Velarion Records

Short-term acute care hospital · Kingsport, Tennessee · 303 beds · CMS certification number 440017

Holston Valley Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS September 29, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$341.7M
$341,650,445 · G-3 line 3
Operating expenses
$391.7M
$391,699,823 · G-3 line 4
Result from patient care
−$50.0M
−$50,049,378 · G-3 line 5
Margin on patient care
−14.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $166.5M in its first year on file (1997) to $341.7M in 2025.
  • Its result from patient care: −$25.6M (2023), −$32.8M (2024), −$50.0M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 3.8% of its inpatient days and Medicare for 19.4%.
  • BALLAD HEALTH holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$166.5M
$150.2M
1998
reopened
$164.8M
$152.4M
1999
reopened
$161.7M
$152.6M
2000
reopened
$157.2M
$153.1M
2001
settled
$169.2M
$159.0M
2002
reopened
$188.6M
$171.1M
2003
reopened
$193.0M
$181.3M
2004
settled with audit
$456.8M
$188.4M
2005
settled
$229.4M
$234.9M
2006
reopened
$229.4M
$254.3M
2007
reopened
$275.6M
$283.5M
2008
reopened
$274.6M
$290.6M
2009
reopened
$917.5M
$287.7M
2010
reopened
not filed
not filed
2011
reopened
$929.5M
$307.2M
2012
settled with audit
$946.7M
$294.4M
2013
reopened
$290.9M
$298.2M
2014
reopened
$285.0M
$288.0M
2015
reopened
$293.9M
$319.6M
2016
reopened
$300.1M
$317.2M
2017
reopened
$315.3M
$330.6M
2018
reopened
$338.8M
$357.9M
2019
settled
$341.8M
$335.5M
2020
reopened
$289.5M
$314.8M
2021
settled
$354.7M
$346.2M
2022
settled
$340.6M
$369.6M
2023
settled
$344.6M
$370.2M
2024
amended
$335.3M
$368.1M
2025
amended
$341.7M
$391.7M

Beside its peers

Short-term acute care hospitals in Tennessee with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Holston Valley Medical Center303$341,650,445$391,699,823−14.6%
Fort Sanders Regional Medical Center, Knoxville304$434,720,968$447,664,847−3.0%
Regional One Health, Memphis291$453,336,800$808,111,048−78.3%
Saint Francis Hospital, Memphis340$278,887,378$307,996,175−10.4%
Tennova Healthcare, Knoxville293$438,905,406$382,083,85613.0%
Williamson Medical Center, Franklin337$307,033,273$322,161,081−4.9%

Patients and payers

Discharges
14,222
S-3 line 14, col 15
Inpatient days
74,717
S-3 line 14, col 8
Beds in use, on an average day
205.3
days ÷ days in year
Occupancy
67.6%
days ÷ bed days
Medicare share of days
19.4%
S-3 cols 6 ÷ 8
Medicaid share of days
3.8%
S-3 cols 7 ÷ 8

Who owns it

  • BALLAD HEALTH100%

Related organizations on its own cost report: BALLAD HEALTH (100%), healthcare system.

Other hospitals with the same owner: Bristol Regional Medical Center (TN), Sycamore Shoals Hospital (TN), Hawkins County Memorial Hospital (TN), Greeneville Community Hospital (TN), Johnson City Medical Center (TN), Indian Path Community Hospital (TN), Franklin Woods Community Hospital (TN), Johnson County Community Hospital (TN), Hancock County Hospital (TN), Rehabilitation Hospital of Kingsport, A Joint Venture of Ballad Health (TN), Quillen Rehabilitation Hospital, A JV of Ballad Health and Encompass (TN).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440017. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 29, 2026.