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FonteumPublic-records evidence

Virginia Hospital Margin Gap(2024)

This state view compares hospital operating margins reported through CMS HCRIS cost reports. The table separates the highest and lowest finite operating margins in the latest reconciled issuance period, while the summary reports the state median because extreme self-reported values can distort an average. A distress flag means an operating margin below negative five percent under the published hospital-margin methodology; it is not a rating of care quality, solvency, or future performance. Missing values stay missing, and the page withholds live figures when its paginated row read does not reconcile with the period count. Use the CCN to return to the federal source record, review the methodology before comparing states, and treat every figure as a dated public-record observation rather than a current financial statement.

105
Hospitals
+6.6%
State median op margin
-13.8%
National avg
25
In distress (< −5%)

Highest Operating Margin

CCNHospitalOp Marginvs National
490107RESTON HOSPITAL+40.5%+54.3%
490110LEWISGALE HOSPITAL - MONTGOMERY+38.2%+52.0%
490101INOVA FAIR OAKS HOSPITAL+37.0%+50.8%
490118HENRICO DOCTORS HOSPITAL+35.3%+49.1%
490040INOVA ALEXANDRIA HOSPITAL+35.2%+49.0%
490020TRICITIES HOSPITAL+34.1%+48.0%
490043INOVA LOUDOUN HOSPITAL CENTER+32.9%+46.8%
490112CJW MEDICAL CENTER+31.5%+45.3%
490048LEWIS GALE MEDICAL CENTER+30.8%+44.6%
490126LEWISGALEHOSPITAL - ALLEGHANY+30.7%+44.6%

Lowest Operating Margin

CCNHospitalOp MarginDistress
494021WESTERN STATE HOSPITAL-1381.3%Distress
494017SOUTHERN VIRGINIA MENTAL HEALTH INST-983.6%Distress
494010NORTHERN VIRGINIA MENTAL HEALTH INST-699.7%Distress
490104HIRAM W DAVIS MEDICAL CENTER - MS-612.6%Distress
494033CATAWBA HOSPITAL-418.5%Distress
494029SOUTHWESTERN VA MENTAL HLTH INST IPT-398.6%Distress
491991LYNN HOUSE OF POTOMAC VALLEY INC.-157.1%Distress
491300BATH COUNTY COMMUNITY HOSPITAL-48.6%Distress
492010CENTRA SPECIALTY HOSPITAL-32.7%Distress
490117CARILION TAZEWELL COMMUNITY HOSPITAL-31.7%Distress

Fonteum does not independently rate or rank hospitals. This index reflects CMS-published self-reported financial data from HCRIS form 2552-10. Data is public domain per 17 U.S.C. § 105.

What’s on file, by the numbers

Platform snapshot · 2026-08-29

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
19fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

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Reproducible by design

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Source and date

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Available derivation

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Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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