Critical access hospital · Lexington, Virginia · 25 beds · CMS certification number 491304
Carilion Rockbridge Community Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 5, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $9.4M in its first year on file (2004) to $83.3M in 2025.
- Its result from patient care: −$506K (2023), $3.0M (2024), $14.2M (2025).
- 3 of the 5 critical access 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 38.6%.
- CARILION CLINIC holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
22 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 (critical access hospital), nearest in size, from Virginia first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Carilion Rockbridge Community Hospital | 25 | $83,289,907 | $69,132,995 | 17.0% |
| Bath Community Hospital, Hot Springs | 14 | $19,237,384 | $30,504,211 | −58.6% |
| Carilion Clinic, Pearisburg | 25 | $108,831,545 | $105,086,989 | 3.4% |
| Rappahannock General Hospital, Kilmarnock | 25 | $58,160,792 | $59,886,553 | −3.0% |
| Page Memorial Hospital, Luray | 25 | $54,972,144 | $47,097,855 | 14.3% |
| Shenandoah Memorial Hospital, Woodstock | 25 | $102,283,413 | $88,760,405 | 13.2% |
Patients and payers
- Discharges
- 1,681S-3 line 14, col 15
- Inpatient days
- 6,072S-3 line 14, col 8
- Beds in use, on an average day
- 16.7days ÷ days in year
- Occupancy
- 66.5%days ÷ bed days
- Medicare share of days
- 38.6%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.2%S-3 cols 7 ÷ 8
Who owns it
- CARILION CLINIC100%
Related organizations on its own cost report: SCA (100%), collection svc; CLS (100%), laundry svs; CMC (100%), healthcare svs; CSI (100%), billing svs; CPTS (100%), pt. transport.
Other hospitals with the same owner: Carilion Roanoke Memorial Hospital (VA), Carilion New River Valley Medical Center (VA), Carilion Franklin Memorial Hospital (VA), Carilion Tazewell Community Hospital (VA), Carilion Clinic (VA).
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).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Carilion Rockbridge Community Hospital (employer identification number 540568001) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $3,027,911 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $747,091 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,098,784 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,845,875 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $182,036 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0466 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202422289349303387. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 491304. 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 March 5, 2026.