Operating margin: -41.2% in FY2024, the 3rd percentile of 1,307 critical access hospitals in the FY2024 pool. Days cash on hand: 0 days in FY2025, the 9th percentile of 1,297 critical access hospitals in the FY2025 pool. Total operating revenue: $-1.2M in FY2025, the 0th percentile of 1,331 critical access hospitals in the FY2025 pool. Total margin (including nonoperating): -27.5% in FY2024, the 1st percentile of 1,307 critical access hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, 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 $-1.2M of operating revenue. It held 0 days of cash on hand in FY25, its most recent reported liquidity (9th percentile of 1,297 Critical Access Hospitals on liquidity, FY25 pool). 3 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.
Operating margin · FY24
-41.2%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals3rd pctl of 1,307 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
0d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals9th pctl of 1,297 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$-1.2M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals0th pctl of 1,331 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-27.5%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals1st pctl of 1,307 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at BIG SOUTH FORK MEDICAL CENTER is about $-12K per year (1% of FY25 total operating revenue).
Where BIG SOUTH FORK sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,307 of 1,404 filed
Each point is one Critical Access Hospital in the national FY24 distribution for Critical Access Hospitals, this hospital's comparison cohort, 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 FY24 median is -1.8%. Descriptive context only, not a ranking.
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
19,412
10,485
(1,197)
Other operating revenue
(683)
(727)
—
Total operating revenue
18,729
9,758
(1,197)
Total operating expenses
12,776
13,778
14,611
Operating income
5,953
(4,020)
(15,809)
Operating margin %
+31.8%
-41.2%
—
Grants & contributions
336
—
—
Investment income
18
0
0
Other non-operating, net
231
1,045
178
Net income
6,538
(2,974)
(15,630)
Net income %
+33.9%
-27.5%
—
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–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
Display states.FY25 · Operating margin — Astrelis calculation unavailable (Withheld: this filing's total operating revenue is not positive, so the ratio is not computed)Filed inputs: Operating income -15,809K · Net patient revenue -1,197KFY25 · Total margin — Astrelis calculation unavailable (Withheld: this filing's total revenue is not positive, so the ratio is not computed)Filed inputs: Net income -15,630K · Net patient revenue -1,197K · Total other income 179KFY23 · Net patient A/R: 1,840K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -1427.9K (gross HOSP10_2023_nmrc.csv G000000 L00400; allowances L00500 3268.1K + L00600 9447.5K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY22 · Net patient A/R: 3,023K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -280.2K (gross HOSP10_2022_nmrc.csv G000000 L00400; allowances L00500 3302.9K + L00600 9906.2K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY21 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -3,892KFY21 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY24 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
How it operates
quality & operational context · CMS public reporting
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
6.8%
Reported value2025
HCRIS WS S-3
Average daily census
1.69
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2025
HCRIS WS S-3
Annual discharges
173
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$23,643
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$84,458
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Who it serves
Total unreimbursed & uncompensated care
$0.0M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
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).
Illustrative advocacy scenario: what this hospital means to Scott County
Illustrative estimate · FY24 cost report
Direct annual spending
$13.8M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$31.7M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY24 pool · n = 1,307.
Report coverage: Limited Facility Benchmark. 12 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Big South Fork Medical Center", https://astrelis.co/hospitals/441323, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/441323.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
