2 locations registered under this record — data as of October 30, 2026
Disproportionate share hospital · BIG STONE GAP, VA
LONESOME PINE HOSPITAL
Taking partYesLast certifiedAugust 26, 2026
- 2Registered locations
- 5Associated locations
- 55Contract pharmacies
- 51With no end date
- October 1, 2006In 340B since
Where this record sits: among the 16 Disproportionate share hospitals in Virginia, the median open contract-pharmacy count is 22; this record’s open count ranks 6.
Every Medicare cost report this hospital has filed is on its cost-report record.
Counting the locations registered under this record as well: 65 pharmacy contracts.
Finances, as filed
From this hospital’s Medicare cost report for the year ended June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $945,462,463 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $761,856,215 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $183,606,248 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $164,114,443 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $19,491,805 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $9,630,817 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $1,680,132 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $4,650,966 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $698,618 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $2,378,750 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 49 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.1308 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.12 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 490114 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
Executive and director compensation, as filed
The full report for LONESOME PINE HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: short-term acute care hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 100thpercentile of 21 hospitals in VA, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 100thpercentile of 21 hospitals in VA, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 67thpercentile of 12 hospitals in VA, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 46thpercentile of 13 hospitals in VA, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 21 hospitals in VA, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 14thpercentile of 14 hospitals in VA, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Virginia beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- October 1, 2006
- Certification date
- August 26, 2026
- Record last edited
- August 26, 2026
Identifiers
- 340B ID
- DSH490114
- Entity type as filed
- DSH
- CMS certification number
- 490114
- NPI
- 1295313161 (VA), 1447285432 (VA), 1801826912 (TN)
- Rural
- Yes
1990 HOLTON AVENUE EAST, BIG STONE GAP VA 24219
Locations registered under this record
Browse all of them as a list →
| DSH490114A | Ballad Health Cancer Care - A Department of Lonesome Pine Hospital | DSH | NORTON, VA | Yes |
| DSH490114B | Ballad Health Cancer Care - A Department of Lonesome Pine Hospital | DSH | Bristol, VA | Yes |
Associated locations
| Ballad Health Pharmacy | 1490 Park Ave NW | Norton VA 24273 |
| Bristol Regional Medical Center | 1 Medical Park Blvd. | Bristol TN 37620 |
| LONESOME PINE HOSPITAL | 1990 HOLTON AVENUE EAST | BIG STONE GAP VA 24219 |
| Lonesome Pine Hospital | 1990 HOLTON AVENUE EAST | Big Stone Gap VA 24219 |
| Lonesome Pine Hospital at Norton | 100 15th Street NW | Norton VA 24273 |
Pharmacy contracts
No end date filed51
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | January 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | January 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | January 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | January 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | July 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | January 1, 2021 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | January 1, 2021 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | INDIANAPOLIS, IN | October 1, 2024 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | DURHAM, NC | October 1, 2024 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | ALTAMONTE SPRINGS, FL | July 1, 2018 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | CHANDLER, AZ | October 1, 2024 | no end date filed |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | October 1, 2021 | no end date filed |
| DOGWOOD PHARMACY, INC | GREENVILLE, SC | July 1, 2018 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | January 1, 2021 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | January 1, 2021 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | January 1, 2021 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | January 1, 2021 | no end date filed |
| ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO | AMHERST, NY | April 1, 2016 | no end date filed |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | January 1, 2021 | no end date filed |
| OPTUM PHARMACY 704, INC. | SAN ANTONIO, TX | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 705, LLC | COLUMBUS, MS | January 1, 2021 | no end date filed |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | January 1, 2021 | no end date filed |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | January 1, 2021 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | January 1, 2021 | no end date filed |
| OPTUMRX | CARLSBAD, CA | January 1, 2021 | no end date filed |
| RAINA RX LLC | NEWBURGH, NY | July 1, 2018 | no end date filed |
| RIVER MEDICAL PHARMACY LLC | SAN ANTONIO, TX | July 1, 2018 | no end date filed |
| SINA DRUG LLC | LOUISVILLE, KY | April 1, 2016 | no end date filed |
| SINA DRUG LLC | NEW HYDE PARK, NY | April 1, 2016 | no end date filed |
| VIRGINIA CVS PHARMACY, L.L.C. | BIG STONE GAP, VA | January 1, 2018 | no end date filed |
| WAL-MART PHARMACY 10-3772 | JONESVILLE, VA | January 1, 2018 | no end date filed |
| WALGREEN CO. | COLONIAL HEIGHTS, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | BRISTOL, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | BRISTOL, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | GRAY, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | KINGSPORT, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | KINGSPORT, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | KINGSPORT, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | KINGSPORT, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | KINGSPORT, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | ROGERSVILLE, TN | April 1, 2015 | no end date filed |
| WALGREEN CO. | BRISTOL, VA | April 1, 2015 | no end date filed |
| WALGREEN CO. | GATE CITY, VA | April 1, 2015 | no end date filed |
| WALGREEN CO. | BRISTOL, TN | April 1, 2015 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | July 1, 2015 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | July 1, 2015 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | July 1, 2015 | no end date filed |
An end date is filed4
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| WALGREEN CO. | PINEY FLATS, TN | July 1, 2015 | December 17, 2018 |
| WALGREEN CO. | BLOUNTVILLE, TN | July 1, 2015 | December 17, 2018 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | July 1, 2015 | February 1, 2022 |
| WELLMONT HEALTH SYSTEM | NORTON, VA | April 1, 2019 | July 1, 2026 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 30, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_085119.xlsx, stamped by its publisher October 30, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_085119.xlsx, read October 30, 2026.