A hospital in Salem, VA. It ran an operating surplus of 31.1% in FY24 on $541.3M of operating revenue. It held 0 days of cash on hand (24th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 12.9% in FY20 to 31.1% in FY24.
Operating margin · FY24
+31.1%
▲ 2.8 pts vs FY23
vs Urban PPS hospitals96th pctl of 2,562 (FY24)
Days cash on hand · FY24
0d
all sources
▼ 0.1 days vs FY23
vs Urban PPS hospitals24th pctl of 2,354 (FY24)
Total operating revenue · FY24
$541.3M
▲ 42.9 $M vs FY23
vs Urban PPS hospitals74th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+31.1%
▲ 2.6 pts vs FY23
vs Urban PPS hospitals96th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at LEWISGALE MEDICAL CENTER is about $5.4M per year (1% of FY24 total operating revenue).
Where LEWISGALE MEDICAL CENTER sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalLEWISGALE 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.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
405,006
498,303
538,909
Other operating revenue
383
55
2,367
Total operating revenue
405,389
498,357
541,276
Total operating expenses
350,262
357,452
372,997
Operating income
55,127
140,905
168,279
Operating margin %
+13.6%
+28.3%
+31.1%
Other non-operating, net
32,003
1,791
0
Net income
87,130
142,696
168,279
Net income %
+19.9%
+28.5%
+31.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 229-bed hospital at 75% 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
75.0%
Verified fact2024
HCRIS WS S-3
Average daily census
172.25
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
229
Verified fact2024
HCRIS WS S-3
Annual discharges
16,639
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
46.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,316
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$20.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.166
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.05
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.727529
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
SALEM CITY, VA · metro, 250K–1M
Median household income
$66.7K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
5.5%
vs 8.6% US · 8.4% rural median
Age 65+
19.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
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