A hospital in Galax, VA. It ran an operating loss of 2.5% in FY25 on $71.2M of operating revenue. It held 0 days of cash on hand (20th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -8.9% in FY20 to -2.5% in FY25, though it fell 2.6 points in the most recent year.
Operating margin · FY25
-2.5%
▼ 2.6 pts vs FY24
vs Rural PPS hospitals44th pctl of 387 (FY24)
Days cash on hand · FY25
0d
all sources
▲ 0.0 days vs FY24
vs Rural PPS hospitals20th pctl of 376 (FY24)
Total operating revenue · FY25
$71.2M
▲ 1.0 $M vs FY24
vs Rural PPS hospitals40th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-2.2%
▼ 2.9 pts vs FY24
vs Rural PPS hospitals28th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at TWIN COUNTY REGIONAL HOSPITAL is about $712K per year (1% of FY25 total operating revenue).
Where TWIN COUNTY REGIONAL sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalTWIN COUNTYRural 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
62,030
70,098
70,986
Other operating revenue
141
61
223
Total operating revenue
62,171
70,159
71,209
Total operating expenses
64,490
70,048
72,971
Operating income
(2,319)
111
(1,762)
Operating margin %
-3.7%
+0.2%
-2.5%
Other non-operating, net
298
414
213
Net income
(2,021)
525
(1,549)
Net income %
-3.2%
+0.7%
-2.2%
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 131-bed hospital at 13% occupancy 74% 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
13.4%
Verified fact2025
HCRIS WS S-3
Average daily census
17.63
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
131
Verified fact2025
HCRIS WS S-3
Annual discharges
1,620
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
73.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
325.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.9M
Verified fact2023
HCRIS WS S-10 line 31
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
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.047833
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
GALAX CITY, VA · nonmetro, urban 5–20K, metro-adjacent
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
