A hospital in Nashville, TN. It ran an operating surplus of 5.3% in FY25 on $8147.0M of operating revenue. It held 135 days of cash on hand (76th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 4.2% in FY21 to 5.3% in FY25.
Operating margin · FY25
+5.3%
▲ 0.6 pts vs FY24
vs Urban PPS hospitals61st pctl of 1,475 (FY25)
Days cash on hand · FY25
135d
all sources
▲ 16.1 days vs FY24
vs Urban PPS hospitals76th pctl of 1,386 (FY25)
Total operating revenue · FY25
$8.15B
▲ 872.4 $M vs FY24
vs Urban PPS hospitals100th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.3%
▲ 0.6 pts vs FY24
vs Urban PPS hospitals46th pctl of 1,475 (FY25)
One point of operating margin at VANDERBILT UNIVERSITY MEDICAL CENTER is about $81.5M per year (1% of FY25 total operating revenue).
Where VANDERBILT UNIVERSITY MEDICAL 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.
One urban pps hospitalVANDERBILT UNIVERSITYUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
5,441,708
6,079,872
6,903,583
Other operating revenue
1,047,018
1,194,739
1,243,415
Total operating revenue
6,488,726
7,274,611
8,146,998
Total operating expenses
6,305,975
6,935,844
7,717,250
Operating income
182,752
338,767
429,748
Operating margin %
+2.8%
+4.7%
+5.3%
Other non-operating, net
(8,508)
0
0
Net income
174,244
338,767
429,748
Net income %
+2.7%
+4.7%
+5.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 738-bed hospital at 99% occupancy 59% 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
98.8%
Verified fact2025
HCRIS WS S-3
Average daily census
783.84
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
738
Verified fact2025
HCRIS WS S-3
Annual discharges
65,248
Verified fact2025
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
58.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
24,721
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.3%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.245
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.127112
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DAVIDSON County, TN
Median household income
$75.7K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
12.3%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.4% of county personal income is Medicare/Medicaid medical benefits; 10.5% arrives as government transfers (BEA, 2022).
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