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Critical access hospital · Kilmarnock, Virginia · 25 beds · CMS certification number 491308

Rappahannock General Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 3, 2026. Nine years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$58.2M
$58,160,792 · G-3 line 3
Operating expenses
$59.9M
$59,886,553 · G-3 line 4
Result from patient care
−$1.7M
−$1,725,761 · G-3 line 5
Margin on patient care
−3.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $27.4M in its first year on file (2017) to $58.2M in 2025.
  • Its result from patient care: −$7.5M (2023), −$3.1M (2024), −$1.7M (2025).
  • 1 of the 5 critical access hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.2% of its inpatient days and Medicare for 52.1%.
  • BON SECOURS - RICHMOND HEALTH SYSTEM holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

Nine years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2017
settled
$27.4M
$32.1M
2018
reopened
$30.1M
$32.8M
2019
settled
$34.5M
$42.2M
2020
settled
$33.2M
$39.0M
2021
reopened
$36.3M
$40.5M
2022
settled
$39.2M
$45.4M
2023
settled
$42.2M
$49.7M
2024
as submitted
$50.1M
$53.1M
2025
as submitted
$58.2M
$59.9M

Beside its peers

Hospitals of the same type (critical access hospital), nearest in size, from Virginia first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Rappahannock General Hospital25$58,160,792$59,886,553−3.0%
Bath Community Hospital, Hot Springs14$19,237,384$30,504,211−58.6%
Carilion Clinic, Pearisburg25$108,831,545$105,086,9893.4%
Carilion Rockbridge Community Hospital, Lexington25$83,289,907$69,132,99517.0%
Page Memorial Hospital, Luray25$54,972,144$47,097,85514.3%
Shenandoah Memorial Hospital, Woodstock25$102,283,413$88,760,40513.2%

Patients and payers

Discharges
703
S-3 line 14, col 15
Inpatient days
2,562
S-3 line 14, col 8
Beds in use, on an average day
6.5
days ÷ days in year
Occupancy
25.9%
days ÷ bed days
Medicare share of days
52.1%
S-3 cols 6 ÷ 8
Medicaid share of days
0.2%
S-3 cols 7 ÷ 8

Who owns it

  • BON SECOURS - RICHMOND HEALTH SYSTEM100%
  • BON SECOURS MERCY HEALTH INC100%
  • BON SECOURS RICHMOND LLC100%

Related organizations on its own cost report: BON SECOUR RICH (100%), hosp services; BSMH (100%), home office.

Other hospitals with the same owner: Mercy Health-Lourdes Hospital (KY), Mercy Health-Marcum and Wallace Hospital (KY), Mercy Health - Anderson Hospital (OH), The Jewish Hospital - Mercy Health (OH), Mercy Health - Fairfield Hospital (OH), MH St. Elizabeth Youngstown Hospital (OH), Mercy Health-St. Rita's Medical Center (OH), Mercy Health - Springfield Regional Medical Center (OH), Mercy Health - Tiffin Hospital (OH), Mercy Health St. Vincent Medical Center (OH).

Type of control on its cost report: voluntary nonprofit, church.

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 491308. 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 3, 2026.