It’s hard to believe The Outer Banks Hospital we know and love today — all 83,796 square feet of it — started out as 11 acres of sand and some architectural drawings back in the late 1990s. The need for a hospital had been clear for a long time before that, though. For generations, the people of the Outer Banks typically traveled hours to access the services they needed. And the community was growing. So when the state of North Carolina granted our Certificate of Need in 1998, we hit the ground running. Those early days were an exciting time of conducting staff interviews while wearing our hard hats, enjoying employee cookouts and getting to know each other through family activities — ultimately allowing us to form a professional family of our own.

That sense of building something important together in a family-centered environment continues to this day and defines who we are as a community hospital. And while The Outer Banks Hospital is the result of many successful connections, it would never have come to fruition without the remarkable and ongoing partnership between ECU Health and Chesapeake Regional Healthcare.


When The Outer Banks Hospital first opened its doors in 2002, our services and capabilities were narrow compared to what we provide today. Back then, we welcomed a lot of babies to the Outer Banks and also performed orthopedic surgery and other small-scale surgical procedures. Despite our limited scope, however, we were able to benefit the community greatly by serving as a conduit to care with our partners. Patients suddenly had direct access to a full range of services at Chesapeake Regional Medical Center and ECU Health Medical Center as well as other ECU Health community hospitals. And all the while, our partnership was enabling us to develop and expand our own service offerings.


The strength of our partnership has from the beginning made our community stronger. Our Emergency Department was an early initiative and a crucial addition to our services — especially so in the summer months, when our population swells to nearly 250,000. The expansion of our capabilities continued with cancer services as well as two urgent care centers. Our incredibly varied outreach programs are also key to promoting a happier, healthier community and demonstrate our commitment to everyone in it. From the free screenings we provide via our Health Coach bus…to wellness programs like yoga on the beach…to cancer outreach programs and beyond, we’re making a difference every day.


Partnership based on cooperation and support is what allows us to strengthen the services we currently provide and expand our continuum of care as we explore new avenues. Our Community Benefit Grant Program, for example — funded jointly by ECU Health and Chesapeake Regional Healthcare —  directly benefits the Outer Banks community by supporting nonprofits throughout the area, making it easier for people to gain access to the care they need. The Outer Banks Hospital has come a long way in a relatively short time, thanks to our partners — and our potential knows no bounds.


  • 1998

    North Carolina granted our Certificate of Need, allowing the partners to build the first hospital on the Outer Banks.

  • 1999

    Kathy Bailey became president
    Dec 1999 – Jul 2005

  • 2002

    The Outer Banks Hospital opened its doors.

  • 2002

    The hospital’s first emergency department opened.

  • 2003

    Hurricane Isabel battered the Outer Banks, but the hospital — designed to withstand extreme weather — is undamaged.

  • 2005

    The Outer Banks Development Council formed with an eye toward streamlining cancer services and resources for the community.

  • 2005

    Roger Robertson became president
    (Interim) August – Dec 2005

  • 2006

    Van Smith became president
    Jan 2006 – Jan 2011

  • 2010

    The hospital introduced cancer services.

  • 2011

    Jeff Sackrison became president
    (Interim) Jan 2011 – May 2011

  • 2011

    Ronnie Sloan became president
    June 2011 – Present

  • 2012

    The first urgent care clinic opened.