A hospital in Big Stone Gap, VA. It ran an operating surplus of 14.8% in FY25 on $192.6M of operating revenue. It held 0 days of cash on hand (19th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 12.4% in FY21 to 14.8% in FY25, though it fell 9.0 points in the most recent year.
Operating margin · FY25
+14.8%
vs Urban PPS hospitals82nd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals19th pctl of 1,386 (FY25)
Total operating revenue · FY25
$192.6M
vs Urban PPS hospitals38th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+15.3%
vs Urban PPS hospitals78th pctl of 1,475 (FY25)
One point of operating margin at LONESOME PINE HOSPITAL is about $1.9M per year (1% of FY25 total operating revenue).
Where LONESOME PINE HOSPITAL 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 hospitalLONESOME PINEUrban 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
175,602
177,383
183,606
Other operating revenue
2,470
15,258
8,996
Total operating revenue
178,072
192,641
192,602
Total operating expenses
145,473
146,715
164,114
Operating income
32,599
45,926
28,488
Operating margin %
+18.3%
+23.8%
+14.8%
Grants & contributions
363
1,783
(25)
Investment income
301
378
5
Other non-operating, net
1,132
1,148
1,255
Net income
34,395
49,235
29,723
Net income %
+19.1%
+25.1%
+15.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 40-bed hospital at 63% occupancy 83% 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
62.6%
Verified fact2025
HCRIS WS S-3
Average daily census
25.10
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
40
Verified fact2025
HCRIS WS S-3
Annual discharges
3,290
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.53
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
9.2%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
83.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
470.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.098094
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
Location, VA
Median household income
$50.7K
vs $82.1K US · $59.7K rural median
Poverty rate
17.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.6%
vs 8.6% US · 8.4% rural median
Age 65+
20.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
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