Short-term acute care hospital · Roanoke, Virginia · 635 beds · CMS certification number 490024
Carilion Roanoke Memorial Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $198.6M in its first year on file (1996) to $2.0B in 2025.
- Its result from patient care: −$175.9M (2023), −$102.0M (2024), −$63.9M (2025).
- 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
- Medicaid paid for 6.0% of its inpatient days and Medicare for 22.4%.
Every statement is drawn from figures on this page; nothing is estimated.
30 years of filings
Net patient revenue against operating expenses, each year as filed.
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as submitted
Beside its peers
Short-term acute care hospitals in Virginia with 400 and over beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Carilion Roanoke Memorial Hospital | 635 | $1,998,387,108 | $2,062,274,408 | −3.2% |
| CJW Medical Center, Richmond | 598 | $1,174,187,227 | $804,272,875 | 31.5% |
| Henrico Doctors' Hospital, Richmond | 686 | $842,343,222 | $545,111,817 | 35.3% |
| Sentara Norfolk General Hospital, Norfolk | 481 | $2,155,790,936 | $1,825,195,537 | 15.3% |
| UVA Health Sciences Center, Charlottesville | 646 | $2,893,272,413 | $3,002,840,339 | −3.8% |
| Virginia Commonwealth University Health System Authority, Richmond | 865 | $2,770,645,397 | $2,695,056,252 | 2.7% |
Patients and payers
- Discharges
- 37,706S-3 line 14, col 15
- Inpatient days
- 196,660S-3 line 14, col 8
- Beds in use, on an average day
- 540.3days ÷ days in year
- Occupancy
- 84.9%days ÷ bed days
- Medicare share of days
- 22.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 6.0%S-3 cols 7 ÷ 8
Who owns it
Indirect owner: CARILION CLINIC
Related organizations on its own cost report: CARILION CLINIC (100%), health care.
Other hospitals with the same owner: Carilion New River Valley Medical Center (VA), Carilion Franklin Memorial Hospital (VA), Carilion Tazewell Community Hospital (VA), Carilion Clinic (VA), Carilion Rockbridge Community Hospital (VA).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
Community benefit is filed on IRS Form 990 Schedule H by Carilion Medical Center (employer identification number 540506332) for tax year 2022, once for the 2 hospital facilities the return lists, this hospital among them. The return does not divide it among them.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 490024. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 4, 2026.