photo: Smyth County Community Hospital exterior at twilight

Smyth County Community Hospital in Marion, Virginia, includes a 44-bed acute care hospital, a 109-bed nursing care facility, and a variety of outreach programs.

There are more than 50 physicians serving on our active medical staff.


Smyth County Community offers surgical services, rehabilitation services, women’s services, emergency services, cardio-pulmonary services, most acute care including home health, skilled nursing and long-term care.

Other services include a diagnostic sleep center, cardio/pulmonary rehabilitation and an inpatient rehabilitation unit.

Heart care

We are an accredited cardiac and pulmonary rehab center with state-of-the-art equipment. Cardiac and pulmonary rehabilitation is designed to offer more rehabilitative services as well as diagnostic testing to individuals so they do not have to travel to larger more urban areas.

Cancer care

Surgical services

Emergency and urgent care

Inpatient rehabilitation​

Direct access lab testing

Francis Marion Manor Health & Rehabilitation

Francis Marion Manor Health & Rehabilitation is a 109-bed licensed nursing care facility providing both skilled-level and nursing facility-level health care services.


Magnetic Resonance Imaging, or MRI, is available at Smyth County Community Hospital.

MRI scanners are used to produce incredibly detailed cross-sectional images of your body without the use of radiation.


Our physicians offer a full array of orthopedic services, from preventative diagnostic testing to surgery. Our orthopedic certified nurses and experienced joint care team have developed a comprehensive, planned course of treatment specifically for patients undergoing surgery. Through utilization of the most advanced technologies and minimally invasive procedures, we are putting you on the pathway to get back to what you love.

Monday through Friday, 8 a.m. to 5 p.m. – (276) 783-9752


Monday through Friday, 8:30 a.m. to 5 p.m. – (276) 783-5400

Awards and accreditations

  • 2022 Francis Marion Manor CMS Five Star Overall Rating recipient
  • Smyth County Community Hospital 2022 Leapfrog "A" grade designation
  • Smyth County Community Hospital 2021 CMS Five-Star Overall Rating recipient
  • Smyth County Community Hospital 2020 and 2021 CMS Five-Star Patient Experience Rating recipient
  • Francis Marion Manor Health & Rehabilitation: Virginia Department of Health License

Medical care and community impact reports

Community Health Needs Assessment (CHNA)

For Ballad Health to best serve the people of the Appalachian Highlands, we survey and conduct focus groups to get a read on overall health in the region. To read about the Smyth County Community Hospital’s Community Health Needs Assessment (CHNA), visit our CHNA page.

CMS price transparency

Please visit our Price Transparency page for a full listing of standard charges by facility.

You can learn more about pre-visit coordination and registration here and about payment options here.

Metrics by MS-DRG*

Smyth County Community MS-DRG metrics [PDF, 117KB], fiscal year 2023

View more Ballad Health MS-DRG metrics here.

*MS-DRGs are Medicare Severity Diagnosis Related Groups.

Learn more

Expand a section below to read more about Smyth County Community Hospital and our community.


Leadership team

  • Chad Couch, MD – President, Northern Region
  • Dale Clark – VP, Chief Executive Officer
  • Bob Bender – VP, Chief Financial Officer
  • Mhroos Peters, MD – VP, Chief Medical Officer
  • Trista Ruff, RN – Associate Administrator/Chief Nursing Officer
  • Erica Dillard, CPA – Controller

Hospital Parking

Parking for patients and visitors is available in front of Smyth County Community Hospital. Please lock your vehicle. If you need assistance with your vehicle, please notify the switchboard operator, located at the Emergency Department, and security will be contacted. 

Low-Emitting, Fuel Efficient, and Carpool Vehicle Parking – 32 parking spaces close to the front entrance have been designated to encourage our guests to be more environmentally friendly.


Ballad Health app home screen displayed on an iPhone

Manage your healthcare from anywhere with MyChart

24/7 MyChart icon
Access Your Information 24/7

Securely view your own or a family member's health records, review test results, pay your bill online and schedule a virtual visit with your doctor.

Online scheduling icon
Online Scheduling

Message your doctor directly, easily book appointments, check in to an appointment and request prescription refills.

Go to MyChart