Astrelis
Urban PPS hospital · Clarksville, TN

TENNOVA HEALTHCARE-CLARKSVILLE

CCN 440035MONTGOMERY CountyProprietaryUrban (USDA RUCC)217 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Clarksville, TN. It ran an operating surplus of 20.7% in FY25 on $279.9M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 7.7% in FY20 to 20.7% in FY25. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.

Operating margin · FY25
+20.7%
7.2 pts vs FY24
vs Urban PPS hospitals91st pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
0.0 days vs FY24
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$279.9M
67.5 $M vs FY24
vs Urban PPS hospitals50th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+20.7%
7.2 pts vs FY24
vs Urban PPS hospitals87th pctl of 1,475 (FY25)
One point of operating margin at TENNOVA HEALTHCARE-CLARKSVILLE is about $2.8M per year (1% of FY25 total operating revenue).

Where TENNOVA HEALTHCARE-CLARKSVILLE sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%TENNOVA HEALTHCARE-CLARKSVILLE +20.739165723561626%-20%0%+20%Urban PPS hospital median +1.3311360264910879%TENNOVA HEALTHCARE-CLARKSVILLE +20.739165723561626%
One urban pps hospitalTENNOVA HEALTHCARE-CLARKSVILLEUrban PPS 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 renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+20.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+20.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.54× (FY21)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
71% (FY21)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
58d (FY21)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue204,345211,620277,641
Other operating revenue1,7518052,285
Total operating revenue206,096212,424279,926
Total operating expenses193,830183,758221,872
Operating income12,26528,66658,054
Operating margin %+6.0%+13.5%+20.7%
Other non-operating, net000
Net income12,26528,66658,054
Net income %+6.0%+13.5%+20.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 217-bed hospital at 47% occupancy 55% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
47.1%
Verified fact2025
HCRIS WS S-3
Average daily census
102.46
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
217
Verified fact2025
HCRIS WS S-3
Annual discharges
11,096
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
55.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
839
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.4%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$18.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.206
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.3%
Worse Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.946372
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+7.7%+11.3%+10.0%+6.0%+13.5%+20.7%FY20FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days0 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MONTGOMERY County, TN · metro, 250K–1M
Median household income
$72.4K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.9%
vs 8.6% US · 8.4% rural median
Age 65+
9.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.4% of county personal income is Medicare/Medicaid medical benefits; 21.1% arrives as government transfers (BEA, 2022).

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