Higginson MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Jason Waughtel

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Myra Bowen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Myra Ladd-Bone

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Pete Burkhimer

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Reese Jackson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Robert Tull

    BOARD MEMBER (THRU 03/25)

    Total calculated
    $0
    Hours/week
    2

  • Sandra Baynes

    BOARD MEMBER (AS OF 06/25)

    Total calculated
    $0
    Hours/week
    2

  • Sandy Martin

    BOARD MEMBER (AS OF 06/25)

    Total calculated
    $0
    Hours/week
    2

  • Tess Judge

    BOARD MEMBER (THRU 03/25)

    Total calculated
    $0
    Hours/week
    2

  • Van Smith

    BOARD MEMBER

    Total calculated
    $732,620
    From this org
    $0
    From related orgs
    $527,546
    Other
    $205,074
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $415,805 related
    Bonus
    $0 + $111,741 related
    Other
    $0
    Deferred
    $0 + $158,352 related
    Nontaxable benefits
    $0 + $46,722 related
    Filer's total
    $0 + $732,620 related

  • Amy Montgomery

    SECRETARY

    Total calculated
    $213,535
    From this org
    $176,671
    From related orgs
    $0
    Other
    $36,864
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,171
    Bonus
    $1,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $36,864
    Filer's total
    $213,535

  • Ronald Sloan

    PRESIDENT

    Total calculated
    $554,699
    From this org
    $409,121
    From related orgs
    $0
    Other
    $145,578
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $317,063
    Bonus
    $92,058
    Other
    $0
    Deferred
    $88,174
    Nontaxable benefits
    $57,404
    Filer's total
    $554,699

  • Marcella Bryant

    VP, CLINICAL OPERATIONS

    Total calculated
    $312,146
    From this org
    $245,355
    From related orgs
    $0
    Other
    $66,791
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,276
    Bonus
    $48,079
    Other
    $0
    Deferred
    $25,899
    Nontaxable benefits
    $40,892
    Filer's total
    $312,146

  • Todd Warlitner

    VP FINANCE-CRITICAL ACCESS HOSPITALS

    Total calculated
    $287,554
    From this org
    $89,625
    From related orgs
    $134,438
    Other
    $63,491
    Hours/week
    16 + 24 related

    Schedule J breakdown matched by us

    Base
    $72,632 + $108,949 related
    Bonus
    $16,993 + $25,489 related
    Other
    $0
    Deferred
    $9,444 + $14,165 related
    Nontaxable benefits
    $15,953 + $23,929 related
    Filer's total
    $115,022 + $172,532 related

  • Charles Shelton

    PHYSICIAN

    Total calculated
    $625,327
    From this org
    $573,281
    From related orgs
    $0
    Other
    $52,046
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $539,085
    Bonus
    $34,196
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $52,046
    Filer's total
    $625,327

  • Christopher Mann

    PHYSICIAN

    Total calculated
    $770,350
    From this org
    $715,883
    From related orgs
    $0
    Other
    $54,467
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $540,351
    Bonus
    $175,532
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $54,467
    Filer's total
    $770,350

  • Gary Hunter

    ANESTHESIOLOGIST

    Total calculated
    $598,439
    From this org
    $564,707
    From related orgs
    $0
    Other
    $33,732
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $564,707
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,732
    Filer's total
    $598,439

  • Jeffrey Chase

    PHYSICIAN

    Total calculated
    $625,513
    From this org
    $574,975
    From related orgs
    $0
    Other
    $50,538
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $566,642
    Bonus
    $8,333
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $50,538
    Filer's total
    $625,513

  • Matthew McKenna

    PHYSICIAN

    Total calculated
    $665,713
    From this org
    $609,482
    From related orgs
    $0
    Other
    $56,231
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $546,091
    Bonus
    $63,391
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $56,231
    Filer's total
    $665,713

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
THE TOP MANAGEMENT OFFICIAL IS THE PRESIDENT WHO IS AN EMPLOYEE OF TOBH. THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • OUTER BANKS PROFESSIONAL SERVICES LLC

    FAMILY PRACTICE · NC · income $24,900,765 · assets $11,609,025

    Directly controlled by THE OUTER BANKS HOSPITAL INC

  • OUTER BANKS MEDICAL OFFICE BUILDING LLC

    MEDICAL OFFICE BUILDING · NC · income $992,297 · assets $12,492,726

    Directly controlled by THE OUTER BANKS HOSPITAL INC

Provenance

Return type
form_990
Tax year
2024
Filed
10 August 2026
IRS schema version
2024v5.1
Source object
202622229349301382

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