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Short-term acute care hospital · Salem, Virginia · 264 beds · CMS certification number 490048

Lewis Gale Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 9, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$571.5M
$571,458,794 · G-3 line 3
Operating expenses
$403.5M
$403,452,825 · G-3 line 4
Result from patient care
$168.0M
$168,005,969 · G-3 line 5
Margin on patient care
29.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $114.6M in its first year on file (1996) to $571.5M in 2025.
  • Its result from patient care: $140.9M (2023), $165.9M (2024), $168.0M (2025).
  • All 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 4.2% of its inpatient days and Medicare for 28.1%.
  • HCA HEALTHCARE INC 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.

Net patient revenueOperating expenses
1996
as submitted
$114.6M
$98.9M
1997
as submitted
$122.5M
$107.7M
1998
as submitted
$120.2M
$104.3M
1999
as submitted
$117.4M
$106.6M
2000
as submitted
$124.7M
$116.6M
2001
reopened
$133.7M
$125.2M
2002
settled
$144.3M
$135.1M
2003
reopened
$163.8M
$152.4M
2004
settled
$174.2M
$163.7M
2005
reopened
$174.7M
$164.3M
2006
reopened
$181.0M
$169.7M
2007
reopened
$198.5M
$184.0M
2008
reopened
$221.4M
$209.2M
2009
reopened
$247.3M
$224.7M
2010
reopened
$272.1M
$211.0M
2011
reopened
$279.8M
$269.5M
2012
reopened
$273.0M
$259.6M
2013
reopened
$274.2M
$260.7M
2014
settled
$285.2M
$271.6M
2015
settled
$299.0M
$285.7M
2016
settled
$299.7M
$287.5M
2017
reopened
$301.9M
$290.2M
2018
settled with audit
$320.5M
$289.5M
2019
amended
$337.0M
$296.7M
2020
amended
$356.5M
$311.0M
2021
amended
$389.2M
$335.4M
2022
amended
$405.0M
$350.3M
2023
amended
$498.3M
$357.5M
2024
amended
$538.9M
$373.0M
2025
as submitted
$571.5M
$403.5M

Beside its peers

Short-term acute care hospitals in Virginia with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Lewis Gale Medical Center264$571,458,794$403,452,82529.4%
Bon Secours - Southside Medical Center, Petersburg300$342,343,927$317,177,3037.3%
Inova Alexandria Hospital, Alexandria303$642,166,212$389,218,50739.4%
Sentara Leigh Hospital, Norfolk274$760,338,162$588,113,19322.7%
RMH Healthcare, Harrisonburg238$658,417,501$610,034,4777.3%
Sentara Virginia Beach General Hospital, Virginia Beach239$576,901,217$477,080,56017.3%

Patients and payers

Discharges
17,108
S-3 line 14, col 15
Inpatient days
80,956
S-3 line 14, col 8
Beds in use, on an average day
222.4
days ÷ days in year
Occupancy
84.0%
days ÷ bed days
Medicare share of days
28.1%
S-3 cols 6 ÷ 8
Medicaid share of days
4.2%
S-3 cols 7 ÷ 8

Who owns it

  • HCA HEALTHCARE INC100%
  • HCA INC100%
  • HCA SQUARED LLC100%
  • HEALTHTRUST INC - THE HOSPITAL COMPANY100%
  • HOSPITAL CORP LLC100%
  • LEWIS GALE HOSPITAL INC100%
  • FRISCO HOLDING II16%
  • HERCULES HOLDING II14%

Related organizations on its own cost report: HCA, hospital corp; HPG, group purchasin; HCI, ehr; PARALLON, administrative.

Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).

Type of control on its cost report: proprietary, corporation.

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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 490048. 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 June 9, 2026.