Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY23, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Oneida, TN. It ran an operating loss of 41.2% in FY24 on $9.8M of operating revenue. It held 2 days of cash on hand in FY23, its most recent reported liquidity (14th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 11.6% in FY22 to -41.2% in FY24.
Operating margin · FY24
-41.2%
▼ 73.0 pts vs FY23
vs Critical Access Hospitals3rd pctl of 1,340 (FY24)
Days cash on hand · FY23
2d
all sources
▲ 0.0 days vs FY22
vs Critical Access Hospitals14th pctl of 1,325 (FY24)
Total operating revenue · FY24
$9.8M
▼ 9.0 $M vs FY23
vs Critical Access Hospitals8th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-27.5%
▼ 61.4 pts vs FY23
vs Critical Access Hospitals1st pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at BIG SOUTH FORK MEDICAL CENTER is about $98K per year (1% of FY24 total operating revenue).
Where BIG SOUTH FORK sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalBIG SOUTHCritical 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
+44.0% (FY24)
82nd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+55.9% (FY24)
49th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
13,417
19,412
10,485
Other operating revenue
58
(683)
(727)
Total operating revenue
13,475
18,729
9,758
Total operating expenses
11,912
12,776
13,778
Operating income
1,563
5,953
(4,020)
Operating margin %
+11.6%
+31.8%
-41.2%
Grants & contributions
847
337
—
Investment income
0
18
0
Other non-operating, net
183
230
1,046
Net income
2,593
6,538
(2,974)
Net income %
+17.9%
+33.9%
-27.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22, FY23, FY24 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 25-bed hospital at 14% occupancy 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
13.7%
Verified fact2024
HCRIS WS S-3
Average daily census
3.44
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
368
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.33
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
8.7%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Results are not available for this reporting period.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
FY24 days cash suppressed: out of display range.
The county this hospital serves
SCOTT County, TN · nonmetro, rural, metro-adjacent
Median household income
$42.7K
vs $82.1K US · $59.7K rural median
Poverty rate
24.9%
vs 12.5% US · 14.3% rural median
Uninsured
11.1%
vs 8.6% US · 8.4% rural median
Age 65+
16.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 19.9% of county personal income is Medicare/Medicaid medical benefits; 41.1% arrives as government transfers (BEA, 2022).
What this hospital means to Scott County
economic contribution · FY24 cost report
Direct annual spending
$13.8M
total operating expense · reported
Total economic output
$31.7M
× 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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