A hospital in Roanoke, VA. It ran an operating loss of 2.1% in FY25 on $2020.5M of operating revenue. It held 134 days of cash on hand (75th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -2.7% in FY20 to -2.1% in FY25. Including nonoperating items, the all-in result was positive at 9.8%.
Operating margin · FY25
-2.1%
▲ 2.6 pts vs FY24
vs Urban PPS hospitals39th pctl of 1,475 (FY25)
Days cash on hand · FY25
134d
all sources
▼ 35.3 days vs FY24
vs Urban PPS hospitals75th pctl of 1,386 (FY25)
Total operating revenue · FY25
$2.02B
▲ 282.5 $M vs FY24
vs Urban PPS hospitals96th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+9.8%
▲ 1.5 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
One point of operating margin at CARILION MEDICAL CENTER is about $20.2M per year (1% of FY25 total operating revenue).
Where CARILION MEDICAL CENTER sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalCARILION MEDICALUrban PPS 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
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
1,525,865
1,716,832
1,998,387
Other operating revenue
22,781
21,227
22,135
Total operating revenue
1,548,646
1,738,060
2,020,522
Total operating expenses
1,701,735
1,818,872
2,062,274
Operating income
(153,089)
(80,812)
(41,752)
Operating margin %
-9.9%
-4.6%
-2.1%
Grants & contributions
11,630
11,355
9,303
Investment income
137,777
159,838
142,636
Other non-operating, net
103,634
74,523
114,448
Net income
99,952
164,904
224,635
Net income %
+5.5%
+8.3%
+9.8%
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 483-bed hospital at 83% occupancy 46% 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
83.1%
Verified fact2025
HCRIS WS S-3
Average daily census
402.67
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
483
Verified fact2025
HCRIS WS S-3
Annual discharges
37,706
Verified fact2025
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
46.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
7,221
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$23.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.289
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.1%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.99803
CMS-reported measure07/01/2022 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
ROANOKE CITY, VA · metro, 250K–1M
Median household income
$52.7K
vs $82.1K US · $59.7K rural median
Poverty rate
19.7%
vs 12.5% US · 14.3% rural median
Uninsured
9.6%
vs 8.6% US · 8.4% rural median
Age 65+
17.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.7% of county personal income is Medicare/Medicaid medical benefits; 30.0% arrives as government transfers (BEA, 2022).
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