A hospital in Pearisburg, VA. It ran an operating surplus of 3.8% in FY25 on $109.2M of operating revenue. It held 43 days of cash on hand (34th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+3.8%
vs Critical Access Hospitals64th pctl of 824 (FY25)
Days cash on hand · FY25
43d
all sources
vs Critical Access Hospitals34th pctl of 827 (FY25)
Total operating revenue · FY25
$109.2M
vs Critical Access Hospitals94th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+19.8%
vs Critical Access Hospitals89th pctl of 824 (FY25)
One point of operating margin at CARILION GILES COMMUNITY HOSPITAL is about $1.1M per year (1% of FY25 total operating revenue).
Where CARILION GILES COMMUNITY sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalCARILION GILESCritical Access 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
Medicare inpatient contribution margin
+26.0% (FY25)
45th percentile of 117 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+74.3% (FY25)
96th percentile of 116 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
75,385
84,981
108,832
Other operating revenue
479
346
379
Total operating revenue
75,864
85,327
109,211
Total operating expenses
94,239
95,331
105,087
Operating income
(18,375)
(10,004)
4,124
Operating margin %
-24.2%
-11.7%
+3.8%
Grants & contributions
534
319
27
Investment income
2,654
91
2,140
Other non-operating, net
16,549
7,606
19,690
Net income
1,362
(1,988)
25,981
Net income %
+1.4%
-2.1%
+19.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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 25-bed hospital at 45% occupancy where swing beds are 37% of the inpatient business and 84% 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
44.8%
Verified fact2025
HCRIS WS S-3
Average daily census
11.24
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
1,296
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
6.46
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
36.5%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
83.6%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$5.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
612%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 94th percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
GILES County, VA
Median household income
$64.8K
vs $82.1K US · $59.7K rural median
Poverty rate
8.9%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
22.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.1% of county personal income is Medicare/Medicaid medical benefits; 32.1% arrives as government transfers (BEA, 2022).
What this hospital means to Giles County
economic contribution · FY25 cost report
Direct annual spending
$105.1M
total operating expense · reported
Total economic output
$241.7M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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