A hospital in Nashville, TN. It ran an operating surplus of 5.6% in FY25 on $1232.0M of operating revenue. It held 4 days of cash on hand (36th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 4.3% in FY21 to 5.6% in FY25.
Operating margin · FY25
+5.6%
▲ 7.7 pts vs FY24
vs Urban PPS hospitals62nd pctl of 1,475 (FY25)
Days cash on hand · FY25
4d
all sources
▼ 4.3 days vs FY23
vs Urban PPS hospitals36th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.23B
▲ 98.5 $M vs FY24
vs Urban PPS hospitals90th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+6.9%
▲ 0.0 pts vs FY24
vs Urban PPS hospitals52nd pctl of 1,475 (FY25)
One point of operating margin at ASCENSION SAINT THOMAS HOSPITAL is about $12.3M per year (1% of FY25 total operating revenue).
Where ASCENSION SAINT THOMAS 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 hospitalASCENSION SAINTUrban 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
1,055,643
1,132,312
1,231,643
Other operating revenue
339
1,154
311
Total operating revenue
1,055,982
1,133,465
1,231,954
Total operating expenses
1,053,227
1,157,448
1,162,598
Operating income
2,755
(23,983)
69,356
Operating margin %
+0.3%
-2.1%
+5.6%
Grants & contributions
—
2,666
2,347
Investment income
(2)
61
46
Other non-operating, net
55,193
106,486
14,717
Net income
57,946
85,230
86,466
Net income %
+5.2%
+6.9%
+6.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY23, FY24, FY25 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 419-bed hospital at 80% occupancy 36% 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
80.2%
Verified fact2025
HCRIS WS S-3
Average daily census
336.98
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
419
Verified fact2025
HCRIS WS S-3
Annual discharges
39,684
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
36.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,518
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.6%
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
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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