Medicare cost report · CMS certification number 441303
ASCENSION ST THOMAS THREE RIVERS
WAVERLY, Tennessee · critical access hospital
Buy the report: $295Filing alerts: $390/year · The register under license: from $25,000/year
Figures for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2552-10, as submitted.
This hospital also appears on the 340B covered-entity register: THREE RIVERS HOSPITAL.
Finances, as filed
From this hospital’s Medicare cost report for the year ended June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,069,529 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $17,605,598 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,463,931 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,004,448 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,540,517 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $2,559,407 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $1,256,971 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $933,054 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $417,385 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,674,356 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4513 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 441303 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Humphreys County Community Health Services Inc (employer identification number 261861676) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,005,462 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $0 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $696,916 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $696,916 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $308,546 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0869 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202411339349300241. The IRS archive it was read from.
Executive and director compensation, as filed
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 39thpercentile of 18 hospitals in TN, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
- 47thpercentile of 19 hospitals in TN, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
- 81stpercentile of 16 hospitals in TN, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 68thpercentile of 19 hospitals in TN, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 19 hospitals in TN, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
- 84thpercentile of 19 hospitals in TN, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Peers and history
Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in Tennessee beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.
Get an email when this record changes
One email a day naming what moved on ASCENSION ST THOMAS THREE RIVERS: the field, the value before, the value after, and the date of the file that first showed it.
The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.
On May 14, 2026, a cost report was filed for fiscal year 2023. That is one line of the filing alert.
Take these figures as a spreadsheet The citable document with peers and history
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Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 441303 on form CMS-2552-10, publication year 2024, file HOSP10FY2024.ZIP.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 4, 2025.
The full report for ASCENSION ST THOMAS THREE RIVERS
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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