Short-term acute care hospital · Marion, Virginia · 17 beds · CMS certification number 490038
Smyth County Community Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 26, 2025. 30 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $29.8M in its first year on file (1996) to $50.5M in 2025.
- Its result from patient care: −$2.0M (2023), −$1.1M (2024), $812K (2025).
- 2 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
- Medicaid paid for 1.2% of its inpatient days and Medicare for 33.4%.
- BALLAD HEALTH holds 100% of it, on its Medicare enrollment.
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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Beside its peers
Hospitals of the same type (short-term acute care hospital), nearest in size, from Virginia first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Smyth County Community Hospital | 17 | $50,490,790 | $49,679,004 | 1.6% |
| Bedford Memorial Hospital, Bedford | 33 | $52,280,436 | $49,966,335 | 4.4% |
| Carilion Tazewell Community Hospital, Tazewell | 23 | $24,209,387 | $28,076,136 | −16.0% |
| Bon Secours Harbour View Medical Center, Suffolk | 18 | $24,946,181 | $27,006,129 | −8.3% |
| Hiram W Davis Medical Center, Petersburg | 4 | $18,723,274 | $133,415,921 | −612.6% |
| N/A, Front Royal | 36 | $119,993,493 | $110,894,724 | 7.6% |
Patients and payers
- Discharges
- 938S-3 line 14, col 15
- Inpatient days
- 3,108S-3 line 14, col 8
- Beds in use, on an average day
- 8.5days ÷ days in year
- Occupancy
- 50.1%days ÷ bed days
- Medicare share of days
- 33.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.2%S-3 cols 7 ÷ 8
Who owns it
- BALLAD HEALTH100%
- MOUNTAIN STATES HEALTH ALLIANCE100%
Related organizations on its own cost report: BALLAD HEALTH, healthcare.
Other hospitals with the same owner: Bristol Regional Medical Center (TN), Holston Valley Medical Center (TN), Sycamore Shoals Hospital (TN), Hawkins County Memorial Hospital (TN), Greeneville Community Hospital (TN), Johnson City Medical Center (TN), Indian Path Community Hospital (TN), Franklin Woods Community Hospital (TN), Johnson County Community Hospital (TN), Hancock County Hospital (TN), Rehabilitation Hospital of Kingsport, A Joint Venture of Ballad Health (TN), Quillen Rehabilitation Hospital, A JV of Ballad Health and Encompass (TN).
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).
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 490038. 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 HOSP10FY2024.ZIP, read November 26, 2025.