LewisGale Hospital Montgomery

General Info

Our General Information includes locations, prices, facility size and other information to get you started comparing facilities.
Address:
3700 South Main Street
Blacksburg, VA 24060
Get Direction

  (540) 951-1111

Administrator:
Mr. Alan Fabian
CEO

Medicare Provider Number: 490110
Tax Status: Proprietary

Teaching Status: None

Hospital Stays


For Fiscal year 1/1/2016 - 12/31/2016
Licensed beds146
Staffed beds41
Staffed NICU bassinets1
CON approved levelIntermediate
Patient days15,228
Admissions4,193
Full-time equivalents - Payroll382
Full-time equivalents - Contract37

ALSD

In addition to other services offered, this facility reported the following services available during fiscal year ending in 2016 in their Utilization Spread Sheets.

  • Cardiac Catheterization
  • Chemotherapy
  • Chronic Renal Dialysis
  • Lithotripsy
  • Wound Clinic

Virginia Trauma System

Level III Virginia Designated Trauma Center

Level III trauma centers, through an organized trauma response, can provide prompt assessment, resuscitation, stabilization, emergency operations and also arrange for the transfer of the patient to a facility that can provide definitive trauma care. Level III centers should also take on responsibility for education and system leadership within their region.

Read more at: Virginia Department of Health


Updated on: 1/19/2018

Caridac Care

About Cardiac Care
Cases Category
(Based on Adjusted Volume)
High Mid-High Mid-Low Low N/A
Medical 1500+ 800-1499 250-799 1-249 0
Invasive 1000+ 250-999 100-249 1-99 0
Open Heart 1000+ 500-999 100-499 1-99 0
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)
Service Line Total Cases Mortality Rating Readmission Rating
Cardiology Medical 331
· Congestive Heart Failure 121
Invasive Cardiology 114
· Cardiac Cath 18
· Percutaneous Cardiovascular Proc. 88
Service Line Total Cases Mortality Rating Readmission Rating
Cardiology Medical 227
Invasive Cardiology 109
· Cardiac Cath 16
· Percutaneous Cardiovascular Proc. 80
· Congestive Heart Failure 87
Service Line Total Cases Mortality Rating Readmission Rating
Cardiology Medical 247
Invasive Cardiology 120
· Cardiac Cath 21
· Percutaneous Cardiovascular Proc. 89
· Congestive Heart Failure 77
Service Line Total Cases Mortality Rating Readmission Rating
Cardiology Medical 330
· Congestive Heart Failure 101
Invasive Cardiology 112
· Cardiac Cath 21
· Percutaneous Cardiovascular Proc. 81
Service Line Total Cases Mortality Rating Readmission Rating
Cardiology Medical 284
Invasive Cardiology 117
· Cardiac Cath 18
· Percutaneous Cardiovascular Proc. 95
· Congestive Heart Failure 96
Mortality Readmission
Service Line Total Cases Hospice Cases Adj Vol Act Exp Ratio Rating Adj Vol Act Exp Ratio Rating
Cardiology Medical 331 19 280 0.36% 1.40% 0.25 296 15.54% 11.96% 1.30
· Congestive Heart Failure 121 10 107 0.93% 1.13% 0.83 114 17.54% 15.70% 1.12
Invasive Cardiology 114 0 100 2.00% 1.23% 1.62 98 5.10% 6.46% 0.79
· Cardiac Cath 18 0 12 0.00% 0.89% 0.00 12 0.00% 10.82% 0.00
· Percutaneous Cardiovascular Proc. 88 0 80 2.50% 1.41% 1.77 78 6.41% 5.86% 1.09
Mortality Readmission
Service Line Total Cases Hospice Cases Adj Vol Act Exp Ratio Rating Adj Vol Act Exp Ratio Rating
Cardiology Medical 227 7 197 4.06% 1.43% 2.84 195 12.31% 12.25% 1.00
Invasive Cardiology 109 4 96 2.08% 0.34% 6.16 94 6.38% 5.97% 1.07
· Cardiac Cath 16 0 8 0.00% 0.03% 0.00 8 12.50% 6.63% 1.88
· Percutaneous Cardiovascular Proc. 80 4 75 2.67% 0.38% 6.95 73 6.85% 5.78% 1.18
· Congestive Heart Failure 87 4 80 1.25% 1.51% 0.83 82 19.51% 15.97% 1.22
Mortality Readmission
Service Line Total Cases Hospice Cases Adj Vol Act Exp Ratio Rating Adj Vol Act Exp Ratio Rating
Cardiology Medical 247 8 214 1.40% 1.12% 1.25 215 9.77% 11.81% 0.83
Invasive Cardiology 120 1 99 3.03% 0.85% 3.55 96 7.29% 6.87% 1.06
· Cardiac Cath 21 0 10 0.00% 0.06% 0.00 10 20.00% 9.64% 2.08
· Percutaneous Cardiovascular Proc. 89 1 79 3.80% 1.05% 3.61 76 6.58% 6.58% 1.00
· Congestive Heart Failure 77 3 71 0.00% 1.43% 0.00 73 15.07% 16.42% 0.92
Mortality Readmission
Service Line Total Cases Hospice Cases Adj Vol Act Exp Ratio Rating Adj Vol Act Exp Ratio Rating
Cardiology Medical 330 16 277 2.53% 1.59% 1.59 275 9.09% 8.97% 1.01
· Congestive Heart Failure 101 9 88 2.27% 1.48% 1.54 92 11.96% 12.19% 0.98
Invasive Cardiology 112 0 98 2.04% 0.74% 2.76 93 5.38% 5.25% 1.02
· Cardiac Cath 21 0 11 0.00% 0.11% 0.00 11 9.09% 6.87% 1.32
· Percutaneous Cardiovascular Proc. 81 0 78 2.56% 0.85% 3.01 73 5.48% 4.92% 1.11
Mortality Readmission
Service Line Total Cases Hospice Cases Adj Vol Act Exp Ratio Rating Adj Vol Act Exp Ratio Rating
Cardiology Medical 284 13 249 5.62% 2.50% 2.25 239 13.81% 12.63% 1.09
Invasive Cardiology 117 0 104 4.81% 1.36% 3.55 98 10.20% 7.93% 1.29
· Cardiac Cath 18 0 12 0.00% 0.08% 0.00 12 16.67% 6.81% 2.45
· Percutaneous Cardiovascular Proc. 95 0 88 5.68% 1.59% 3.58 82 9.76% 8.16% 1.20
· Congestive Heart Failure 96 7 87 5.75% 2.68% 2.15 84 20.24% 17.48% 1.16

