Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY23, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Kilmarnock, VA. It ran an operating loss of 2.8% in FY24 on $12.5M of operating revenue. It held 1 day of cash on hand in FY23, its most recent reported liquidity (12th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY24
-2.8%
vs Critical Access Hospitals46th pctl of 1,340 (FY24)
Days cash on hand · FY23
1d
all sources
vs Critical Access Hospitals12th pctl of 1,325 (FY24)
Total operating revenue · FY24
$12.5M
vs Critical Access Hospitals14th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-1.1%
vs Critical Access Hospitals26th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at RAPPAHANNOCK GENERAL HOSPITAL is about $125K per year (1% of FY24 total operating revenue).
Where RAPPAHANNOCK GENERAL HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalRAPPAHANNOCK GENERALCritical 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
+12.8% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+48.0% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
39,157
42,165
12,000
Other operating revenue
362
486
481
Total operating revenue
39,519
42,651
12,481
Total operating expenses
45,368
49,712
12,828
Operating income
(5,848)
(7,061)
(347)
Operating margin %
-14.8%
-16.6%
-2.8%
Investment income
54
158
134
Other non-operating, net
2,082
228
70
Net income
(3,712)
(6,675)
(143)
Net income %
-8.9%
-15.5%
-1.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 21% occupancy where swing beds are 25% of the inpatient business and 93% 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
20.7%
Verified fact2024
HCRIS WS S-3
Average daily census
5.23
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
156
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.78
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
25.4%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
93.0%
Verified fact2024
HCRIS WS G-2 L28
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
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
FY24 days cash suppressed: out of display range.
The county this hospital serves
Location, VA
Median household income
$67.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.1%
vs 12.5% US · 14.3% rural median
Uninsured
6.1%
vs 8.6% US · 8.4% rural median
Age 65+
40.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.6% of county personal income is Medicare/Medicaid medical benefits; 24.5% arrives as government transfers (BEA, 2022).
What this hospital means to its county
economic contribution · FY24 cost report
Direct annual spending
$12.8M
total operating expense · reported
Total economic output
$29.5M
× 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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