A nurse in magenta scrubs walking a hospital corridor
Hospital · Big Stone Gap, VA

Lonesome Pine Hospital

1990 Holton Avenue East, Big Stone Gap, VA 24219

Contract staffing here runs at 6.2% of payroll, nearly double the Virginia median.

Contract labor share
6.2%
Virginia median 3.3%
Staff per bed
8.4
Virginia median 5.9
Average pay, all roles
$88,049
Virginia median $90,484
Beds
49
412 employees (FTE)
The numbers, in plain English

Working at Lonesome Pine Hospital

Lonesome Pine Hospital is a 49-bed acute care hospital in Big Stone Gap, Virginia, with about 412 full-time-equivalent employees, or 8.4 staff per bed. The median across the 71 Virginia hospitals of the same type that file cost reports is 5.9.

In the fiscal year ending June 2025, the hospital reported $2.2 million in contract labor for direct patient care, which is 6.2% of its payroll. The median for comparable Virginia hospitals is 3.3%. Put simply, this hospital leans on contract staff more than most Virginia hospitals of its type.

Average pay per employee across all roles was $88,049, in line with the $90,484 median for comparable Virginia hospitals. That figure covers every job in the hospital, not nurses alone.

What this means if you apply here

  • Higher contract spending is a good reason to ask whether permanent roles are open and what sign-on terms come with them.
  • More staff per bed than most comparable Virginia hospitals.

Questions to ask in your interview

  • Which units rely most on contract nurses right now?
  • Are permanent roles open on those units, and what sign-on terms come with them?
  • What is the typical RN assignment on the unit I would join?
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Sources. CMS Hospital Cost Report, fiscal year ending June 2025. Comparisons use the latest report for each Virginia hospital of the same type. CMS Overall Hospital Quality Star Rating from CMS Care Compare.