Actual Mortality
The percent of all patients admitted to hospital for a cardiac service line and died during their stay.

Actual Readmission Rate
The percent of all patients admitted to a hospital for a cardiac service line and later readmitted within 30 days to a Virginia hospital for a service related to their prior discharge.

Adjusted Volume (Mortality)
All inpatient hospital discharges excluding 1) hospice patients (shown) 2) patients transferred to another facility (not shown) and 3) patients transferred in with severe risk of mortality and died within 24 hours (not shown).

Adjusted Volume (Readmission)
All inpatient hospital discharges excluding 1) patients transferred to another facility or 2) patients that died.

Cardiac Care Service Lines
Patients may have one of many possible conditions and receive different types of diagnostic or surgical procedures. VHI groups these different conditions and treatments into service lines to better compare care provided.

Cardiac Catheterization
or angiogram is a procedure that identifies possible problems with your heart or its arteries. During a cath, a thin plastic tube, called a catheter, is inserted into a blood vessel in your groin or arm. The catheter is guided up toward your heart. A special dye is injected into the catheter so X-rays can show if you have any artery blockage or other heart problems. www.americanheart.org/ presenter.jhtml?identifier=4491

Cardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.

Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.

Cardiology - Open Heart Surgery
Includes procedures such as coronary artery bypass surgery (CABG) and cardiac valve procedures.

Cases Category
The number of adjusted cases (discharges) grouped into four categories for easy comparison.

Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585

Coronary Artery Bypass Graft (CABG)
also called coronary artery bypass surgery, heart bypass or bypass surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. Arteries and/or veins from elsewhere in the patient's body are grafted from the aorta to the coronary arteries to bypass atherosclerotic narrowings and improve the blood supply to the coronary circulation supplying the myocardium (heart muscle).
More info: http://en.wikipedia.org/wiki/Coronary_artery _bypass_surgery

Expected Mortality
The expected mortality rate is calculated based on the 3M APR-DRG risk of mortality index for patients within a hospital compared to similar patients treated in hospitals across Virginia.

Expected Readmission Rate
The expected readmission rate is calculated based on the 3M APR-DRG and severity index for patients within a hospital compared to similar patients treated in hospitals across Virginia.

