A hospital in Grundy, VA. It ran an operating loss of 14.3% in FY25 on $28.4M of operating revenue. It held 176 days of cash on hand (81st percentile among Urban PPS hospitals on liquidity). Operating margin improved from -23.3% in FY21 to -14.3% in FY25, though it fell 1.0 points in the most recent year.
Operating margin · FY25
-14.3%
▼ 1.0 pts vs FY24
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
Days cash on hand · FY25
176d
all sources
▼ 21.0 days vs FY24
vs Urban PPS hospitals81st pctl of 1,386 (FY25)
Total operating revenue · FY25
$28.4M
▲ 1.8 $M vs FY24
vs Urban PPS hospitals5th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-12.8%
▼ 7.1 pts vs FY24
vs Urban PPS hospitals6th pctl of 1,475 (FY25)
One point of operating margin at BUCHANAN GENERAL HOSPITAL is about $284K per year (1% of FY25 total operating revenue).
Where BUCHANAN GENERAL 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 hospitalBUCHANAN GENERALUrban 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
29,567
26,424
28,169
Other operating revenue
142
228
245
Total operating revenue
29,709
26,652
28,414
Total operating expenses
33,798
30,199
32,487
Operating income
(4,089)
(3,547)
(4,073)
Operating margin %
-13.8%
-13.3%
-14.3%
Investment income
256
1,364
510
Other non-operating, net
496
552
(161)
Net income
(3,337)
(1,631)
(3,724)
Net income %
-11.0%
-5.7%
-12.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 99-bed hospital at 7% occupancy 82% 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
7.3%
Verified fact2025
HCRIS WS S-3
Average daily census
7.24
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
99
Verified fact2025
HCRIS WS S-3
Annual discharges
914
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.06
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
12.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
194.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.546
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.981701
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
$42.2K
vs $82.1K US · $59.7K rural median
Poverty rate
23.9%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
23.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 20.2% of county personal income is Medicare/Medicaid medical benefits; 45.0% arrives as government transfers (BEA, 2022).
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