A hospital in Blacksburg, VA. It ran an operating surplus of 34.5% in FY25 on $192.6M of operating revenue. It held 0 days of cash on hand (13th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 36.8% in FY20 to 34.5% in FY25.
Operating margin · FY25
+34.5%
▼ 4.2 pts vs FY24
vs Urban PPS hospitals97th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▼ 0.0 days vs FY24
vs Urban PPS hospitals13th pctl of 1,386 (FY25)
Total operating revenue · FY25
$192.6M
▲ 2.9 $M vs FY24
vs Urban PPS hospitals38th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+34.5%
▼ 4.2 pts vs FY24
vs Urban PPS hospitals96th pctl of 1,475 (FY25)
One point of operating margin at LEWISGALE HOSPITAL MONTGOMERY is about $1.9M per year (1% of FY25 total operating revenue).
Where LEWISGALE HOSPITAL MONTGOMERY 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 hospitalLEWISGALE HOSPITALUrban 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
FY23
FY24
FY25
Patient revenue
175,745
188,229
191,301
Other operating revenue
1,962
1,510
1,313
Total operating revenue
177,706
189,740
192,614
Total operating expenses
115,391
116,324
126,176
Operating income
62,316
73,415
66,438
Operating margin %
+35.1%
+38.7%
+34.5%
Other non-operating, net
10
0
0
Net income
62,326
73,415
66,438
Net income %
+35.1%
+38.7%
+34.5%
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 66-bed hospital at 62% occupancy 71% 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
62.5%
Verified fact2025
HCRIS WS S-3
Average daily census
41.33
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
66
Verified fact2025
HCRIS WS S-3
Annual discharges
4,640
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
71.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
453.90
Verified fact2025
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$3.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.111
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.93
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.717058
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
MONTGOMERY County, VA · metro, under 250K
Median household income
$70.8K
vs $82.1K US · $59.7K rural median
Poverty rate
23.8%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
13.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