Hospice Exclusions
All inpatient hospital discharges that were identified as hospice patients. These patients are identified by one of three methods 1) "v66.7" in the first nine diagnosis codes or those submitted by a facility in the tenth or later diagnosis code or 2) discharge status codes indicating hospice care or 3) revenue codes indicating hospice care.

Mortality Rating
This rating indicates whether the mortality (death) rate is more than expected (), as expected (), or less than expected() at a 95% confidence level. A "Less than expected" () rating is generally best.


Too few to calculate means there were fewer than 30 discharges in the service line and/or subgroup--the threshold VHI set for calculating statistical significance.

Mortality Ratio
The actual mortality (death) rate divided by expected mortality (death) rate for a hospital.

Percutaneous Cardiovascular Procedures
These procedures primarily include various types of Coronary Angioplasty. Coronary angioplasty is a medical procedure used to open arteries that have narrowed to the point that they impede blood flow to the heart. This procedure can improve some of the symptoms associated with blocked arteries, such as chest pain and shortness of breath.

Readmission Rating
This rating indicates whether the 30-day related readmission rate is more than expected (), as expected (), or less than expected() at a 95% confidence level. A "Less than expected" () rating is generally best.



Too few to calculate means there were fewer than 30 discharges in the service line and/or subgroup--the threshold VHI set for calculating statistical significance.

Readmission Ratio
The actual readmission rate divided by expected readmission rate for a hospital.

Teaching Status
The hospital facility reported membership or accreditation in the Council of Teaching Hospitals and Health Systems (COTH) and/or the Accreditation Council for Graduate Medical Education (ACGME) or they reported no teaching status (NONE.)

Total Cases
All inpatient hospital discharges by cardiac service lines and/or subgroups.


2016 data updated on: 02/14/2018

Efficiency Indicators

For Fiscal Year 1/1/2016 - 12/31/2016

Composite Score (Lower is better)
More efficient
1.4 
1.6
Less efficient
 3.9
What are Efficiency Indicators?

Charges

Indicator Description Quartile Rank 1 through 4
The average full patient charge based on charge schedules per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 17,508.56 25,486.68
2 25,486.68 31,479.12
3 31,479.12 37,626.39
4 37,626.39 88,881.29
(lower is better)
17,508.56 
40,927.32
.
4
 88,881.29
The average dollar amount expected to be collected per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 6,634.77 8,182.35
2 8,182.35 9,462.61
3 9,462.61 10,422.96
4 10,422.96 17,891.23
(lower is better)
6,634.77 
10,014.47
.
3
 17,891.23

Costs

Indicator Description Quartile Rank 1 through 4
The average total operating costs (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 5,731.78 8,281.55
2 8,281.55 8,984.54
3 8,984.54 10,089.86
4 10,089.86 16,498.99
(lower is better)
5,731.78 
8,156.64
.
1
 16,498.99
The average personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 1,799.78 3,292.64
2 3,292.64 3,795.17
3 3,795.17 4,394.30
4 4,394.30 7,491.79
(lower is better)
1,799.78 
2,995.31
.
1
 7,491.79
The average supply, maintenance and non-personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 1,831.01 2,914.86
2 2,914.86 3,462.13
3 3,462.13 4,029.86
4 4,029.86 6,876.10
(lower is better)
1,831.01 
3,769.93
.
3
 6,876.10
The average physical facility costs (e.g., expenses for depreciation, amortization, interest, insurance and taxes as related to the acquisition of permanent assets) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 -426.68 517.17
2 517.17 650.30
3 650.30 866.45
4 866.45 6,228.47
(lower is better)
-426.68 
-426.68
.
1
 6,228.47

Productivity/Utilization

Indicator Description Quartile Rank 1 through 4
The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.
QuartileMin.Max.
1 1.36 3.19
2 3.19 3.88
3 3.88 4.57
4 4.57 8.47
(lower is better)
1.36 
3.16
.
1
 8.47
The average number of hours the hospital paid to employees or an agency, per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 39.37 78.77
2 78.77 90.99
3 90.99 101.14
4 101.14 168.32
(lower is better)
39.37 
65.40
.
1
 168.32
Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets, that are operational to receive patients during the reporting period. The desired direction is toward a higher value.
QuartileMax.Min.
1 107.08 76.96
2 76.96 61.82
3 61.82 51.04
4 51.04 7.77
(higher is better)
107.08 
99.06
.
1
 7.77
Expressed as a percentage, the average utilization of the number of licensed beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, licensed beds exclude normal newborn bassinets, but include neonatal ICU bassinets. The desired direction is toward a higher value.
QuartileMax.Min.
1 89.85 66.43
2 66.43 46.47
3 46.47 28.47
4 28.47 7.77
(higher is better)
89.85 
28.50
.
3
 7.77
Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.
QuartileMax.Min.
1 105.76 75.15
2 75.15 60.60
3 60.60 49.21
4 49.21 17.53
(higher is better)
105.76 
49.21
.
3
 17.53
The average number of days a patient stays in the hospital, adjusted for case mix using the current version of the 3M APR-DRGs. The desired direction is toward a lower value.
QuartileMin.Max.
1 2.29 3.42
2 3.42 3.78
3 3.78 4.08
4 4.08 7.94
(lower is better)
2.29 
3.21
.
1
 7.94

