A hospital in Dickson, TN. It ran an operating surplus of 21.3% in FY25 on $169.4M of operating revenue. It held 0 days of cash on hand (20th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 15.5% in FY21 to 21.3% in FY25.
Operating margin · FY25
+21.3%
▲ 7.3 pts vs FY24
vs Urban PPS hospitals92nd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▲ 0.1 days vs FY24
vs Urban PPS hospitals20th pctl of 1,386 (FY25)
Total operating revenue · FY25
$169.4M
▲ 18.4 $M vs FY24
vs Urban PPS hospitals34th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+21.5%
▲ 7.8 pts vs FY24
vs Urban PPS hospitals89th pctl of 1,475 (FY25)
One point of operating margin at TRISTAR HORIZON MEDICAL CENTER is about $1.7M per year (1% of FY25 total operating revenue).
Where TRISTAR HORIZON 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 hospitalTRISTAR HORIZONUrban 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
141,324
149,060
169,022
Other operating revenue
1,425
1,927
405
Total operating revenue
142,749
150,986
169,428
Total operating expenses
119,650
129,759
133,283
Operating income
23,099
21,227
36,145
Operating margin %
+16.2%
+14.1%
+21.3%
Other non-operating, net
80
(523)
260
Net income
23,179
20,704
36,405
Net income %
+16.2%
+13.8%
+21.5%
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 96-bed hospital at 68% occupancy 57% 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
67.6%
Verified fact2025
HCRIS WS S-3
Average daily census
65.03
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
96
Verified fact2025
HCRIS WS S-3
Annual discharges
7,398
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
57.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
561.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.071
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.950898
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
Dickson County, TN
Median household income
$73.2K
vs $82.1K US · $59.7K rural median
Poverty rate
9.9%
vs 12.5% US · 14.3% rural median
Uninsured
8.6%
vs 8.6% US · 8.4% rural median
Age 65+
16.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.7% of county personal income is Medicare/Medicaid medical benefits; 23.1% arrives as government transfers (BEA, 2022).
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