A hospital in Kingsport, TN. It ran an operating loss of 12.9% in FY25 on $347.1M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 4.6% in FY21 to -12.9% in FY25.
Operating margin · FY25
-12.9%
▼ 3.4 pts vs FY24
vs Urban PPS hospitals17th 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
$347.1M
▲ 10.7 $M vs FY24
vs Urban PPS hospitals57th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-12.3%
▼ 3.4 pts vs FY24
vs Urban PPS hospitals7th pctl of 1,475 (FY25)
One point of operating margin at WELLMONT HOLSTON VALLEY MEDICAL CENTER is about $3.5M per year (1% of FY25 total operating revenue).
Where WELLMONT HOLSTON VALLEY 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.
One urban pps hospitalWELLMONT HOLSTONUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
344,608
335,331
341,650
Other operating revenue
2,143
1,080
5,426
Total operating revenue
346,751
336,412
347,076
Total operating expenses
370,195
368,106
391,700
Operating income
(23,445)
(31,694)
(44,624)
Operating margin %
-6.8%
-9.4%
-12.9%
Grants & contributions
(39)
8
14
Investment income
(38)
77
38
Other non-operating, net
1,411
1,580
1,717
Net income
(22,111)
(30,029)
(42,855)
Net income %
-6.4%
-8.9%
-12.3%
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 236-bed hospital at 66% occupancy 42% 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
66.1%
Verified fact2025
HCRIS WS S-3
Average daily census
156.45
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
236
Verified fact2025
HCRIS WS S-3
Annual discharges
14,222
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
42.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,169
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.536
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.038349
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
Location, 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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