Astrelis
Psychiatric hospital · Knoxville, TN

EAST TENNESSEE BEHAVIORAL HEALTH

CCN 444032KNOX CountyProprietaryUrban (USDA RUCC)90 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Operating margin: +11.4% in FY2025, the 62nd percentile of 443 psychiatric hospitals in the FY2025 pool. Days cash on hand: 28 days in FY2025, the 78th percentile of 413 psychiatric hospitals in the FY2025 pool. Total operating revenue: $28.3M in FY2025, the 56th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +11.4% in FY2025, the 59th percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A hospital in Knoxville, TN. It ran an operating surplus of 11.4% in FY25 on $28.3M of operating revenue. It held 28 days of cash on hand (78th percentile of 413 Psychiatric hospitals on liquidity, FY25 pool). 2 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.

Operating margin · FY25
+11.4%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals62nd pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
28d
all sources
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals78th pctl of 413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$28.3M
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals56th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+11.4%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals59th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at EAST TENNESSEE BEHAVIORAL HEALTH is about $283K per year (1% of FY25 total operating revenue).

Where EAST TENNESSEE BEHAVIORAL sits among Psychiatric hospitals

Operating margin · FY25 pool · n = 443 of 608 filed

Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric 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 Psychiatric hospital FY25 median is +5.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Psychiatric hospital median +5.2%EAST TENNESSEE +11.4%
One psychiatric hospitalEAST TENNESSEEPsychiatric 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
+11.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+11.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
28d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23 · 228 daysFY24FY25
Patient revenue4,49912,53828,265
Other operating revenue103
Total operating revenue4,49912,53828,268
Total operating expenses13,11321,15925,056
Operating income(8,614)(8,621)3,212
Operating margin %—-68.8%+11.4%
Other non-operating, net014
Net income(8,614)(8,620)3,216
Net income %—-68.7%+11.4%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY23–FY25
Display states. FY23 · 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 -8,615K · Net patient revenue 4,499KFY23 · Days cash on hand: 0 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)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

A 90-bed psychiatric hospital running at 59% occupancy, where the average stay runs 7.4 days, and operating cost runs $1,299 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
58.7%
Reported value2025
HCRIS WS S-3
Average daily census
52.85
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
90
Reported value2025
HCRIS WS S-3
Annual discharges
2,623
Reported value2025
HCRIS WS S-3
Average length of stay
7 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$1,299
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$9,553
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
6.8%
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 · 3 reporting years
Operating margin
-68.8%+11.4%FY23FY24FY25
Days cash on hand
0 days-1 day28 daysFY23FY24FY25

The county this hospital serves

KNOX County, TN · metro, 250K–1M
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).

Illustrative advocacy scenario: what this hospital means to Knox County

Illustrative estimate · FY25 cost report
Direct annual spending
$25.1M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$57.6M
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 poolFY25Astrelis calculation

11.4% operating margin — 62nd percentile of 443 peers (FY25 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

6.2 points above the cohort median — at current revenue, approximately $1.8M more operating income than the median rate.

(11.4% facility vs 5.2% peer median) = 6.2 points above the median × $28.3M revenue ≈ $1.8M more operating income than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 443.

Performance Benchmark Report: FY25 peer pool · n = 443 · 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.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "East Tennessee Behavioral Health", https://astrelis.co/hospitals/444032, 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/444032.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.

build 2321a4fc37a7 · 2026-10-22 · dev