Astrelis
Psychiatric hospital · Jackson, TN

PATHWAYS OF TENNESSEE, INC

CCN 444010MADISON CountyVoluntary non-profit - PrivateUrban (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY22. Margin and revenue are as filed for FY22. 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 Jackson, TN. It ran an operating loss of 72.7% in FY22 on $12.8M of operating revenue. It held 12 days of cash on hand in FY25, its most recent reported liquidity. Operating margin improved from -87.9% in FY21 to -72.7% in FY22. Including nonoperating items, the all-in result was positive at 1.2%. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.

Operating margin · FY22
-72.7%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals2nd pctl of 403 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
12d
all sources
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total operating revenue · FY25
$12.8M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total margin · incl. nonoperating · FY22
+1.2%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals36th pctl of 401 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at PATHWAYS OF TENNESSEE, INC is about $128K per year (1% of FY25 total operating revenue).

Where PATHWAYS OF TENNESSEE, sits among Psychiatric hospitals

Operating margin · FY22 pool · n = 403 of 601 filed

Each point is one Psychiatric hospital in the national FY22 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 Psychiatric hospital FY22 median is +3.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Psychiatric hospital median +3.3%PATHWAYS OF -72.7%-20%0%+20%Psychiatric hospital median +3.3%PATHWAYS OF -72.7%
One psychiatric hospitalPATHWAYS OFPsychiatric 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.

Operating margin
-72.7% (FY22)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+1.2% (FY22)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
12d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.72× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
47% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
25d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue12,39714,45212,715
Other operating revenue294041
Total operating revenue12,42614,49212,757
Total operating expenses26,01330,97326,536
Operating income(13,586)(16,481)(13,779)
Investment income000
Other non-operating, net10,80113,35315,883
Net income(2,785)(3,128)2,104
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY25 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -13,820K · Net patient revenue 12,715KFY24 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -16,521K · Net patient revenue 14,452KFY23 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -13,616K · Net patient revenue 12,397K

How it operates

quality & operational context · CMS public reporting

A 25-bed psychiatric hospital running at 45% occupancy, where the average stay runs 4.6 days, and operating cost runs $6,529 per patient day.

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
44.5%
Reported value2025
HCRIS WS S-3
Average daily census
11.16
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2025
HCRIS WS S-3
Annual discharges
877
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$6,529
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$30,257
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
82.7%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-87.9%-72.7%FY21FY22FY23FY24FY25
Days cash on hand
1 day1 day2 days1 day12 daysFY21FY22FY23FY24FY25

The county this hospital serves

MADISON County, TN
Median household income
$58.2K
vs $82.1K US
Poverty rate
18.6%
vs 12.5% US
Uninsured
10.2%
vs 8.6% US
Age 65+
17.6%
vs 16.8% US
Fair or poor health
24.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.1% of county personal income is Medicare/Medicaid medical benefits; 25.8% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Madison County

Illustrative estimate · FY25 cost report
Direct annual spending
$26.5M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$61.0M
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 not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. 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 poolFY22Astrelis calculation

-72.7% operating margin — 2th percentile of 403 peers (FY22 pool).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

Reserve The Board Briefing →
Performance Benchmark Report

76.0 points below the cohort median — at current revenue, approximately $9.7M less operating income than the median rate.

(-72.7% facility vs 3.3% peer median) = 76.0 points below the median × $12.8M revenue ≈ $9.7M less operating income than the median rate
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY22 pool · n = 403.

Performance Benchmark Report: FY22 peer pool · n = 403 · conservative low band; acuity limits stated in the report.

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.
build b4c6848142a7 · 2026-08-02 · b6d49cc