Astrelis
Children's hospital · Knoxville, TN

EAST TENNESSEE CHILDRENS HOSPITAL

CCN 443303Knox CountyVoluntary non-profit - PrivateUrban (USDA RUCC)79 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Knoxville, TN. It ran an operating loss of 9.1% in FY25 on $312.6M of operating revenue. Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 18.6%.

Operating margin · FY25
-9.1%
vs Children's hospitals29th pctl of 38 (FY25)
Days cash on hand
Not available
all sources
vs Children's hospitals
Total operating revenue · FY25
$312.6M
vs Children's hospitals24th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+18.6%
vs Children's hospitals68th pctl of 38 (FY25)
One point of operating margin at EAST TENNESSEE CHILDRENS HOSPITAL is about $3.1M per year (1% of FY25 total operating revenue).

Where EAST TENNESSEE CHILDRENS sits among Children's hospitals

Operating margin · FY25 pool · n = 38 of 73 filed

Each point is one Children's 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 Children's hospital median is +3.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Children's hospital median +3.6380552682669416%EAST TENNESSEE -9.107587576956236%-20%0%+20%Children's hospital median +3.6380552682669416%EAST TENNESSEE -9.107587576956236%
One children's hospitalEAST TENNESSEEChildren's 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
-9.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.69× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
77% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
74d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY25
Patient revenue312,650
Other operating revenue(54)
Total operating revenue312,597
Total operating expenses341,067
Operating income(28,470)
Operating margin %-9.1%
Grants & contributions3,864
Investment income29,016
Other non-operating, net73,583
Net income77,993
Net income %+18.6%
1 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY25–FY25

How it operates

quality & operational context · CMS public reporting

A 79-bed hospital at 42% occupancy 61% 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
41.7%
Verified fact2025
HCRIS WS S-3
Average daily census
33.01
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
79
Verified fact2025
HCRIS WS S-3
Annual discharges
4,515
Verified fact2025
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
61.3%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · single reporting year
Operating margin
-9.1%FY25
Days cash on hand
Not available

The county this hospital serves

Knox County, TN
Median household income
$71.7K
vs $82.1K US
Poverty rate
12.2%
vs 12.5% US
Uninsured
8.4%
vs 8.6% US
Age 65+
16.1%
vs 16.8% US
Fair or poor health
19.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.6% of county personal income is Medicare/Medicaid medical benefits; 16.8% arrives as government transfers (BEA, 2022).
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