Financial Viability

Indicator Description Quartile Rank 1 through 4
A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.
QuartileMax.Min.
1 329.79 7.51
2 7.51 2.15
3 2.15 0.00
4 0.00 -185.99
(higher is better)
329.79 
-0.45
.
4
 -185.99
Total margin expresses the difference between total revenue and cost as a proportion of total revenue. The desired direction is towards a higher value.
QuartileMax.Min.
1 30.84 12.75
2 12.75 6.86
3 6.86 0.95
4 0.95 -47.37
(higher is better)
30.84 
19.37
.
1
 -47.37
Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.) The desired direction is toward a higher value.
QuartileMax.Min.
1 40.47 10.46
2 10.46 5.13
3 5.13 0.31
4 0.31 -31.41
(higher is better)
40.47 
-0.10
.
4
 -31.41
The percentage of asset value financed by long-term debt. The desired direction is toward a lower value.
QuartileMin.Max.
1 0.00 0.02
2 0.02 0.18
3 0.18 0.97
4 0.97 5.75
(lower is better)
0.00 
0.06
.
2
 5.75

Community Support

Indicator Description Quartile Rank 1 through 4
Expressed as a percentage, the amount of charity care (converted to a cost basis,) bad debt and taxes the facility incurred in relation to its total expenses. The desired direction is toward a higher value.
QuartileMax.Min.
1 18.75 9.32
2 9.32 7.71
3 7.71 6.05
4 6.05 -16.71
(higher is better)
18.75 
18.75
.
1
 -16.71
Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue. The desired direction is toward a higher value.
QuartileMax.Min.
1 35.19 16.83
2 16.83 12.54
3 12.54 9.63
4 9.63 2.59
(higher is better)
35.19 
24.00
.
1
 2.59

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Updated on: 11/20/2017

Financial Information

For Fiscal Year 1/1/2016 - 12/31/2016
Why is this important?
Hospital financial information was originally intended to benefit of large employers and purchasers of care.
However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology. Rankings on financial measures are found within the Efficiency tab.

Revenue

  • Gross patient revenue $463,522,845
  • Contractual allowance $344,674,224
  • Charity care $5,429,663
  • Net patient revenue $113,418,958
  • Other operating revenue $1,157,455

Expense

  • Labor$33,923,442
  • Non-labor$42,696,337
  • Capital($5,638,028)
  • Taxes$14,965,782
  • Bad-debt$6,430,627
  • Total expense$22,198,253
  • .
  • Operating income$22,198,253
  • Net non-operating gains (loss)$0
  • Revenue and gains
    in excess of expenses and losses$22,198,253

Balance Sheet

  • Current assets$14,568,774
  • Net fixed assets$22,148,044
  • Other assets$185,809,466
  • Total assets$222,526,284
  • .
  • Current liabilities
  • Long term liabilities$1,259,737
  • Total liabilities$20,680,665
  • Net worth$201,845,619
Click here for more information on operating and total margins.

