Velarion Records

Critical access hospital · Waverly, Tennessee · 25 beds · CMS certification number 441303

Ascension Saint Thomas Three Rivers

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$11.5M
$11,463,931 · G-3 line 3
Operating expenses
$14.0M
$14,004,448 · G-3 line 4
Result from patient care
−$2.5M
−$2,540,517 · G-3 line 5
Margin on patient care
−22.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.1M in its first year on file (2000) to $11.5M in 2025.
  • Its result from patient care: −$948K (2023), −$1.3M (2024), −$2.5M (2025).
  • 1 of the 5 critical access hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.6% of its inpatient days and Medicare for 65.8%.
  • HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES, INC. holds 100% of it, on its Medicare enrollment.

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

26 years of filings

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

Net patient revenueOperating expenses
2000
settled
$1.1M
$1.1M
2001
reopened
$6.3M
$6.7M
2002
reopened
$6.4M
$6.9M
2003
reopened
$7.3M
$7.5M
2004
reopened
$6.8M
$7.1M
2005
reopened
$7.8M
$7.7M
2006
settled
$8.5M
$8.3M
2007
settled
$8.8M
$7.5M
2008
settled
$2.9M
$3.3M
2009
settled
$7.8M
$8.3M
2010
settled
$7.4M
$8.3M
2011
settled
$5.5M
$8.2M
2012
settled
$5.5M
$8.5M
2013
settled
$7.4M
$8.2M
2014
settled
$8.6M
$8.5M
2015
settled
$8.0M
$8.4M
2016
settled
$7.5M
$8.0M
2017
settled
$7.2M
$7.6M
2018
settled
$6.4M
$7.0M
2019
settled
$5.6M
$6.7M
2020
settled
$6.5M
$7.1M
2021
settled
$7.9M
$9.2M
2022
settled
$3.4M
$7.8M
2023
reopened
$10.6M
$11.6M
2024
settled
$12.0M
$13.4M
2025
as submitted
$11.5M
$14.0M

Beside its peers

Critical access hospitals in Tennessee with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Ascension Saint Thomas Three Rivers25$11,463,931$14,004,448−22.2%
Erlanger Health, Pikeville25$31,621,972$19,462,54238.5%
Macon Community Hospital, Lafayette25$28,030,982$24,167,20413.8%
Highpoint Health - Riverview With Saint Thomas, Carthage25$35,154,449$29,528,79716.0%
Ascension Saint Thomas Hickman, Centerville25$15,355,152$19,750,217−28.6%
Highpoint Health - Trousdale With Ascension Saint Thomas, Hartsville25$15,717,811$12,707,15319.1%

Patients and payers

Discharges
226
S-3 line 14, col 15
Inpatient days
2,729
S-3 line 14, col 8
Beds in use, on an average day
7.5
days ÷ days in year
Occupancy
29.9%
days ÷ bed days
Medicare share of days
65.8%
S-3 cols 6 ÷ 8
Medicaid share of days
0.6%
S-3 cols 7 ÷ 8

Who owns it

  • HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES, INC.100%

Related organizations on its own cost report: ST. THOMAS (100%), home office; ST. THOMAS (100%), home office; ST. THOMAS (100%), hospital.

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

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

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.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$1,005,462IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$0IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$696,916IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$696,916IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$308,546IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0869IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411339349300241. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 441303. 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 December 4, 2025.