CCN 440111DAVIDSON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)67 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Nashville, TN. It ran an operating surplus of 48.9% in FY23 on $62.7M of operating revenue. It held 11 days of cash on hand in FY25, its most recent reported liquidity (43rd percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY23
+48.9%
vs Urban PPS hospitals99th pctl of 1,475 (FY25)
Days cash on hand · FY25
11d
all sources
vs Urban PPS hospitals43rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$62.7M
vs Urban PPS hospitals12th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY23
+48.9%
vs Urban PPS hospitals99th pctl of 1,475 (FY25)
One point of operating margin at METRO NASHVILLE GENERAL HOSPITAL is about $627K per year (1% of FY25 total operating revenue).
Where METRO NASHVILLE GENERAL 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 hospitalMETRO NASHVILLEUrban 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
287,360
59,378
62,361
Other operating revenue
—
92
291
Total operating revenue
287,360
59,470
62,652
Total operating expenses
146,829
152,993
191,976
Operating income
140,531
(93,524)
(129,324)
Operating margin %
+48.9%
-157.3%
-206.4%
Grants & contributions
—
88,586
111,365
Investment income
—
576
346
Other non-operating, net
0
10,034
6,075
Net income
140,531
5,672
(11,538)
Net income %
+48.9%
+3.6%
-6.4%
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, 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).
FY21, FY22, FY24, FY25 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 67-bed hospital at 28% occupancy 71% 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
27.5%
Verified fact2025
HCRIS WS S-3
Average daily census
18.50
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
67
Verified fact2025
HCRIS WS S-3
Annual discharges
2,548
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
70.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
756.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.18
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.05
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.986043
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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