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 Cookeville, TN. It ran an operating surplus of 6.0% in FY25 on $464.3M of operating revenue. Operating margin improved from 3.3% in FY21 to 6.0% 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
+6.0%
▼ 0.2 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
Days cash on hand
Not available
all sources
vs Urban PPS hospitals—
Total operating revenue · FY25
$464.3M
▲ 56.6 $M vs FY24
vs Urban PPS hospitals67th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.9%
▼ 0.2 pts vs FY24
vs Urban PPS hospitals37th pctl of 1,475 (FY25)
One point of operating margin at COOKEVILLE REGIONAL MEDICAL CENTER is about $4.6M per year (1% of FY25 total operating revenue).
Where COOKEVILLE REGIONAL 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 hospitalCOOKEVILLE REGIONALUrban 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
372,464
404,827
462,736
Other operating revenue
1,758
2,849
1,559
Total operating revenue
374,222
407,676
464,295
Total operating expenses
364,652
382,701
436,556
Operating income
9,569
24,975
27,740
Operating margin %
+2.6%
+6.1%
+6.0%
Other non-operating, net
(11,343)
(12,743)
(14,562)
Net income
(1,774)
12,232
13,178
Net income %
-0.5%
+3.1%
+2.9%
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 188-bed hospital at 68% occupancy 61% 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
127.44
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
188
Verified fact2025
HCRIS WS S-3
Annual discharges
13,023
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
61.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,974
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.295
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.088354
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
FY25 days cash suppressed: out of display range.
The county this hospital serves
PUTNAM County, TN
Median household income
$56.5K
vs $82.1K US · $59.7K rural median
Poverty rate
16.9%
vs 12.5% US · 14.3% rural median
Uninsured
9.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.8% of county personal income is Medicare/Medicaid medical benefits; 27.0% arrives as government transfers (BEA, 2022).
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