Astrelis
Urban PPS hospital · Cleveland, TN

AFFILIATE OF VITRUVIAN HEALTH

CCN 440185BRADLEY CountyProprietary154 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Cleveland, TN. It ran an operating loss of 17.6% in FY25 on $180.3M of operating revenue. It held 61 days of cash on hand (63rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 14.3% in FY21 to -17.6% in FY25.

Operating margin · FY25
-17.6%
vs Urban PPS hospitals12th pctl of 1,475 (FY25)
Days cash on hand · FY25
61d
all sources
vs Urban PPS hospitals63rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$180.3M
vs Urban PPS hospitals36th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-15.6%
vs Urban PPS hospitals5th pctl of 1,475 (FY25)
One point of operating margin at AFFILIATE OF VITRUVIAN HEALTH is about $1.8M per year (1% of FY25 total operating revenue).

Where AFFILIATE OF VITRUVIAN 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%AFFILIATE OF -17.573888865465566%-20%0%+20%Urban PPS hospital median +1.3311360264910879%AFFILIATE OF -17.573888865465566%
One urban pps hospitalAFFILIATE OFUrban 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
-17.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-15.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
61d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.64× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-9% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
73d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue163,458162,953177,603
Other operating revenue2,8185602,654
Total operating revenue166,276163,513180,257
Total operating expenses135,248125,148211,935
Operating income31,02838,365(31,678)
Operating margin %+18.7%+23.5%-17.6%
Investment income2,371
Other non-operating, net00782
Net income31,02838,365(28,525)
Net income %+18.7%+23.5%-15.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 154-bed hospital at 67% occupancy 55% 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
67.3%
Verified fact2025
HCRIS WS S-3
Average daily census
103.93
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
154
Verified fact2025
HCRIS WS S-3
Annual discharges
9,681
Verified fact2025
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
54.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
947.30
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.647
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.774005
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+14.3%+18.2%+18.7%+23.5%-17.6%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days61 daysFY21FY22FY23FY24FY25

The county this hospital serves

BRADLEY County, TN
Median household income
$63.8K
vs $82.1K US · $59.7K rural median
Poverty rate
13.1%
vs 12.5% US · 14.3% rural median
Uninsured
10.3%
vs 8.6% US · 8.4% rural median
Age 65+
17.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.2% of county personal income is Medicare/Medicaid medical benefits; 25.1% arrives as government transfers (BEA, 2022).

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