A hospital in Waverly, TN. It ran an operating loss of 22.2% in FY25 on $11.5M of operating revenue. It held 9 days of cash on hand (19th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
-22.2%
vs Critical Access Hospitals10th pctl of 824 (FY25)
Days cash on hand · FY25
9d
all sources
vs Critical Access Hospitals19th pctl of 827 (FY25)
Total operating revenue · FY25
$11.5M
vs Critical Access Hospitals10th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
-22.6%
vs Critical Access Hospitals1st pctl of 824 (FY25)
One point of operating margin at ASCENSION SAINT THOMAS THREE RIVERS is about $115K per year (1% of FY25 total operating revenue).
Where ASCENSION SAINT THOMAS sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalASCENSION SAINTCritical Access 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
Medicare inpatient contribution margin
+44.3% (FY24)
82nd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+55.4% (FY24)
46th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
10,627
12,027
11,464
Other operating revenue
11
—
—
Total operating revenue
10,638
12,027
11,464
Total operating expenses
11,574
13,374
14,004
Operating income
(936)
(1,347)
(2,540)
Operating margin %
-8.8%
-11.2%
-22.2%
Grants & contributions
1
4
18
Investment income
0
0
2
Other non-operating, net
924
239
(65)
Net income
(11)
(1,104)
(2,585)
Net income %
-0.1%
-9.0%
-22.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · 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).
FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 9% occupancy where swing beds are 71% of the inpatient business and 80% 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
8.8%
Verified fact2025
HCRIS WS S-3
Average daily census
2.20
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
226
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
5.30
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
70.7%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.5%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.9M
Verified fact2024
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HUMPHREYS County, TN
Median household income
$59.3K
vs $82.1K US · $59.7K rural median
Poverty rate
13.7%
vs 12.5% US · 14.3% rural median
Uninsured
11.0%
vs 8.6% US · 8.4% rural median
Age 65+
20.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 31.6% arrives as government transfers (BEA, 2022).
What this hospital means to Humphreys County
economic contribution · FY25 cost report
Direct annual spending
$14.0M
total operating expense · reported
Total economic output
$32.2M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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