Astrelis
Rural PPS hospital · Athens, TN

STARR REGIONAL MEDICAL CENTER ATHENS

CCN 440068ProprietaryRural (USDA RUCC)167 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Athens, TN. It ran an operating surplus of 15.2% in FY25 on $151.1M of operating revenue. It held 9 days of cash on hand (33rd percentile among Rural PPS hospitals on liquidity). Operating margin improved from 10.9% in FY20 to 15.2% in FY25, though it fell 1.0 points in the most recent year.

Operating margin · FY25
+15.2%
1.0 pts vs FY24
vs Rural PPS hospitals88th pctl of 387 (FY24)
Days cash on hand · FY25
9d
all sources
2.7 days vs FY24
vs Rural PPS hospitals33rd pctl of 376 (FY24)
Total operating revenue · FY25
$151.1M
26.4 $M vs FY24
vs Rural PPS hospitals70th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+15.7%
1.2 pts vs FY24
vs Rural PPS hospitals84th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at STARR REGIONAL MEDICAL CENTER ATHENS is about $1.5M per year (1% of FY25 total operating revenue).

Where STARR REGIONAL MEDICAL sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%STARR REGIONAL +15.200385315662448%-20%0%+20%Rural PPS hospital median -0.8727424997636124%STARR REGIONAL +15.200385315662448%
One rural pps hospitalSTARR REGIONALRural 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
+15.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+15.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
9d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue115,321124,383150,533
Other operating revenue636334616
Total operating revenue115,957124,717151,149
Total operating expenses96,979104,543128,174
Operating income18,97820,17422,975
Operating margin %+16.4%+16.2%+15.2%
Grants & contributions2323142
Other non-operating, net851988722
Net income19,85221,18523,839
Net income %+17.0%+16.8%+15.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 167-bed hospital at 11% occupancy 76% 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
10.8%
Verified fact2025
HCRIS WS S-3
Average daily census
18.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
167
Verified fact2025
HCRIS WS S-3
Annual discharges
2,446
Verified fact2025
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
512.90
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.4%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.635
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.923369
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+10.9%+17.1%+11.1%+16.4%+16.2%+15.2%FY20FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days13 days11 days9 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MC MINN County, TN · nonmetro, urban 20K+, metro-adjacent
Median household income
$59.7K
vs $82.1K US · $59.7K rural median
Poverty rate
13.3%
vs 12.5% US · 14.3% rural median
Uninsured
10.4%
vs 8.6% US · 8.4% rural median
Age 65+
20.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.1% of county personal income is Medicare/Medicaid medical benefits; 30.4% arrives as government transfers (BEA, 2022).

What this hospital means to Mc Minn County

economic contribution · FY25 cost report
Direct annual spending
$128.2M
total operating expense · reported
Total economic output
$294.8M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
3.0%
of all county jobs
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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