A hospital in Murfreesboro, TN. It ran an operating surplus of 7.6% in FY25 on $510.3M of operating revenue. It held 8 days of cash on hand (40th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 13.4% in FY21 to 7.6% in FY25, though it rose 10.3 points in the most recent year.
Operating margin · FY25
+7.6%
▲ 10.3 pts vs FY24
vs Urban PPS hospitals68th pctl of 1,475 (FY25)
Days cash on hand · FY25
8d
all sources
▲ 7.8 days vs FY24
vs Urban PPS hospitals40th pctl of 1,386 (FY25)
Total operating revenue · FY25
$510.3M
▲ 37.0 $M vs FY24
vs Urban PPS hospitals71st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+8.9%
▲ 4.5 pts vs FY24
vs Urban PPS hospitals60th pctl of 1,475 (FY25)
One point of operating margin at SAINT THOMAS RUTHERFORD HOSPITAL is about $5.1M per year (1% of FY25 total operating revenue).
Where SAINT THOMAS RUTHERFORD 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 hospitalSAINT THOMASUrban 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
447,425
473,299
510,254
Other operating revenue
8
—
—
Total operating revenue
447,433
473,299
510,254
Total operating expenses
441,386
486,040
471,637
Operating income
6,047
(12,741)
38,617
Operating margin %
+1.4%
-2.7%
+7.6%
Grants & contributions
(2,510)
(2,818)
(592)
Investment income
0
0
0
Other non-operating, net
20,934
38,105
7,994
Net income
24,471
22,546
46,019
Net income %
+5.3%
+4.4%
+8.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 300-bed hospital at 71% occupancy 44% 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
71.3%
Verified fact2025
HCRIS WS S-3
Average daily census
214.52
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
300
Verified fact2025
HCRIS WS S-3
Annual discharges
22,131
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
43.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,676
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.3%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
This measure was calculated using partial performance period data due to a CMS-approved exception.
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
RUTHERFORD County, TN
Median household income
$82.6K
vs $82.1K US · $59.7K rural median
Poverty rate
9.2%
vs 12.5% US · 14.3% rural median
Uninsured
9.8%
vs 8.6% US · 8.4% rural median
Age 65+
10.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.8% of county personal income is Medicare/Medicaid medical benefits; 15.7% arrives as government transfers (BEA, 2022).
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