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Short-term acute care hospital · Big Stone Gap, Virginia · 49 beds · CMS certification number 490114

Lonesome Pine Hospital

Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 21, 2025. 30 years on file, all shown below. Also on the 340B covered-entity register.

Enrolled with Medicare by Wellmont Health System.

Fiscal 2025 at a glance

Net patient revenue $183.6M $183,606,248 · G-3 line 3
Operating expenses $164.1M $164,114,443 · G-3 line 4
Result from patient care $19.5M $19,491,805 · G-3 line 5
Margin on patient care 10.6% line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $6.1M in its first year on file (1996) to $183.6M in 2025.
  • Its result from patient care: $30.1M (2023), $30.7M (2024), $19.5M (2025).
  • 3 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 7.4% of its inpatient days and Medicare for 19.1%.
  • BALLAD HEALTH holds 100% of it, on its Medicare enrollment.

How these statements are drawn

30 years of filings

Net patient revenueOperating expenses

1996 settled margin −13.1% $6.1M $6.9M

1997 reopened margin −9.8% $6.5M $7.2M

1998 reopened margin −12.7% $13.0M $14.7M

1999 settled margin −19.1% $14.0M $16.7M

2000 settled margin −15.9% $15.1M $17.5M

2001 settled margin −26.5% $16.5M $20.9M

2002 reopened margin −3.2% $23.0M $23.7M

2003 settled margin −1.2% $23.2M $23.5M

2004 settled margin −10.2% $20.0M $22.0M

2005 settled margin −10.8% $25.6M $28.3M

2006 reopened margin 0.6% $31.4M $31.2M

2007 reopened margin −4.1% $37.1M $38.6M

2008 reopened margin −8.6% $33.4M $36.2M

2009 reopened not filed not filed

2010 reopened not filed not filed

2011 reopened margin −12.2% $31.8M $35.6M

2012 reopened margin −14.4% $32.3M $36.9M

2013 reopened margin 1.4% $57.4M $56.6M

2014 reopened margin −2.8% $53.1M $54.6M

2015 reopened margin −0.7% $63.2M $63.7M

2016 reopened margin 1.5% $73.3M $72.2M

2017 reopened margin 9.4% $86.5M $78.3M

2018 reopened margin 3.9% $88.0M $84.6M

2019 settled margin 21.0% $104.7M $82.7M

2020 settled margin 9.2% $87.0M $79.0M

2021 settled margin 7.7% $118.2M $109.0M

2022 as submitted margin 17.0% $175.8M $145.9M

2023 as submitted margin 17.2% $175.6M $145.5M

2024 as submitted margin 17.3% $177.4M $146.7M

2025 as submitted margin 10.6% $183.6M $164.1M

Beside its peers

Short-term acute care hospitals in Virginia with 25 to 49 beds, fiscal year 2025.

Hospital Beds Net patient revenue Operating expenses Margin

Lonesome Pine Hospital 49 $183,606,248 $164,114,443 10.6%

Bon Secours - Southampton Medical Center, Franklin 42 $52,730,801 $64,067,841 −21.5%

Sentara Halifax Regional Hospital, South Boston 44 $106,354,232 $119,474,290 −12.3%

Riverside Doctors Hospital of Williamsburg, Williamsburg 40 $105,273,271 $82,949,231 21.2%

Russell County Hospital, Lebanon 44 $63,790,177 $60,089,537 5.8%

UVA Health Haymarket Medical Center, Haymarket 44 $112,529,090 $91,737,499 18.5%

Patients and payers

  • Discharges 3,290 S-3 line 14, col 15
  • Inpatient days 11,847 S-3 line 14, col 8
  • Beds in use, on an average day 32.5 days ÷ days in year
  • Occupancy 66.2% days ÷ bed days
  • Medicare share of days 19.1% S-3 cols 6 ÷ 8
  • Medicaid share of days 7.4% S-3 cols 7 ÷ 8

Who owns it

  • BALLAD HEALTH100%
  • WELLMONT HEALTH SYSTEM100%

Related organizations on its own cost report: BALLAD HEALTH (100%), health system.

Other hospitals with the same owner: Hancock County Hospital (TN), Johnson County Community Hospital (TN), Rehabilitation Hospital of Kingsport, A Joint Venture of Ballad Health (TN), Quillen Rehabilitation Hospital, A JV of Ballad Health and Encompass (TN), Johnson City Medical Center (TN), Holston Valley Medical Center (TN), and 6 more.

Control: voluntary nonprofit, other.

Follow Lonesome Pine Hospital, free

More short-term acute care hospitals in Virginia

File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 490114. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read November 21, 2025.

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