Critical access hospital · Oneida, Tennessee · 25 beds · CMS certification number 441323
Big South Fork Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. Five years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue fell from $13.4M in its first year on file (2022) to −$1.2M in 2025.
- Its result from patient care: $6.6M (2023), −$3.3M (2024), −$15.8M (2025).
- Medicaid paid for 25.9% of its inpatient days and Medicare for 74.1%.
- RENNOVA HEALTH INC holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
Five years of filings
Net patient revenue against operating expenses, each year as filed.
settled
settled with audit
settled
as submitted
as submitted
Beside its peers
Critical access hospitals in Tennessee with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Big South Fork Medical Center | 25 | −$1,197,434 | $14,611,289 | |
| Ascension Saint Thomas Three Rivers, Waverly | 25 | $11,463,931 | $14,004,448 | −22.2% |
| Erlanger Health, Pikeville | 25 | $31,621,972 | $19,462,542 | 38.5% |
| Macon Community Hospital, Lafayette | 25 | $28,030,982 | $24,167,204 | 13.8% |
| Ascension Saint Thomas Hickman, Centerville | 25 | $15,355,152 | $19,750,217 | −28.6% |
| Highpoint Health - Trousdale With Ascension Saint Thomas, Hartsville | 25 | $15,717,811 | $12,707,153 | 19.1% |
Patients and payers
- Discharges
- 173S-3 line 14, col 15
- Inpatient days
- 1,040S-3 line 14, col 8
- Beds in use, on an average day
- 2.9days ÷ days in year
- Occupancy
- 11.4%days ÷ bed days
- Medicare share of days
- 74.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 25.9%S-3 cols 7 ÷ 8
Who owns it
- RENNOVA HEALTH INC100%
Indirect owner: CHRISTOPHER DIAMANTIS
Related organizations on its own cost report: RCH/ RCHI (100%).
Type of control on its cost report: proprietary, corporation.
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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 441323. 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 HOSP10FY2025.ZIP, read June 22, 2026.