Updated on: 11/20/2017

2016 Outpatient Tests and Surgery Report

Tests and Surgery Sub Group Number of Cases Performed in 2016 Cases Median Charge Statewide Median Charge
Hernia Repair OTHER 60 $25,037 $13,894
Hernia Repair UNSPECIFIED AGE 49 $23,961 $14,664
Liposuction TRUNK EXTREMITY too few to calculate too few to calculate $19,195
Other Gynecological Procedures BIRTH CONTROL 20 $25,267 $14,875
Knee Surgery (Arthroscopy) Knee Surgery (Arthroscopy) 251 $21,792 $13,828
Facial Surgery EYES ONLY 9 $22,507 $11,115
Facial Surgery FACIAL ONLY too few to calculate too few to calculate $26,529
Other Gynecological Procedures D&C/REMOVAL FIBROIDS 65 $29,869 $17,002
Other Gynecological Procedures FERTILITY RELATED too few to calculate too few to calculate $14,932
Gallbladder Removal CHOLECYSTECTOMY 274 $32,013 $20,087
Other Gynecological Procedures REMOVAL ADHESIONS 13 $37,512 $23,296
General Laparoscopic Procedures GENERAL LAPAROSCOPY 17 $26,507 $20,752
Colonoscopy DIAGNOSTIC 166 $12,499 $3,763
Colonoscopy THERAPEUTIC 842 $12,247 $5,105
Breast Surgery THERAPEUTIC 34 $18,605 $13,335
Breast Surgery DIAGNOSTIC too few to calculate too few to calculate $10,541
Breast Surgery REPAIR/RECONSTRUCTION/COSMETIC PXS 53 $40,972 $26,947

Updated on: 1/16/2018

2016 Service Line

Service Line Inlier Cases Outlier Cases Number of Cases % of Hospital Total % of Regional Total
Obstetrics/Delivery 440 13 453 9.81% 3.97%
Oncology 62 15 77 1.67% 3.98%
Oncology Surgery 4 2 6 0.13% 4.69%
Cardiology - Open Heart Surgery 0 0 0 0.00% 0.00%
Ophthalmology 2 1 3 0.06% 3.53%
Ophthalmologic Surg 0 0 0 0.00% 0.00%
Orthopedic Surgery 381 36 417 9.03% 4.41%
Orthopedics 68 1 69 1.49% 3.62%
Other Obstetrics 40 4 44 0.95% 4.88%
Otolaryngology 19 1 20 0.43% 3.21%
Plastic Surgery 0 0 0 0.00% 0.00%
Psychiatry 46 4 50 1.08% 0.35%
Pulmonary 309 16 325 7.04% 2.28%
Rehabilitation 0 0 0 0.00% 0.00%
Rheumatology 33 0 33 0.71% 3.68%
Transplant Surgery 0 0 0 0.00% 0.00%
Urological Surgery 16 1 17 0.37% 2.90%
Urology 67 2 69 1.49% 2.21%
Vascular Surgery 5 1 6 0.13% 0.29%
Burns 1 0 1 0.02% 4.00%
Cardiology - Medical 295 36 331 7.17% 2.78%
Dental 6 0 6 0.13% 4.58%
Dermatology 10 2 12 0.26% 3.45%
Endocrinology 118 10 128 2.77% 3.21%
Gynecology 5 0 5 0.11% 3.42%
Hematology 33 3 36 0.78% 2.58%
Infectious Disease 613 85 698 15.12% 5.51%
Cardiology - Invasive 103 11 114 2.47% 2.75%
Neonatology 31 9 40 0.87% 2.46%
Nephrology 113 5 118 2.56% 2.72%
Neurological Surgery 18 0 18 0.39% 1.06%
Neurology 215 12 227 4.92% 2.92%
Normal Newborn 412 4 416 9.01% 4.11%
ENT Surgery 7 0 7 0.15% 2.24%
Gastroenterology 317 16 333 7.21% 2.91%
General Medicine 171 21 192 4.16% 2.75%
General Surgery 257 21 278 6.02% 3.31%
Gynecological Surg 16 0 16 0.35% 2.38%
Trauma 42 9 51 1.10% 1.87%
Total 4,275 341 4,616 100% 3.02%

Updated on: 11/20/2017

Patient Satisfaction Survey

Patient Survey Collection Dates: Oct 2016 - Sep 2017
Released in July 2018

LewisGale Hospital Montgomery's Overall

How do patients rate the hospital overall?
Hospital
Would patients recommend the hospital to friends and family?
Hospital

LewisGale Hospital Montgomery's Comfort

How often were the patients rooms and bathrooms kept clean?
Hospital
How often did patients receive help quickly from hospital staff?
Hospital
How often was the area around patients rooms kept quiet at night?
Hospital
How often did nurses communicate well with patients?
Hospital

LewisGale Hospital Montgomery's Communication

How often did doctors communicate well with patients?
Hospital
How often did staff explain about medicines before giving them to patients?
Hospital
Were patients given information about what to do during their recovery at home?
Hospital
VA
US
How did patient understood their care when they left the hospital?
Hospital

Updated on: 08/09/2018