Velarion Records

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

Lonesome Pine Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 21, 2025. 30 years on file, every one shown below. Also on the 340B covered-entity register.

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.

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
settled
$6.1M
$6.9M
1997
reopened
$6.5M
$7.2M
1998
reopened
$13.0M
$14.7M
1999
settled
$14.0M
$16.7M
2000
settled
$15.1M
$17.5M
2001
settled
$16.5M
$20.9M
2002
reopened
$23.0M
$23.7M
2003
settled
$23.2M
$23.5M
2004
settled
$20.0M
$22.0M
2005
settled
$25.6M
$28.3M
2006
reopened
$31.4M
$31.2M
2007
reopened
$37.1M
$38.6M
2008
reopened
$33.4M
$36.2M
2009
reopened
not filed
not filed
2010
reopened
not filed
not filed
2011
reopened
$31.8M
$35.6M
2012
reopened
$32.3M
$36.9M
2013
reopened
$57.4M
$56.6M
2014
reopened
$53.1M
$54.6M
2015
reopened
$63.2M
$63.7M
2016
reopened
$73.3M
$72.2M
2017
reopened
$86.5M
$78.3M
2018
reopened
$88.0M
$84.6M
2019
settled
$104.7M
$82.7M
2020
settled
$87.0M
$79.0M
2021
settled
$118.2M
$109.0M
2022
as submitted
$175.8M
$145.9M
2023
as submitted
$175.6M
$145.5M
2024
as submitted
$177.4M
$146.7M
2025
as submitted
$183.6M
$164.1M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Lonesome Pine Hospital49$183,606,248$164,114,44310.6%
Bon Secours - Southampton Medical Center, Franklin42$52,730,801$64,067,841−21.5%
Sentara Halifax Regional Hospital, South Boston44$106,354,232$119,474,290−12.3%
Riverside Doctors Hospital of Williamsburg, Williamsburg40$105,273,271$82,949,23121.2%
Russell County Hospital, Lebanon44$63,790,177$60,089,5375.8%
UVA Health Haymarket Medical Center, Haymarket44$112,529,090$91,737,49918.5%

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), Bristol Regional Medical Center (TN), Franklin Woods Community Hospital (TN), Greeneville Community Hospital (TN), Sycamore Shoals Hospital (TN), Indian Path Community Hospital (TN), Hawkins County Memorial Hospital (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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More short-term acute care hospitals in Virginia

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 490114. 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 21, 2025.