Skip to content
FonteumPublic-records evidence
ResearchHospital Margin GapNorth Carolina

North Carolina Hospital Margin Gap(2024)

This state view compares hospital operating margins reported through CMS HCRIS cost reports. The table separates the highest and lowest finite operating margins in the latest reconciled issuance period, while the summary reports the state median because extreme self-reported values can distort an average. A distress flag means an operating margin below negative five percent under the published hospital-margin methodology; it is not a rating of care quality, solvency, or future performance. Missing values stay missing, and the page withholds live figures when its paginated row read does not reconcile with the period count. Use the CCN to return to the federal source record, review the methodology before comparing states, and treat every figure as a dated public-record observation rather than a current financial statement.

125
Hospitals
+4.5%
State median op margin
-13.8%
National avg
32
In distress (< −5%)

Highest Operating Margin

CCNHospitalOp Marginvs National
340166ATRIUM HEALTH UNIVERSITY CITY+35.8%+49.6%
340145ATRIUM HEALTH LINCOLN+35.5%+49.3%
340084ATRIUM HEALTH ANSON+30.1%+43.9%
344007OLD VINEYARD+30.0%+43.9%
340187DAVIE MEDICAL CENTER+29.8%+43.6%
340190NOVANT HEALTH MINT HILL MEDICAL CTR+28.4%+42.2%
340098ATRIUM HEALTH PINEVILLE+27.6%+41.4%
340188CAPE FEAR VALLEY HOKE HOSPITAL+25.3%+39.1%
341318EAST CAROLINA HEALTH - CHOWAN INC+25.0%+38.8%
341315BLADEN COUNTY HOSPITAL+24.3%+38.2%

Lowest Operating Margin

CCNHospitalOp MarginDistress
344026CHERRY HOSPITAL-1068.2%Distress
344033WALTER B JONES LAKESIDE-1066.9%Distress
344025BROUGHTON HOSPITAL-110.2%Distress
344032TRIANGLE SPRINGS-85.9%Distress
344036DAVIS REGIONAL MEDICAL CENTER-75.3%Distress
342017ASHEVILLE SPECIALTY HOSPITAL LLC-64.9%Distress
340159PERSON MEMORIAL HOSPITAL INC-41.8%Distress
342014HIGHSMITH RAINEY MEMORIAL HOSPITAL-41.5%Distress
341316HIGHLANDS CASHIERS HOSPITAL-37.9%Distress
340097HUGH CHATHAM MEMORIAL HOSPITAL-33.3%Distress

Fonteum does not independently rate or rank hospitals. This index reflects CMS-published self-reported financial data from HCRIS form 2552-10. Data is public domain per 17 U.S.C. § 105.

What’s on file, by the numbers

Platform snapshot · 2026-08-30

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
16fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Request access