Astrelis
Urban PPS hospital · Bristol, TN

WELLMONT BRISTOL REGIONAL MEDICAL CENTER

CCN 440012SULLIVAN CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)207 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Bristol, TN. It ran an operating surplus of 5.8% in FY25 on $331.0M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 11.7% in FY21 to 5.8% in FY25, though it rose 3.3 points in the most recent year.

Operating margin · FY25
+5.8%
3.3 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
0.0 days vs FY24
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$331.0M
28.1 $M vs FY24
vs Urban PPS hospitals56th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.0%
3.3 pts vs FY24
vs Urban PPS hospitals53rd pctl of 1,475 (FY25)
One point of operating margin at WELLMONT BRISTOL REGIONAL MEDICAL CENTER is about $3.3M per year (1% of FY25 total operating revenue).

Where WELLMONT BRISTOL REGIONAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%WELLMONT BRISTOL +5.77052161593093%-20%0%+20%Urban PPS hospital median +1.3311360264910879%WELLMONT BRISTOL +5.77052161593093%
One urban pps hospitalWELLMONT BRISTOLUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+5.8% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+7.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.29× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
47% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue293,918302,963325,566
Other operating revenue967(71)5,464
Total operating revenue294,885302,892331,029
Total operating expenses284,592295,443311,927
Operating income10,2937,44919,102
Operating margin %+3.5%+2.5%+5.8%
Grants & contributions1,007216716
Investment income7720354
Other non-operating, net3,4933,5803,549
Net income14,87011,44823,421
Net income %+5.0%+3.7%+7.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 207-bed hospital at 80% occupancy 48% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
80.2%
Verified fact2025
HCRIS WS S-3
Average daily census
166.54
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
207
Verified fact2025
HCRIS WS S-3
Annual discharges
14,792
Verified fact2025
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
48.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,091
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.43
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.788556
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+11.7%+5.3%+3.5%+2.5%+5.8%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days5 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

SULLIVAN County, TN
Median household income
$56.8K
vs $82.1K US · $59.7K rural median
Poverty rate
14.9%
vs 12.5% US · 14.3% rural median
Uninsured
9.1%
vs 8.6% US · 8.4% rural median
Age 65+
22.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.7% of county personal income is Medicare/Medicaid medical benefits; 27.2% arrives as government transfers (BEA, 2022).

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