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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.

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.